NEMSISDataDictionary v3.3.4.140305

NEMSIS
Data Dictionary
NHTSA v3.3.4
Build 140305
EMS Data Standard

Version Date: March 05, 2014
Funded by National Highway Traffic Safety Administration (NHTSA) Office of Emergency Medical Services
www.NEMSIS.org
NEMSIS Data Dictionary Version 3.3.4

NEMSIS Overview and Summary
The NEMSIS data dictionary was developed through a collaborative effort with the EMS industry including: web-based reviews, public comment periods, focus groups, industry dialogue, topic focused projects, and consensus. The National EMS Information System Version 3 represents a major revision from version 2 released in 2005. Adopting a broad perspective, the initiative to move to a 3rd version of the NEMSIS data dictionary was fueled by the need to improve data quality, enhance our ability to assess EMS performance, augment the flexibility of the standard for state adoption and, to move the NEMSIS standard into the Health Level 7 (HL7) organization for approval as an American National Standards Institute (ANSI) standard.
NEMSIS Version 3 Element Configuration from v2.2.1
NEMSIS Version 3 Element Configuration

Total Elements including the Custom Elements: 578 Excluding the Demographic and EMS (ePCR) Custom Elements: 556
NEMSIS Version 3.3.4 Data Dictionary Content

**Note: The numbers to the right of the content listed below represent the location for each element on the Sample Page of the Data Dictionary (page vi).
Data Element Number (#1) The NEMSIS Version 3 element numbering system has been revised to improve the information that can be derived from just the data element number. An example of a data element number is dAgency.01. The data element number begins with either a "d" representing the demographic (agency) section or an "e" representing the EMS PCR section. A one word descriptor for each section is now included in the data element
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number. A period separates the section (e.g. dAgency) from the data element number (e.g. 01). Data Element Name (#3) The name for the data element. National and State Element Indicator (#2, #5, #6) National = Yes, is an indication that the data element is required to be collected: at the local EMS agency level and submitted to the state State = Yes, is an indication that the data element is recommended to be collected at the "State" level. Data Element Definition (#4) The definition for the data element. Version 2 Number (#7) The NEMSIS Version 2.2.1 Data Element Number. If the Data Element is new to Version 3.3.4, the Version 2 Number will be blank. Data Structure Information Recurrence (#12) Indication that the data element can have more than one value. Represented by two characters separated by a colon. The configuration includes: 0:1 = element is not required and can occur only once 0:M = element is not required and can repeat multiple times 1:1 = element is required and can occur only once 1:M = element is required and can repeat multiple times Usage (#8) Indication of when the data element is expected to be collected. Mandatory = Must be completed and does not allow for NOT values Required = Must be completed and allows NOT values Recommended = Does not need to be completed and allows NOT values Optional = Does not need to be completed and does not allow for NOT values NOT Value Characteristics (#10) Indication that the data element can have NOT values. NOT Values are used (where permitted) to document that a data element was not applicable to the EMS response / request for service, was not or could not be completed. NOT Values are documented as "an attribute" of an element. It allows the documentation of NOT value when a "real" value is not documented. (Please reference the NEMSIS White Paper describing the use of NOT Values, Pertinent Negatives, and Nill.) NOT Values Accepted (#14) Indication of which of the following three NOT values is acceptable. Not all data elements accept NOT values. NOT Values have been condensed in Version 3. Not Applicable = The data element is not applicable or pertinent to the EMS event. Not Recorded = If a data element was unintentionally left blank the EMS
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software should auto-populate it with "Not Recorded". Not Reporting = The data element is not collected by the EMS agency or state. This NOT value does not apply to National elements where "Usage = Required". Pertinent Negative Values (PN) (#9, #14) A list of Pertinent Negative Values which can be associated with a data element. Not all data elements accept Pertinent Negative Values. Pertinent Negative Values are documented as "an attribute" of an element. It allows the documentation of pertinent negative value in addition to the documentation of a "real" value. (Please reference the NEMSIS White Paper describing the use of NOT Values, Pertinent Negatives, and Nill.) Example of use: Example #1 - Aspirin Administration: If the medication Aspirin is part of the agency protocol for Chest Pain but was not administered by the responding crew, the reason why should be documented. This is done through the use of Pertinent Negative Values. If the patient took the Aspirin prior to the EMS arrival on scene, the value "Medication Already Taken" should be documented in addition to "Aspirin". Example #2 - Gunshot Wound Entry & Exit Assessment If the patient was injured by a gunshot the assessment should document not only the entry but the exit of the bullet. In the abdominal assessment if "Gunshot Wound-Entry" was documented in the Right Upper Quadrant the EMS professional should be looking for an exit wound. If upon assessment of the back/spine no "Gunshot Wound-Exit" was identified then both "Gunshot Wound-Exit" and the pertinent negative value of "Exam Finding Not Present" should be documented. Is Nillable (#11) Indication that the element can accept a "blank" value. If the element is left "blank" the software must submit an appropriate value of one of the two attributes: Pertinent Negative or NOT Values. Associated Performance Measure Initiatives (#13) Indication that the data element has value in describing, defining, or measuring EMS from a performance perspective. Performance Measures can be associated with EMS service delivery, patient care, or both. The following service delivery or time dependent illness/injury performance measure topics have been included in NEMSIS Version 3: Airway - Airway Management Cardiac Arrest - Out of Hospital Cardiac Arrest Pediatric - Acute Pediatric Care Response - EMS Response Time STEMI - ST Elevation Myocardial Infarction (STEMI) Stroke - Acute Stroke Care Trauma - Acute Injury/Trauma Care Attributes (#14) An attribute provides extra information within an element. For information related to the first three attributes please see the NEMSIS document 'How to Utilize NEMSIS V3 "NOT values/pertinent negatives/nillable"'. The following are possible attributes: PN (Pertinent Negative)
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8801001 - Contraindication Noted 8801003 - Denied By Order 8801005 - Exam Finding Not Present 8801007 - Medication Allergy 8801009 - Medication Already Taken 8801013 - No Known Drug Allergies 8801015 - None Reported 8801017 - Not Performed by EMS 8801019 - Refused 8801021 - Unresponsive 8801023 - Unable to Complete NV (Not Value) 7701001 - Not Applicable 7701003 - Not Recorded 7701005 - Not Reporting Nillable xsi:nil="true" Code Type 9924001 - ICD10 9924003 - RxNorm CorrelationID Date Type = String minLength = 0 maxLength = 255 DistanceUnit 9921001 - Kilometers 9921003 - Miles EmailAddressType 9904001 - Personal 9904003 - Work nemsisCode Date Type = String nemsisElement Date Type = String nemsisValueDescription Date Type = String PhoneNumberType 9913001 - Fax 9913003 - Home 9913005 - Mobile 9913007 - Pager 9913009 - Work
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ProcedureGroupCorrelationID Date Type = CorrelationID StreetAddress2 Date Type = String minLength = 1 maxLength = 55 TIMESTAMP Date Type = DateTime minValue = 1950-01-01T00:00:00-00:00 maxValue = 2050-01-01T00:00:00-00:00 VelocityUnit 9921001 - Kilometers 9921003 - Miles Code List (#16) A list of values associated with the data element. Not all data elements have predefined value sets. Codes for each value: The codes are based on a 7-digit number, in a 2-2-3 pattern (without dashes). The first set of two numbers represent the data section The second set of two numbers represent the element number The last set is a 3-digit number for each value beginning at 001; The codes increase in increments of two (2). Codes are typically sequential (by two) and alphabetical. Some ordering is provided in an effort to present information based on workflow. Several values and codes reference external standards such as ICD-10, RxNorm, SNOMED, etc. NEMSIS will assist in providing a recommended list of EMS specific values and codes from these larger standards for most elements using these external standards. Data Element Editorial Comments (#17) Comments are provided to describe additions, changes, clarifications, or provide additional insight into the data element. Version 3 Changes Implemented (#18) Comments providing insight into specific Version 3 changes such as new or revised data elements. Element Deprecated(#19) Elements that are signified as "deprecated" will be removed from a future version of the NEMSIS standard. Their use should now be avoided, but will be supported until they are removed from the standard.
NEMSIS Version 3.3.4 Change Summary

NEMSIS Version 3 includes several new types of information to better describe EMS from an industry, workforce, EMS service delivery, and patient care perspective. Examples of new Version 3 content include:
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Demographic (Agency) Content EMS Agencies can list more than one state in which they offer EMS service delivery. EMS Agencies can indicate multiple Agency numbers. Multiple EMS Agency contacts can now be managed within the Demographic Section. EMS Agency Location and GIS information has been enhanced. EMS Professional and Workforce information has been enhanced. EMS (PCR) Content EMS Crew level information has been enhanced Scene location information has been enhanced to improve geo-coding and location analysis. Provider Impression (diagnosis), Symptoms, Cause of Injury, Medical/Surgical History, and Incident Location are now based on ICD-10. Procedures are now based on SNOMED. Medications are now stored using the RxNorm standard Cardiac Arrest information has been enhanced to add focus on CPR and post arrest cooling. Automated Collision Notification information has been included. The data elements required to document and evaluate the CDC Field Triage Algorithm for trauma have been included. Vital Sign and patient monitoring information have been enhanced A new section for Laboratory and Diagnostic Imaging results has been added. The Exam section has been reconfigured to improve documentation and ease of use. Much of the medical device information has been mapped into the vital sign section for direct import via the XML standard. Inclusion of electronic signatures and external electronic documents. An Airway section has been added to better document and evaluate airway management. Improved Work Related Illness and Injury documentation capability. Disposition information has been enhanced especially associated with Specialty Centers and time dependent illness/injury Systems of Care. EMS Response and Transport Modes have been enhanced to better define emergent, non-emergent, scheduled, and non-scheduled variation. EMS Response and Transport Mode Descriptors have been added to allow for documentation of Lights and Sirens Use and Intersection Navigation tools. The Payment/Billing section has been greatly expanded to meet current electronic billing requirements. Outcome information has been expanded to include additional Emergency Department and Hospital Outcome information (often obtained through linkage). General Improvements Version 3 content has focused on objective performance measures to better describe and evaluate EMS service delivery and patient care. State level configuration and customized data elements have been enhanced without changing the NEMSIS Version 3 Standard.
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www.NEMSIS.org
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Table of Contents
DEMDataSet
DEMDataSet Grouping
1
2
EMSDataSet
EMSDataSet Grouping
3
4
dState
dState Grouping dState.01 - State Required Element
6
7 8
dCustomConfiguration
dCustomConfiguration Grouping dCustomConfiguration.01 - Custom Data Element Title dCustomConfiguration.02 - Custom Definition dCustomConfiguration.03 - Custom Data Type dCustomConfiguration.04 - Custom Data Element Recurrence dCustomConfiguration.05 - Custom Data Element Usage dCustomConfiguration.06 - Custom Data Element Potential Values dCustomConfiguration.07 - Custom Data Element Potential NOT Values (NV) dCustomConfiguration.08 - Custom Data Element Potential Pertinent Negative Values (PN)
9
10 11 12 13 14 15 16 17 18
dAgency
dAgency Grouping dAgency.01 - EMS Agency Unique State ID dAgency.02 - EMS Agency Number dAgency.03 - EMS Agency Name dAgency.04 - EMS Agency State dAgency.05 - EMS Agency Service Area States dAgency.06 - EMS Agency Service Area County(ies) dAgency.07 - EMS Agency Census Tracts dAgency.08 - EMS Agency Service Area ZIP Codes dAgency.09 - Primary Type of Service dAgency.10 - Other Types of Service dAgency.11 - Level of Service dAgency.12 - Organization Status dAgency.13 - Organizational Type dAgency.14 - EMS Agency Organizational Tax Status dAgency.15 - Statistical Calendar Year dAgency.16 - Total Primary Service Area Size dAgency.17 - Total Service Area Population dAgency.18 - 911 EMS Call Center Volume per Year dAgency.19 - EMS Dispatch Volume per Year dAgency.20 - EMS Patient Transport Volume per Year dAgency.21 - EMS Patient Contact Volume per Year dAgency.22 - EMS Billable Calls per Year dAgency.23 - EMS Agency Time Zone dAgency.24 - EMS Agency Daylight Savings Time Use
19
20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44
dAgency.25 - National Provider Identifier dAgency.26 - Fire Department ID Number
45 46
dContact
dContact Grouping dContact.01 - Agency Contact Type dContact.02 - Agency Contact Last Name dContact.03 - Agency Contact First Name dContact.04 - Agency Contact Middle Name/Initial dContact.05 - Agency Contact Address dContact.06 - Agency Contact City dContact.07 - Agency Contact State dContact.08 - Agency Contact ZIP Code dContact.09 - Agency Contact Country dContact.10 - Agency Contact Phone Number dContact.11 - Agency Contact Email Address dContact.12 - EMS Agency Contact Web Address dContact.13 - Agency Medical Director Degree dContact.14 - Agency Medical Director Board Certification Type dContact.15 - Medical Director Compensation dContact.16 - EMS Medical Director Fellowship Trained Status
47
48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64
dConfiguration
dConfiguration Grouping dConfiguration.01 - State Associated with the Certification/Licensure Levels dConfiguration.02 - State Certification/Licensure Levels dConfiguration.03 - Procedures Permitted by the State dConfiguration.04 - Medications Permitted by the State dConfiguration.05 - Protocols Permitted by the State dConfiguration.06 - EMS Certification Levels Permitted to Perform Each Procedure dConfiguration.07 - EMS Agency Procedures dConfiguration.08 - EMS Certification Levels Permitted to Administer Each Medication dConfiguration.09 - EMS Agency Medications dConfiguration.10 - EMS Agency Protocols dConfiguration.11 - EMS Agency Specialty Service Capability dConfiguration.12 - Billing Status dConfiguration.13 - Emergency Medical Dispatch (EMD) Provided to EMS Agency Service Area dConfiguration.14 - EMD Vendor dConfiguration.15 - Patient Monitoring Capability(ies) dConfiguration.16 - Crew Call Sign dConfiguration.17 - Dispatch Center (CAD) Name or ID
65
66 67 68 69 70 71 74 75 76 77 78 80 81 82 83 84 85 86
dLocation
dLocation Grouping dLocation.01 - EMS Location Type dLocation.02 - EMS Location Name dLocation.03 - EMS Location Number dLocation.04 - EMS Location GPS dLocation.05 - EMS Location US National Grid Coordinates dLocation.06 - EMS Location Address
87
88 89 90 91 92 93 94
dLocation.07 - EMS Location City dLocation.08 - EMS Location State dLocation.09 - EMS Station or Location ZIP Code dLocation.10 - EMS Location County dLocation.11 - EMS Location Country dLocation.12 - EMS Location Phone Number
95 96 97 98 99 100
dVehicle
dVehicle Grouping dVehicle.01 - Unit/Vehicle Number dVehicle.02 - Vehicle Identification Number dVehicle.03 - EMS Unit Call Sign dVehicle.04 - Vehicle Type dVehicle.05 - Crew State Certification/Licensure Levels dVehicle.06 - Number of Each EMS Personnel Level on Normal 911 Ambulance Response dVehicle.07 - Number of Each EMS Personnel Level on Normal 911 Response (Non-Transport) Vehicle dVehicle.08 - Number of Each EMS Personnel Level on Normal Medical (Non-911) Transport Ambulance dVehicle.09 - Vehicle Initial Cost dVehicle.10 - Vehicle Model Year dVehicle.11 - Year Miles/Kilometers Hours Accrued dVehicle.12 - Annual Vehicle Hours dVehicle.13 - Annual Vehicle Miles/Kilometers
101
102 103 104 105 106 107 108 109 110 111 112 113 114 115
dPersonnel
dPersonnel Grouping dPersonnel.01 - EMS Personnel's Last Name dPersonnel.02 - EMS Personnel's First Name dPersonnel.03 - EMS Personnel's Middle Name/Initial dPersonnel.04 - EMS Personnel's Mailing Address dPersonnel.05 - EMS Personnel's City of Residence dPersonnel.06 - EMS Personnel's State dPersonnel.07 - EMS Personnel's ZIP Code dPersonnel.08 - EMS Personnel's Country dPersonnel.09 - EMS Personnel's Phone Number dPersonnel.10 - EMS Personnel's Email Address dPersonnel.11 - EMS Personnel's Date of Birth dPersonnel.12 - EMS Personnel's Gender dPersonnel.13 - EMS Personnel's Race dPersonnel.14 - EMS Personnel's Citizenship dPersonnel.15 - EMS Personnel's Highest Educational Degree dPersonnel.16 - EMS Personnel's Degree Subject/Field of Study dPersonnel.17 - EMS Personnel's Motor Vehicle License Type dPersonnel.18 - EMS Personnel's Immunization Status dPersonnel.19 - EMS Personnel's Immunization Year dPersonnel.20 - EMS Personnel's Foreign Language Ability dPersonnel.21 - EMS Personnel's Agency ID Number dPersonnel.22 - EMS Personnel's State of Licensure dPersonnel.23 - EMS Personnel's State's Licensure ID Number dPersonnel.24 - EMS Personnel's State EMS Certification Licensure Level dPersonnel.25 - EMS Personnel's State EMS Current Certification Date
116
117 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 140 141 142 143 144
dPersonnel.26 - EMS Personnel's Initial State's Licensure Issue Date dPersonnel.27 - EMS Personnel's Current State's Licensure Expiration Date dPersonnel.28 - EMS Personnel's National Registry Number dPersonnel.29 - EMS Personnel's National Registry Certification Level dPersonnel.30 - EMS Personnel's Current National Registry Expiration Date dPersonnel.31 - EMS Personnel's Employment Status dPersonnel.32 - EMS Personnel's Employment Status Date dPersonnel.33 - EMS Personnel's Hire Date dPersonnel.34 - EMS Personnel's Primary EMS Job Role dPersonnel.35 - EMS Personnel's Other Job Responsibilities dPersonnel.36 - EMS Personnel's Total Length of Service in Years dPersonnel.37 - EMS Personnel's Date Length of Service Documented dPersonnel.38 - EMS Professional's Practice Level dPersonnel.39 - Date of Professional's Certification or Licensure for Agency
145 146 147 148 149 150 151 152 153 154 155 156 157 158
dDevice
dDevice Grouping dDevice.01 - Medical Device Serial Number dDevice.02 - Medical Device Name or ID dDevice.03 - Medical Device Type dDevice.04 - Medical Device Manufacturer dDevice.05 - Medical Device Model Number dDevice.06 - Medical Device Purchase Date
159
160 161 162 163 164 165 166
dFacility
dFacility Grouping dFacility.01 - Type of Facility dFacility.02 - Facility Name dFacility.03 - Facility Location Code dFacility.04 - Hospital Designations dFacility.05 - Facility National Provider Identifier dFacility.06 - Facility Room, Suite, or Apartment dFacility.07 - Facility Street Address dFacility.08 - Facility City dFacility.09 - Facility State dFacility.10 - Facility ZIP Code dFacility.11 - Facility County dFacility.12 - Facility Country dFacility.13 - Facility GPS Location dFacility.14 - Facility US National Grid Coordinates
167
168 169 170 171 172 173 174 175 176 177 178 179 180 181 182
dCustomResults
dCustomResults Grouping dCustomResults.01 - Custom Data Element Result dCustomResults.02 - Custom Element ID Referenced dCustomResults.03 - CorrelationID of DemographicReport Element or Group
183
184 185 186 187
eState
eState Grouping eState.01 - State Required Element
188
189 190
eCustomConfiguration
eCustomConfiguration Grouping eCustomConfiguration.01 - Custom Data Element Title eCustomConfiguration.02 - Custom Definition eCustomConfiguration.03 - Custom Data Type eCustomConfiguration.04 - Custom Data Element Recurrence eCustomConfiguration.05 - Custom Data Element Usage eCustomConfiguration.06 - Custom Data Element Potential Values eCustomConfiguration.07 - Custom Data Element Potential NOT Values (NV) eCustomConfiguration.08 - Custom Data Element Potential Pertinent Negative Values (PN)
191
192 193 194 195 196 197 198 199 200
eRecord
eRecord Grouping eRecord.01 - Patient Care Report Number eRecord.02 - Software Creator eRecord.03 - Software Name eRecord.04 - Software Version
201
202 203 204 205 206
eResponse
eResponse Grouping eResponse.01 - EMS Agency Number eResponse.02 - EMS Agency Name eResponse.03 - Incident Number eResponse.04 - EMS Response Number eResponse.05 - Type of Service Requested eResponse.06 - Standby Purpose eResponse.07 - Primary Role of the Unit eResponse.08 - Type of Dispatch Delay eResponse.09 - Type of Response Delay eResponse.10 - Type of Scene Delay eResponse.11 - Type of Transport Delay eResponse.12 - Type of Turn-Around Delay eResponse.13 - EMS Vehicle (Unit) Number eResponse.14 - EMS Unit Call Sign eResponse.15 - Level of Care of This Unit eResponse.16 - Vehicle Dispatch Location eResponse.17 - Vehicle Dispatch GPS Location eResponse.18 - Vehicle Dispatch US National Grid Location eResponse.19 - Beginning Odometer Reading of Responding Vehicle eResponse.20 - On-Scene Odometer Reading of Responding Vehicle eResponse.21 - Patient Destination Odometer Reading of Responding Vehicle eResponse.22 - Ending Odometer Reading of Responding Vehicle eResponse.23 - Response Mode to Scene eResponse.24 - Additional Response Mode Descriptors
207
208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232
eDispatch
eDispatch Grouping eDispatch.01 - Complaint Reported by Dispatch eDispatch.02 - EMD Performed
233
234 235 237
eDispatch.03 - EMD Card Number eDispatch.04 - Dispatch Center Name or ID eDispatch.05 - Dispatch Priority (Patient Acuity)
238 239 240
eCrew
eCrew Grouping eCrew.01 - Crew Member ID eCrew.02 - Crew Member Level eCrew.03 - Crew Member Response Role
241
242 243 244 245
eTimes
eTimes Grouping eTimes.01 - PSAP Call Date/Time eTimes.02 - Dispatch Notified Date/Time eTimes.03 - Unit Notified by Dispatch Date/Time eTimes.04 - Dispatch Acknowledged Date/Time eTimes.05 - Unit En Route Date/Time eTimes.06 - Unit Arrived on Scene Date/Time eTimes.07 - Arrived at Patient Date/Time eTimes.08 - Transfer of EMS Patient Care Date/Time eTimes.09 - Unit Left Scene Date/Time eTimes.10 - Arrival at Destination Landing Area Date/Time eTimes.11 - Patient Arrived at Destination Date/Time eTimes.12 - Destination Patient Transfer of Care Date/Time eTimes.13 - Unit Back in Service Date/Time eTimes.14 - Unit Canceled Date/Time eTimes.15 - Unit Back at Home Location Date/Time eTimes.16 - EMS Call Completed Date/Time
246
247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263
ePatient
ePatient Grouping ePatient.01 - EMS Patient ID ePatient.02 - Last Name ePatient.03 - First Name ePatient.04 - Middle Initial/Name ePatient.05 - Patient's Home Address ePatient.06 - Patient's Home City ePatient.07 - Patient's Home County ePatient.08 - Patient's Home State ePatient.09 - Patient's Home ZIP Code ePatient.10 - Patient's Home Country ePatient.11 - Patient Home Census Tract ePatient.12 - Social Security Number ePatient.13 - Gender ePatient.14 - Race ePatient.15 - Age ePatient.16 - Age Units ePatient.17 - Date of Birth ePatient.18 - Patient's Phone Number ePatient.19 - Patient's Email Address
264
265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284
ePatient.20 - State Issuing Driver's License ePatient.21 - Driver's License Number
285 286
ePayment
ePayment Grouping ePayment.01 - Primary Method of Payment ePayment.02 - Physician Certification Statement ePayment.03 - Date Physician Certification Statement Signed ePayment.04 - Reason for Physician Certification Statement ePayment.05 - Healthcare Provider Type Signing Physician Certification Statement ePayment.06 - Last Name of Individual Signing Physician Certification Statement ePayment.07 - First Name of Individual Signing Physician Certification Statement ePayment.08 - Patient Resides in Service Area ePayment.09 - Insurance Company ID ePayment.10 - Insurance Company Name ePayment.11 - Insurance Company Billing Priority ePayment.12 - Insurance Company Address ePayment.13 - Insurance Company City ePayment.14 - Insurance Company State ePayment.15 - Insurance Company ZIP Code ePayment.16 - Insurance Company Country ePayment.17 - Insurance Group ID/Name ePayment.18 - Insurance Policy ID Number ePayment.19 - Last Name of the Insured ePayment.20 - First Name of the Insured ePayment.21 - Middle Initial/Name of the Insured ePayment.22 - Relationship to the Insured ePayment.23 - Closest Relative/Guardian Last Name ePayment.24 - Closest Relative/ Guardian First Name ePayment.25 - Closest Relative/ Guardian Middle Initial/Name ePayment.26 - Closest Relative/ Guardian Street Address ePayment.27 - Closest Relative/ Guardian City ePayment.28 - Closest Relative/ Guardian State ePayment.29 - Closest Relative/ Guardian ZIP Code ePayment.30 - Closest Relative/ Guardian Country ePayment.31 - Closest Relative/ Guardian Phone Number ePayment.32 - Closest Relative/ Guardian Relationship ePayment.33 - Patient's Employer ePayment.34 - Patient's Employer's Address ePayment.35 - Patient's Employer's City ePayment.36 - Patient's Employer's State ePayment.37 - Patient's Employer's ZIP Code ePayment.38 - Patient's Employer's Country ePayment.39 - Patient's Employer's Primary Phone Number ePayment.40 - Response Urgency ePayment.41 - Patient Transport Assessment ePayment.42 - Specialty Care Transport Care Provider ePayment.43 - Ambulance Transport Code ePayment.44 - Ambulance Transport Reason Code ePayment.45 - Round Trip Purpose Description ePayment.46 - Stretcher Purpose Description
287
288 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335
ePayment.47 - Ambulance Conditions Indicator ePayment.48 - Mileage to Closest Hospital Facility ePayment.49 - ALS Assessment Performed and Warranted ePayment.50 - CMS Service Level ePayment.51 - EMS Condition Code ePayment.52 - CMS Transportation Indicator ePayment.53 - Transport Authorization Code ePayment.54 - Prior Authorization Code Payer ePayment.55 - Supply Item Used Name ePayment.56 - Number of Supply Item(s) Used
336 337 338 339 340 341 342 343 344 345
eScene
eScene Grouping eScene.01 - First EMS Unit on Scene eScene.02 - Other EMS or Public Safety Agencies at Scene eScene.03 - Other EMS or Public Safety Agency ID Number eScene.04 - Type of Other Service at Scene eScene.05 - Date/Time Initial Responder Arrived on Scene eScene.06 - Number of Patients at Scene eScene.07 - Mass Casualty Incident eScene.08 - Triage Classification for MCI Patient eScene.09 - Incident Location Type eScene.10 - Incident Facility Code eScene.11 - Scene GPS Location eScene.12 - Scene US National Grid Coordinates eScene.13 - Incident Facility or Location Name eScene.14 - Mile Post or Major Roadway eScene.15 - Incident Street Address eScene.16 - Incident Apartment, Suite, or Room eScene.17 - Incident City eScene.18 - Incident State eScene.19 - Incident ZIP Code eScene.20 - Scene Cross Street or Directions eScene.21 - Incident County eScene.22 - Incident Country eScene.23 - Incident Census Tract
346
347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370
eSituation
eSituation Grouping eSituation.01 - Date/Time of Symptom Onset/Last Normal eSituation.02 - Possible Injury eSituation.03 - Complaint Type eSituation.04 - Complaint eSituation.05 - Duration of Complaint eSituation.06 - Time Units of Duration of Complaint eSituation.07 - Chief Complaint Anatomic Location eSituation.08 - Chief Complaint Organ System eSituation.09 - Primary Symptom eSituation.10 - Other Associated Symptoms eSituation.11 - Provider's Primary Impression
371
372 373 375 376 377 378 379 380 381 382 383 384
eSituation.12 - Provider's Secondary Impressions eSituation.13 - Initial Patient Acuity eSituation.14 - Work-Related Illness/Injury eSituation.15 - Patient's Occupational Industry eSituation.16 - Patient's Occupation eSituation.17 - Patient Activity
385 386 387 388 389 390
eInjury
eInjury Grouping eInjury.01 - Cause of Injury eInjury.02 - Mechanism of Injury eInjury.03 - Trauma Center Criteria eInjury.04 - Vehicular, Pedestrian, or Other Injury Risk Factor eInjury.05 - Main Area of the Vehicle Impacted by the Collision eInjury.06 - Location of Patient in Vehicle eInjury.07 - Use of Occupant Safety Equipment eInjury.08 - Airbag Deployment eInjury.09 - Height of Fall (feet) eInjury.10 - OSHA Personal Protective Equipment Used eInjury.11 - ACN System/Company Providing ACN Data eInjury.12 - ACN Incident ID eInjury.13 - ACN Call Back Phone Number eInjury.14 - Date/Time of ACN Incident eInjury.15 - ACN Incident Location eInjury.16 - ACN Incident Vehicle Body Type eInjury.17 - ACN Incident Vehicle Manufacturer eInjury.18 - ACN Incident Vehicle Make eInjury.19 - ACN Incident Vehicle Model eInjury.20 - ACN Incident Vehicle Model Year eInjury.21 - ACN Incident Multiple Impacts eInjury.22 - ACN Incident Delta Velocity eInjury.23 - ACN High Probability of Injury eInjury.24 - ACN Incident PDOF eInjury.25 - ACN Incident Rollover eInjury.26 - ACN Vehicle Seat Location eInjury.27 - Seat Occupied eInjury.28 - ACN Incident Seatbelt Use eInjury.29 - ACN Incident Airbag Deployed
391
392 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422
eArrest
eArrest Grouping eArrest.01 - Cardiac Arrest eArrest.02 - Cardiac Arrest Etiology eArrest.03 - Resuscitation Attempted By EMS eArrest.04 - Arrest Witnessed By eArrest.05 - CPR Care Provided Prior to EMS Arrival eArrest.06 - Who Provided CPR Prior to EMS Arrival eArrest.07 - AED Use Prior to EMS Arrival eArrest.08 - Who Used AED Prior to EMS Arrival eArrest.09 - Type of CPR Provided
423
424 425 426 427 428 429 430 431 432 433
eArrest.10 - Therapeutic Hypothermia Initiated eArrest.11 - First Monitored Arrest Rhythm of the Patient eArrest.12 - Any Return of Spontaneous Circulation eArrest.13 - Neurological Outcome at Hospital Discharge eArrest.14 - Date/Time of Cardiac Arrest eArrest.15 - Date/Time Resuscitation Discontinued eArrest.16 - Reason CPR/Resuscitation Discontinued eArrest.17 - Cardiac Rhythm on Arrival at Destination eArrest.18 - End of EMS Cardiac Arrest Event
434 435 436 437 438 439 440 441 443
eHistory
eHistory Grouping eHistory.01 - Barriers to Patient Care eHistory.02 - Last Name of Patient's Practitioner eHistory.03 - First Name of Patient's Practitioner eHistory.04 - Middle Name/Initial of Patient's Practitioner eHistory.05 - Advance Directives eHistory.06 - Medication Allergies eHistory.07 - Environmental/Food Allergies eHistory.08 - Medical/Surgical History eHistory.09 - Medical History Obtained From eHistory.10 - The Patient's Type of Immunization eHistory.11 - Immunization Date eHistory.12 - Current Medications eHistory.13 - Current Medication Dose eHistory.14 - Current Medication Dosage Unit eHistory.15 - Current Medication Administration Route eHistory.16 - Presence of Emergency Information Form eHistory.17 - Alcohol/Drug Use Indicators eHistory.18 - Pregnancy eHistory.19 - Last Oral Intake
444
445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464
eNarrative
eNarrative Grouping eNarrative.01 - Patient Care Report Narrative
465
466 467
eVitals
eVitals Grouping eVitals.01 - Date/Time Vital Signs Taken eVitals.02 - Obtained Prior to this Unit's EMS Care eVitals.03 - Cardiac Rhythm / Electrocardiography (ECG) eVitals.04 - ECG Type eVitals.05 - Method of ECG Interpretation eVitals.06 - SBP (Systolic Blood Pressure) eVitals.07 - DBP (Diastolic Blood Pressure) eVitals.08 - Method of Blood Pressure Measurement eVitals.09 - Mean Arterial Pressure eVitals.10 - Heart Rate eVitals.11 - Method of Heart Rate Measurement eVitals.12 - Pulse Oximetry
468
469 471 472 473 475 476 477 478 479 480 481 482 483
eVitals.13 - Pulse Rhythm eVitals.14 - Respiratory Rate eVitals.15 - Respiratory Effort eVitals.16 - Carbon Dioxide (CO2) eVitals.17 - Carbon Monoxide (CO) eVitals.18 - Blood Glucose Level eVitals.19 - Glasgow Coma Score-Eye eVitals.20 - Glasgow Coma Score-Verbal eVitals.21 - Glasgow Coma Score-Motor eVitals.22 - Glasgow Coma Score-Qualifier eVitals.23 - Total Glasgow Coma Score eVitals.24 - Temperature eVitals.25 - Temperature Method eVitals.26 - Level of Responsiveness (AVPU) eVitals.27 - Pain Scale Score eVitals.28 - Pain Scale Type eVitals.29 - Stroke Scale Score eVitals.30 - Stroke Scale Type eVitals.31 - Reperfusion Checklist eVitals.32 - APGAR eVitals.33 - Revised Trauma Score
484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 501 502 503 504
eLabs
eLabs Grouping eLabs.01 - Date/Time of Laboratory or Imaging Result eLabs.02 - Study/Result Prior to this Unit's EMS Care eLabs.03 - Laboratory Result Type eLabs.04 - Laboratory Result eLabs.05 - Imaging Study Type eLabs.06 - Imaging Study Results eLabs.07 - Imaging Study File or Waveform Graphic Type eLabs.08 - Imaging Study File or Waveform Graphic
505
506 507 508 509 511 512 513 514 515
eExam
eExam Grouping eExam.01 - Estimated Body Weight in Kilograms eExam.02 - Length Based Tape Measure eExam.03 - Date/Time of Assessment eExam.04 - Skin Assessment eExam.05 - Head Assessment eExam.06 - Face Assessment eExam.07 - Neck Assessment eExam.08 - Chest/Lungs Assessment eExam.09 - Heart Assessment eExam.10 - Abdominal Assessment Finding Location eExam.11 - Abdomen Assessment eExam.12 - Pelvis/Genitourinary Assessment eExam.13 - Back and Spine Assessment Finding Location eExam.14 - Back and Spine Assessment eExam.15 - Extremity Assessment Finding Location
516
517 518 519 520 521 522 523 524 525 527 528 529 530 531 532 533
eExam.16 - Extremities Assessment eExam.17 - Eye Assessment Finding Location eExam.18 - Eye Assessment eExam.19 - Mental Status Assessment eExam.20 - Neurological Assessment
535 537 538 539 540
eProtocols
eProtocols Grouping eProtocols.01 - Protocols Used eProtocols.02 - Protocol Age Category
541
542 543 545
eMedications
eMedications Grouping eMedications.01 - Date/Time Medication Administered eMedications.02 - Medication Administered Prior to this Unit's EMS Care eMedications.03 - Medication Given eMedications.04 - Medication Administered Route eMedications.05 - Medication Dosage eMedications.06 - Medication Dosage Units eMedications.07 - Response to Medication eMedications.08 - Medication Complication eMedications.09 - Medication Crew (Healthcare Professionals) ID eMedications.10 - Role/Type of Person Administering Medication eMedications.11 - Medication Authorization eMedications.12 - Medication Authorizing Physician
546
547 548 549 550 551 552 553 554 555 556 557 558 559
eProcedures
eProcedures Grouping eProcedures.01 - Date/Time Procedure Performed eProcedures.02 - Procedure Performed Prior to this Unit's EMS Care eProcedures.03 - Procedure eProcedures.04 - Size of Procedure Equipment eProcedures.05 - Number of Procedure Attempts eProcedures.06 - Procedure Successful eProcedures.07 - Procedure Complication eProcedures.08 - Response to Procedure eProcedures.09 - Procedure Crew Members ID eProcedures.10 - Role/Type of Person Performing the Procedure eProcedures.11 - Procedure Authorization eProcedures.12 - Procedure Authorizing Physician eProcedures.13 - Vascular Access Location
560
561 562 563 564 565 566 567 568 569 570 571 572 573 574
eAirway
eAirway Grouping eAirway.01 - Indications for Invasive Airway eAirway.02 - Date/Time Airway Device Placement Confirmation eAirway.03 - Airway Device Being Confirmed eAirway.04 - Airway Device Placement Confirmed Method eAirway.05 - Tube Depth eAirway.06 - Type of Individual Confirming Airway Device Placement
575
576 577 578 579 580 581 582
eAirway.07 - Crew Member ID eAirway.08 - Airway Complications Encountered eAirway.09 - Suspected Reasons for Failed Airway Procedure eAirway.10 - Date/Time Decision to Manage the Patient with an Invasive Airway eAirway.11 - Date/Time Invasive Airway Placement Attempts Abandoned
583 584 585 586 587
eDevice
eDevice Grouping eDevice.01 - Medical Device Serial Number eDevice.02 - Date/Time of Event (per Medical Device) eDevice.03 - Medical Device Event Type eDevice.04 - Medical Device Waveform Graphic Type eDevice.05 - Medical Device Waveform Graphic eDevice.06 - Medical Device Mode (Manual, AED, Pacing, CO2, O2, etc) eDevice.07 - Medical Device ECG Lead eDevice.08 - Medical Device ECG Interpretation eDevice.09 - Type of Shock eDevice.10 - Shock or Pacing Energy eDevice.11 - Total Number of Shocks Delivered eDevice.12 - Pacing Rate
588
589 590 591 592 593 594 595 596 597 598 599 600 601
eDisposition
eDisposition Grouping eDisposition.01 - Destination/Transferred To, Name eDisposition.02 - Destination/Transferred To, Code eDisposition.03 - Destination Street Address eDisposition.04 - Destination City eDisposition.05 - Destination State eDisposition.06 - Destination County eDisposition.07 - Destination ZIP Code eDisposition.08 - Destination Country eDisposition.09 - Destination GPS Location eDisposition.10 - Disposition Location US National Grid Coordinates eDisposition.11 - Number of Patients Transported in this EMS Unit eDisposition.12 - Incident/Patient Disposition eDisposition.13 - How Patient Was Moved to Ambulance eDisposition.14 - Position of Patient During Transport eDisposition.15 - How Patient Was Transported From Ambulance eDisposition.16 - EMS Transport Method eDisposition.17 - Transport Mode from Scene eDisposition.18 - Additional Transport Mode Descriptors eDisposition.19 - Condition of Patient at Destination eDisposition.20 - Reason for Choosing Destination eDisposition.21 - Type of Destination eDisposition.22 - Hospital In-Patient Destination eDisposition.23 - Hospital Designation eDisposition.24 - Destination Team Pre-Arrival Alert or Activation eDisposition.25 - Date/Time of Destination Prearrival Alert or Activation eDisposition.26 - Disposition Instructions Provided
602
603 604 605 606 607 608 609 610 611 612 613 614 615 616 617 618 619 620 621 622 623 624 625 626 627 628 629
eOutcome
eOutcome Grouping eOutcome.01 - Emergency Department Disposition eOutcome.02 - Hospital Disposition eOutcome.03 - External Report ID/Number Type eOutcome.04 - External Report ID/Number eOutcome.05 - Other Report Registry Type eOutcome.06 - Emergency Department Chief Complaint eOutcome.07 - First ED Systolic Blood Pressure eOutcome.08 - Emergency Department Recorded Cause of Injury eOutcome.09 - Emergency Department Procedures eOutcome.10 - Emergency Department Diagnosis eOutcome.11 - Date/Time of Hospital Admission eOutcome.12 - Hospital Procedures eOutcome.13 - Hospital Diagnosis eOutcome.14 - Total ICU Length of Stay eOutcome.15 - Total Ventilator Days eOutcome.16 - Date/Time of Hospital Discharge eOutcome.17 - Outcome at Hospital Discharge
630
631 632 633 634 635 636 637 638 639 640 641 642 643 644 645 646 647 648
eCustomResults
eCustomResults Grouping eCustomResults.01 - Custom Data Element Result eCustomResults.02 - Custom Element ID Referenced eCustomResults.03 - CorrelationID of PatientCareReport Element or Group
649
650 651 652 653
eOther
eOther Grouping eOther.01 - Review Requested eOther.02 - Potential System of Care/Specialty/Registry Patient eOther.03 - Personal Protective Equipment Used eOther.04 - EMS Professional (Crew Member) ID eOther.05 - Suspected EMS Work Related Exposure, Injury, or Death eOther.06 - The Type of Work-Related Injury, Death or Suspected Exposure eOther.07 - Natural, Suspected, Intentional, or Unintentional Disaster eOther.08 - Crew Member Completing this Report eOther.09 - External Electronic Documents eOther.10 - File Attachment Type eOther.11 - File Attachment Image eOther.12 - Type of Person Signing eOther.13 - Signature Reason eOther.14 - Type Of Patient Representative eOther.15 - Signature Status eOther.16 - Signature File Name eOther.17 - Signature File Type eOther.18 - Signature Graphic eOther.19 - Date/Time of Signature eOther.20 - Signature Last Name eOther.21 - Signature First Name
654
655 656 657 658 659 660 661 662 663 664 665 666 667 668 669 670 671 672 673 674 675 676
DEMDataSet
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Legend
Dataset Level: N National Usage: Attributes:
S State
M = Mandatory , R = Required , E = Recommended, or O = Optional N = Not Values, P = Pertinent Negatives , L = Nillable, and/or C = Correlation ID
DEMDataSet
0:1 0:1 1:M
dState dCustomConfiguration DemographicReport

1:1 0:1 1:1 0:1 0:1 0:1 0:1 0:1 0:1
dAgency dContact dConfiguration dLocation dVehicle dPersonnel dDevice dFacility dCustomResults
DEMDataSet
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EMSDataSet
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Legend
S State
EMSDataSet
0:1 1:M
eState Header
1:1
DemographicGroup
1:1 1:1 1:1
dAgency.01 - EMS Agency Unique State ID dAgency.02 - EMS Agency Number dAgency.04 - EMS Agency State
N N N
S S S
M M M
0:1 1:M
eCustomConfiguration PatientCareReport
1:1 1:1 1:1 0:1 1:1 1:1 1:1 1:1 1:1 1:1 1:1 1:1 0:1 1:1 0:1 0:1 1:1 1:1 1:1 0:1 0:1 1:1 1:1 0:1 1:1
eRecord eResponse eDispatch eCrew eTimes ePatient ePayment eScene eSituation eInjury eArrest eHistory eNarrative eVitals eLabs eExam eProtocols eMedications eProcedures eAirway eDevice eDisposition eOutcome eCustomResults eOther
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EMSDataSet
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dState
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Legend
S State
D Deprecated
dState
0:M
dState.01 - State Required Element
dState
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NEMSIS Version 3.3.4 Build 140305
dState.01
dState.01 - State Required Element Definition Indicates which elements are required by the state. National Element State Element Version 2 Element Usage Attributes
TIMESTAMP Data Type: String minInclusive: 1950-01-01T00:00:00-00:00 maxInclusive: 2050-01-01T00:00:00-00:00
No No
Pertinent Negatives (PN) NOT Values Is Nillable
No No No 0:M
Optional
Recurrence
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}
Constraints
Data Type string minLength 1 maxLength 100
Data Element Comment

This element was created to document elements required by the state. The TIMESTAMP attribute describes the active date of the element.
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Legend
S State
D Deprecated
0:M
dCustomConfiguration.CustomGroup
1:1 1:1 1:1 1:1 1:1 0:M 0:M 0:M
dCustomConfiguration.01 - Custom Data Element Title dCustomConfiguration.02 - Custom Definition dCustomConfiguration.03 - Custom Data Type dCustomConfiguration.04 - Custom Data Element Recurrence dCustomConfiguration.05 - Custom Data Element Usage dCustomConfiguration.06 - Custom Data Element Potential Values dCustomConfiguration.07 - Custom Data Element Potential NOT Values (NV)
M M M M M O O
dCustomConfiguration.08 - Custom Data Element Potential Pertinent Negative Values (PN) O
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dCustomConfiguration.01
dCustomConfiguration.01 - Custom Data Element Title Definition This is the title of the custom data element created to collect information that is not defined formally in NEMSIS Version 3. National Element State Element Version 2 Element Usage Attributes
nemsisElement Data Type: anySimpleType whiteSpace: preserve
No No
No No No 1:1
Mandatory
Recurrence
Constraints

This is grouped with all data elements in this section and can have multiple instances.
Version 3 Changes Implemented

Added to allow customized data elements to be inserted and collected from within the NEMSIS Version 3 standard.
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dCustomConfiguration.02 - Custom Definition Definition The definition of the custom element and how it should be used. National Element State Element Version 2 Element Usage Constraints
No No
No No No 1:1
Mandatory
Recurrence
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dCustomConfiguration.03 - Custom Data Type Definition The data type of the custom element. National Element State Element Version 2 Element Usage Code List
Code 9902001 9902003 9902005 9902007 9902009 9902011 Description Binary Date/Time Integer/Number Other (Not Listed) Text/String Boolean
No No
No No No 1:1
Mandatory
Recurrence
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dCustomConfiguration.04 - Custom Data Element Recurrence Definition Indication if the data element will accept multiple values. National Element State Element Version 2 Element Usage Code List
Code 9923001 9923003 Description No Yes
No No
No No No 1:1
Mandatory
Recurrence
Data Element Comment Version 3 Changes Implemented

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dCustomConfiguration.05 - Custom Data Element Usage Definition The Usage (Mandatory, Required, Recommended, or Optional) for the Custom Data Element. National Element State Element Version 2 Element Usage Code List
Code 9903001 9903003 9903005 9903007 Description Mandatory Required Recommended Optional
No No
No No No 1:1
Mandatory
Recurrence

Mandatory = Must be completed and will not accept null values Required = Must be completed but will accept null values Recommended = Not required but if collected will accept null values Optional = Not required but if collected, it cannot be a null value.

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dCustomConfiguration.06 - Custom Data Element Potential Values Definition The values which are associated with the Custom Data Element. Values would be the choices provided to the user when they document the Custom Data Element National Element State Element Version 2 Element Usage Attributes
nemsisCode Data Type: anySimpleType whiteSpace: preserve customValueDescription Data Type: anySimpleType whiteSpace: preserve
No No
No No No 0:M
Optional
Recurrence
Constraints

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dCustomConfiguration.07 - Custom Data Element Potential NOT Values (NV) Definition NOT Values (NV) associated with the custom element National Element State Element Version 2 Element Usage Code List
Code 7701001 7701003 7701005 Description Not Applicable Not Recorded Not Reporting
No No
No No No 0:M
Optional
Recurrence
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dCustomConfiguration.08 - Custom Data Element Potential Pertinent Negative Values (PN) Definition Pertinent Negative Values (PN) associated with the custom element National Element State Element Version 2 Element Usage Code List
Code 8801001 8801003 8801005 8801007 8801009 8801013 8801015 8801017 8801019 8801021 8801023 Description Contraindication Noted Denied By Order Exam Finding Not Present Medication Allergy Medication Already Taken No Known Drug Allergy None Reported Not Performed by EMS Refused Unresponsive Unable to Complete
No No
No No No 0:M
Optional
Recurrence
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dAgency
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Legend
S State
D Deprecated
dAgency
1:1 1:1 0:1 1:1 1:M
dAgency.01 - EMS Agency Unique State ID dAgency.02 - EMS Agency Number dAgency.03 - EMS Agency Name dAgency.04 - EMS Agency State dAgency.AgencyServiceGroup
1:1 1:M 1:M 1:M
N N S N
S S E S
M M N, L M C
dAgency.05 - EMS Agency Service Area States dAgency.06 - EMS Agency Service Area County(ies) dAgency.07 - EMS Agency Census Tracts dAgency.08 - EMS Agency Service Area ZIP Codes
N S N N N N
N N N N S E S S S S
S S S S M
M M R R C N, L C N, L C
1:1 0:M 1:1 1:1 1:1 1:1 1:M
dAgency.09 - Primary Type of Service dAgency.10 - Other Types of Service dAgency.11 - Level of Service dAgency.12 - Organization Status dAgency.13 - Organizational Type dAgency.14 - EMS Agency Organizational Tax Status dAgency.AgencyYearGroup
1:1 1:1 1:1 1:1 1:1 1:1 1:1 0:1
N, L C M M M M C
dAgency.15 - Statistical Calendar Year dAgency.16 - Total Primary Service Area Size dAgency.17 - Total Service Area Population dAgency.18 - 911 EMS Call Center Volume per Year dAgency.19 - EMS Dispatch Volume per Year dAgency.20 - EMS Patient Transport Volume per Year dAgency.21 - EMS Patient Contact Volume per Year dAgency.22 - EMS Billable Calls per Year
O O N N
N N N N N N N S
S S S S S S S E
M R R R R R R N, L N, L N, L N, L N, L N, L
N, L
0:1 0:1 1:M 1:M
dAgency.23 - EMS Agency Time Zone dAgency.24 - EMS Agency Daylight Savings Time Use dAgency.25 - National Provider Identifier dAgency.26 - Fire Department ID Number
S S
R R
N, L C N, L C
dAgency
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dAgency.01
State National
dAgency.01 - EMS Agency Unique State ID Definition The unique ID assigned to the EMS Agency which is associated with all state licensure numbers and information. National Element State Element Version 2 Element Usage
Airway Cardiac Arrest
Yes Yes
No No No 1:1
Mandatory
Pediatric Response
Recurrence
STEMI Stroke Trauma
Associated Performance Measure Initiatives Constraints


This may be the EMS Agency Name or a unique number assigned by the state EMS office. This is required to document multiple license types and numbers associated with the same EMS Agency.
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dAgency.02
State National
dAgency.02 - EMS Agency Number Definition The state-assigned provider number of the responding agency National Element State Element Version 2 Element Usage
Yes Yes D01_01 Mandatory

Pediatric Response
Pertinent Negatives (PN) NOT Values Is Nillable Recurrence

STEMI Stroke Trauma
No No No 1:1


This is the primary identifier for the entire Demographic Section. Each of the Demographic sections must be associated with an EMS Agency Number. An EMS Agency can have more than one Agency Number within a state. This reflects the ability for an EMS Agency to have a different number for each service type or location (based on state implementation). The EMS Agency Number in dAgency.02 can be used to auto-populate eResponse.01 EMS Agency Number in the EMS Event section.
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dAgency.03
State
dAgency.03 - EMS Agency Name Definition The formal name of the agency. National Element State Element Version 2 Element Usage
No Yes D01_02 Recommended

Pediatric Response

STEMI Stroke Trauma
No Yes Yes 0:1
Associated Performance Measure Initiatives Attributes

NOT Values (NV) 7701001 - Not Applicable 7701003 - Not Recorded 7701005 - Not Reporting
Constraints
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dAgency.04
State National
dAgency.04 - EMS Agency State Definition The state/territory which assigned the EMS agency number. National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No No No 1:1

Data Type string length 2

This has been clarified to reflect that it is the state in which the EMS Agency resides and the state associated with the EMS Agency number. GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
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dAgency.05
State National
dAgency.05 - EMS Agency Service Area States Definition The states in which the EMS Agency provides services including the state associated with the EMS Agency Number. National Element State Element Version 2 Element Usage Constraints
Yes Yes
No No No 1:1
Mandatory
Recurrence

Each state is captured as a group where the EMS agency provides service. The group includes dAgency.05, dAgency.06, dAgency.07, and Agency.08. Element added to document all of the states in which the EMS agency provides services. Each state listed is associated with the counties, census tracts, and ZIP codes within the EMS Agency Service Area for each state. GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
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dAgency.06
State National
dAgency.06 - EMS Agency Service Area County(ies) Definition The county(ies) within each state for which the agency formally provides service. National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No No No 1:M

CorrelationID Data Type: string minLength: 0 maxLength: 255
Constraints

Each state listed is associated with the counties, census tracts, and ZIP codes within the EMS Agency Service Area for each state. County codes are based on ISO/ANSI codes. It is a 5-digit code based on state (2-digit) and county (3-digit). GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
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dAgency.07
State National
dAgency.07 - EMS Agency Census Tracts Definition The US census tracts in which the EMS agency formally provides service. National Element State Element Version 2 Element Usage Attributes
NOT Values (NV) 7701001 - Not Applicable CorrelationID Data Type: string 7701003 - Not Recorded minLength: 0 maxLength: 255
Yes Yes
No Yes Yes 1:M
Required
Recurrence
Constraints
Pattern [0-9]{11}

This data element was added to better document the service area of the EMS Agency. Each state listed is associated with the counties, census tracts, and ZIP codes within the EMS Agency Service Area for each state. The format of the census tract number must be an 11-digit number, based upon the 2010 census, using the pattern: 2-digit State Code 3-digit County Code 6-digit Census Tract Number (no decimal) Example: NEMSIS TAC office (UT, Salt Lake County, Census Tract - located at 295 Chipeta Way, Salt Lake City, UT) 49035101400 Census Tract Data Website (files and descriptions): http://www.census.gov/geo/www/2010census/tract_rel/tract_rel.html
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dAgency.08
State National
dAgency.08 - EMS Agency Service Area ZIP Codes Definition The ZIP codes for the EMS Agency's service area. National Element State Element Version 2 Element Usage
Airway Cardiac Arrest Pediatric
Yes Yes
No Yes Yes 1:M
Required
Response
Recurrence
STEMI Stroke Trauma

Constraints
Pattern [0-9]{5}|[0-9]{5}-[0-9]{4}|[0-9]{5}-[0-9]{5}|[A-Z][0-9][A-Z] [0-9][A-Z][0-9]

This data element was added to better document the service area of the EMS Agency. Each state listed is associated with the counties, census tracts, and ZIP codes within the EMS Agency Service Area for each state. Zip Codes Product Website: https://www.zipcodedownload.com/Products/Product/Z5Commercial/Standard/Overview/ Product: USA - 5-digit ZIP Code Database, Commercial Edition
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dAgency.09
State National
dAgency.09 - Primary Type of Service Definition The primary service type provided by the agency. National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No No No 1:1
Associated Performance Measure Initiatives Code List

Code 9920001 9920003 9920005 9920007 9920011 9920013 9920015 9920017 9920019 Description 911 Response (Scene) with Transport Capability 911 Response (Scene) without Transport Capability Air Medical ALS Intercept Hazmat Medical Transport (Convalescent, Interfacility Transfer Hospital and Nursing Home) Rescue Community Paramedicine Critical Care (Ground)

The Primary Type of Service is associated with each of the EMS Agency Numbers.
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dAgency.10
State
dAgency.10 - Other Types of Service Definition The other service type(s) which are provided by the agency. National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No Yes Yes 0:M

NOT Values (NV) 7701001 - Not Applicable CorrelationID Data Type: string 7701003 - Not Recorded minLength: 0 7701005 - Not Reporting maxLength: 255
Code List
Code 9920001 9920003 9920005 9920007 9920011 9920013 9920015 9920017 9920019 Description 911 Response (Scene) with Transport Capability 911 Response (Scene) without Transport Capability Air Medical ALS Intercept Hazmat Medical Transport (Convalescent, Interfacility Transfer Hospital and Nursing Home) Rescue Community Paramedicine Critical Care (Ground)

If no other services are provided beyond the Primary Service Type, Not Applicable should be used. This should include all of the types of services not listed in (dAgency.09) Primary Type of Service.
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dAgency.11
State National
dAgency.11 - Level of Service Definition The level of service which the agency provides EMS care for every request for service (the minimum certification level). This may be the license level granted by the state EMS office. National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No No No 1:1

Code 9917001 9917003 9917005 9917007 9917009 9917011 9917013 9917015 9917017 9917019 9917021 9917023 9917025 9917027 9917029 9917031 Description 2009 Advanced Emergency Medical Technician (AEMT) 2009 Emergency Medical Responder (EMR) 2009 Emergency Medical Technician (EMT) 2009 Paramedic First Responder EMT-Basic EMT-Intermediate EMT-Paramedic Nurse DEPRECATED Physician Critical Care Paramedic Community Paramedicine Nurse Practitioner Physician Assistant Licensed Practical Nurse (LPN) Registered Nurse

The Level of Service is associated with the specific EMS Agency Number (dAgency.02) for the EMS Agency. For example a BLS licensed ambulance service (EMT-Basic) with EMT-Intermediate or EMT-Paramedic on staff, the appropriate level of service is "EMT-Basic". This is because the care provided to patients is limited to BLS skills. The category EMT-Intermediate includes EMS professionals with an "85" or "99" certification level.
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dAgency.12
State National
dAgency.12 - Organization Status Definition The primary organizational status of the agency. The definition of Volunteer or Non-Volunteer is based on state or local definitions. National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No No No 1:1

Code 1016001 1016003 1016005 Description Mixed Non-Volunteer Volunteer

The Organizational Status is associated with the EMS Agency and the specific EMS Agency Number (dAgency.02).
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dAgency.13
State National
dAgency.13 - Organizational Type Definition The organizational structure from which EMS services are delivered (fire, hospital, county, etc.) National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No No No 1:1

Code 9912001 9912003 9912005 9912007 9912009 Description Fire Department Governmental, Non-Fire Hospital Private, Nonhospital Tribal

Organizational Type is associated with the EMS Agency and the specific EMS Agency Number (dAgency.02).
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dAgency.14
State National
dAgency.14 - EMS Agency Organizational Tax Status Definition The EMS Agencies business/corporate organizational tax status National Element State Element Version 2 Element Usage
Yes Yes
No No No 1:1
Mandatory
Pediatric Response
Recurrence
STEMI Stroke Trauma

Code 1018001 1018003 1018005 Description For Profit Other (ex: Government) Not For Profit

Associated with the EMS Agency for the specific EMS Agency Number (dAgency.02).
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dAgency.15
State National
dAgency.15 - Statistical Calendar Year Definition The calendar year to which the information pertains for the EMS Agency and the specific EMS Agency Number (dAgency.02). National Element State Element Version 2 Element Usage Constraints
Data Type integer minInclusive 1900 maxInclusive 2050
No No No 1:1

Added Calendar Year to the definition to remove confusion noted in draft comments. Will allow multiple entry to allow data to be stored on several years. This statistical information is associated with the EMS Agency's specific EMS Agency Number (dAgency.02) and elements dAgency.16 through dAgency.22
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dAgency.16
State National
dAgency.16 - Total Primary Service Area Size Definition The total square miles in the agency's service area. National Element State Element Version 2 Element Usage
Yes Yes D01_12 Required

Response

STEMI Stroke Trauma
No Yes Yes 1:1

NOT Values (NV) 7701001 - Not Applicable 7701003 - Not Recorded
Constraints
Data Type positiveInteger minInclusive 1 maxInclusive 4,000,000

This statistical information is associated with the EMS Agency's specific EMS Agency Number (dAgency.02). A value should be associated with each with (dAgency.15) Statistical Calendar Year
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dAgency.17
State National
dAgency.17 - Total Service Area Population Definition The total population in the agency's service area based if possible on year 2010 census data. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints

This statistical information is associated with the EMS Agency's specific EMS Agency Number (dAgency.02). A value should be associated with each with (dAgency.15) Statistical Calendar Year.
www.NEMSIS.org
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dAgency.18
State National
dAgency.18 - 911 EMS Call Center Volume per Year Definition The number of 911 calls received by the call center during the last calendar year National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints


Name Clarified with "Call Center"
www.NEMSIS.org
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dAgency.19
State National
dAgency.19 - EMS Dispatch Volume per Year Definition The number of EMS dispatches during the last calendar year National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints

www.NEMSIS.org
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dAgency.20
State National
dAgency.20 - EMS Patient Transport Volume per Year Definition The number of EMS transports per year based on last calendar year. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints

www.NEMSIS.org
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dAgency.21
State National
dAgency.21 - EMS Patient Contact Volume per Year Definition The number of EMS patient contacts per year based on last calendar year. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints

www.NEMSIS.org
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dAgency.22
State
dAgency.22 - EMS Billable Calls per Year Definition The number of EMS patient encounters which are billable based on the last calendar year. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Constraints

www.NEMSIS.org
Page 42
dAgency.23
dAgency.23 - EMS Agency Time Zone Definition The time zone for the EMS Agency. National Element State Element Version 2 Element Usage Code List
Code 1027001 1027003 1027005 1027007 1027009 1027011 1027013 1027015 1027017 Description All other time zones GMT-04:00 Atlantic Time GMT-05:00 Eastern Time GMT-06:00 Central Time GMT-07:00 Mountain Time GMT-08:00 Pacific Time GMT-09:00 Alaska GMT-10:00 Hawaii GMT-11:00 Midway Island, Samoa
No No D01_19 Optional
No No No 0:1

Associated with each of the EMS Agency Number (dAgency.02). If more than one Time Zone is located within the EMS Agency service area, please chose the time zone covering the greatest volume of EMS events.
www.NEMSIS.org
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dAgency.24
dAgency.24 - EMS Agency Daylight Savings Time Use Definition Indicate if the EMS Agency conforms to Daylight Savings Time. National Element State Element Version 2 Element Usage Code List
No No No 0:1

Associated with each of the EMS Agency Number (dAgency.02). If the EMS Agency service area contains areas with variations in Daylight Savings Time implementation, choose the response which best represents the majority of the EMS events.
www.NEMSIS.org
Page 44
dAgency.25
State National
dAgency.25 - National Provider Identifier Definition The National Provider Identifier issued by CMS. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 1:M
Constraints

Only EMS Agencies billing for service will have an NPI number. CMS (Centers for Medicare and Medicaid Services) NPI Registry lookup: https://npiregistry.cms.hhs.gov/NPPESRegistry/NPIRegistryHome.do
www.NEMSIS.org
Page 45
dAgency.26
State National
dAgency.26 - Fire Department ID Number Definition The state assigned Fire Department ID Number for EMS Agency(ies) operating within a Fire Department. National Element State Element Version 2 Element Usage Attributes
Yes Yes
No Yes Yes 1:M
Required
Recurrence
Constraints

Fire Department ID was added to better integrate Fire Department EMS Agencies and linkage to other EMS related data systems such as NFIRS.

Added to better associate Fire and EMS licensure and operational identifiers.
www.NEMSIS.org
Page 46
dContact
www.NEMSIS.org
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Legend
S State
D Deprecated
dContact
0:M
dContact.ContactInfoGroup
0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:M 0:M 0:1 0:1
C S S S O S S S S O S S S E E E N, L C N, L C N, L E E E E N, L N, L N, L N, L E E E N, L N, L N, L
dContact.01 - Agency Contact Type dContact.02 - Agency Contact Last Name dContact.03 - Agency Contact First Name dContact.04 - Agency Contact Middle Name/Initial dContact.05 - Agency Contact Address dContact.06 - Agency Contact City dContact.07 - Agency Contact State dContact.08 - Agency Contact ZIP Code dContact.09 - Agency Contact Country dContact.10 - Agency Contact Phone Number dContact.11 - Agency Contact Email Address dContact.12 - EMS Agency Contact Web Address dContact.EMSMedicalDirectorGroup
0:1 0:M 0:1 0:1
dContact.13 - Agency Medical Director Degree dContact.14 - Agency Medical Director Board Certification Type dContact.15 - Medical Director Compensation dContact.16 - EMS Medical Director Fellowship Trained Status
S S O O
E E
N, L N, L C
dContact
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Page 48
dContact.01
State
dContact.01 - Agency Contact Type Definition The contact type within the EMS agency. National Element State Element Version 2 Element Usage Attributes
No Yes
No Yes Yes 0:1
Recommended
Recurrence
Code List
Code 1101001 1101003 1101005 1101007 1101009 1101011 1101013 1101015 1101017 Description Administrative Assistant EMS Agency Director/Chief/Lead Administrator/CEO EMS Assistant Agency Director/Chief/Administrator/CEO EMS Assistant Medical Director EMS IT/Data Specialist EMS Medical Director EMS Quality/Performance Improvement Specialist EMS Training/Education Specialist Other (Not Listed)
www.NEMSIS.org
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dContact.02
State
dContact.02 - Agency Contact Last Name Definition The Last Name of the agency's primary contact. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Constraints
www.NEMSIS.org
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dContact.03
State
dContact.03 - Agency Contact First Name Definition The first name of the agency's primary contact. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Constraints
www.NEMSIS.org
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dContact.04
dContact.04 - Agency Contact Middle Name/Initial Definition The middle name or initial of the agency's primary contact. National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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dContact.05
State
dContact.05 - Agency Contact Address Definition The street address of the agency contact's mailing address. National Element State Element Version 2 Element Usage Attributes
NOT Values (NV) 7701001 - Not Applicable StreetAddress2 Data Type: string 7701003 - Not Recorded minLength: 1 7701005 - Not Reporting maxLength: 55
No Yes Yes 0:1
Constraints

The address for the director/chief/lead administrator/CEO/ should be the main address for the EMS agency.
www.NEMSIS.org
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dContact.06
State
dContact.06 - Agency Contact City Definition The city of the EMS contact's mailing address. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1

The city should be the mailing address for each contact type for the EMS agency. The EMS agency primary address information (e.g. City) should be entered for the Agency Contact Type (dContact.05) EMS Agency Director/Chief/Lead Administrator/CEO. City codes are based on GNIS Feature Class. The primary Feature Class to use is "Civil" with "Populated Place" and "Military" code as additional options. Definitions for each GNIS City Feature Class can be found on the GNIS Codes website. GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
www.NEMSIS.org
Page 54
dContact.07
State
dContact.07 - Agency Contact State Definition The state of the Agency contact's mailing address. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Constraints

The address for the director/chief/lead administrator/CEO/ should be the main address for the EMS agency. Based on the state ANSI Code. For individuals living outside the USA full address to be entered in the address line. GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
www.NEMSIS.org
Page 55
dContact.08
State
dContact.08 - Agency Contact ZIP Code Definition The ZIP code of the Agency's contact's mailing address. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Constraints
Pattern [0-9]{5}|[0-9]{5}-[0-9]{4}|[0-9]{5}-[0-9]{5}|[A-Z][0-9][A-Z] [0-9][A-Z][0-9]

The address for the director/chief/lead administrator/CEO/ should be the main address for the EMS agency. Zip Codes Product Website: https://www.zipcodedownload.com/Products/Product/Z5Commercial/Standard/Overview/ Product: USA - 5-digit ZIP Code Database, Commercial Edition.
www.NEMSIS.org
Page 56
dContact.09
dContact.09 - Agency Contact Country Definition The Country code of the Agency's contact's mailing address. National Element State Element Version 2 Element Usage Code List
Code CA MX US Description Canada Mexico United States
No No
No No No 0:1
Optional
Recurrence

The International Organization for Standardization (ISO) ISO 3166-1-alpha-2 code element for the country. The address for the director/chief/lead administrator/CEO/ should be the main address for the EMS agency. For individuals living outside the USA full address to be entered in the address line. ANSI Country Codes (ISO 3166): http://www.iso.org/iso/country_codes/iso_3166_code_lists.htm
www.NEMSIS.org
Page 57
dContact.10
State
dContact.10 - Agency Contact Phone Number Definition Agency contact phone number. National Element State Element Version 2 Element Usage Attributes
NOT Values (NV) 7701001 - Not Applicable CorrelationID Data Type: string PhoneNumberType 9913001 - Fax 9913007 - Pager 7701003 - Not Recorded minLength: 0 9913003 - Home 9913009 - Work 7701005 - Not Reporting maxLength: 255 9913005 - Mobile
No Yes Yes 0:M
Constraints
Pattern [2-9][0-9][0-9]-[2-9][0-9][0-9]-[0-9][0-9][0-9][0-9]
www.NEMSIS.org
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dContact.11
State
dContact.11 - Agency Contact Email Address Definition The primary email address of the Agency contact. National Element State Element Version 2 Element Usage Attributes
NOT Values (NV) 7701001 - Not Applicable CorrelationID Data Type: string EmailAddressType 9904001 - Personal 7701003 - Not Recorded minLength: 0 9904003 - Work 7701005 - Not Reporting maxLength: 255
No Yes Yes 0:M
Constraints
Data Type string Pattern .+@.+ minLength 3 maxLength 100

The address for the director/chief/lead administrator/CEO/ should be the main address for the EMS agency.
www.NEMSIS.org
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dContact.12
State
dContact.12 - EMS Agency Contact Web Address Definition The primary website address of the agency. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Constraints

The EMS agency website address should be entered for the Agency Contact Type (dContact.05) EMS Agency Director/Chief/Lead Administrator/CEO. The EMS agency website address or other websites are optional for other contact types (e.g. Administrative Assistant, EMS Medical Director, etc.).
www.NEMSIS.org
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dContact.13
State
dContact.13 - Agency Medical Director Degree Definition The medical school degree type of the EMS Medical Director. National Element State Element Version 2 Element Usage Attributes
No Yes
No Yes Yes 0:1
Recommended
Recurrence
Code List
Code 1113001 1113003 Description Doctor of Medicine Doctor of Osteopathy

The Medical Director Information has been merged into Section dContact. This data element is now associated with the Medical Director and Assistant Medical Director Contacts in Section dContact.
www.NEMSIS.org
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dContact.14
State
dContact.14 - Agency Medical Director Board Certification Type Definition Documentation of the type of board certification of the EMS Agency Medical Director. National Element State Element Version 2 Element Usage Attributes
No Yes
No Yes Yes 0:M
Recommended
Recurrence
Code List
Code 1114001 1114003 1114005 1114007 1114009 1114011 1114013 1114015 1114017 1114019 1114021 1114023 1114025 1114027 1114029 1114031 1114033 1114035 1114037 1114039 1114041 1114043 Description Allergy and Immunology Anesthesiology Colon and Rectal Surgery Dermatology Emergency Medicine Family Medicine Internal Medicine Neurological Surgery Neurology None (Not Board Certified) Obstetrics and Gynecology Ophthalmology Orthopedic Surgery Otolaryngology Pediatrics Physical Medicine and Rehabilitation Plastic Surgery Psychiatry Surgery Thoracic Surgery Urology Vascular Surgery

This is based on the American Board of Medical Specialties List of Certifications. The Medical Director Information from Section D02 of NEMSIS Version 2.2.1 has been merged into Version 3 Section dContact.
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Page 62
dContact.15
dContact.15 - Medical Director Compensation Definition Indication of Medical Director's Compensation. National Element State Element Version 2 Element Usage Code List
Code 1115001 1115003 Description Compensated Non-Compensated
No No
No No No 0:1
Optional
Recurrence

Associated with EMS Medical Directors only.
www.NEMSIS.org
Page 63
dContact.16
dContact.16 - EMS Medical Director Fellowship Trained Status Definition Indication if the EMS Medical Director is Fellowship trained. National Element State Element Version 2 Element Usage Code List
No No
No No No 0:1
Optional
Recurrence
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dConfiguration
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Legend
S State
D Deprecated
dConfiguration
1:M
dConfiguration.ConfigurationGroup
1:1 1:M 1:M 1:M 1:M 1:M
C N N N N N S S S S S M M R R R C N, L C N, L C N, L C C N N S S M M C N N N N O S S M M S S C C M M C C
dConfiguration.01 - State Associated with the Certification/Licensure Levels dConfiguration.02 - State Certification/Licensure Levels dConfiguration.03 - Procedures Permitted by the State dConfiguration.04 - Medications Permitted by the State dConfiguration.05 - Protocols Permitted by the State dConfiguration.ProcedureGroup
1:1 1:M
dConfiguration.06 - EMS Certification Levels Permitted to Perform Each Procedure dConfiguration.07 - EMS Agency Procedures
1:M
dConfiguration.MedicationGroup
1:1 1:M
dConfiguration.08 - EMS Certification Levels Permitted to Administer Each Medication dConfiguration.09 - EMS Agency Medications
1:M 1:M 0:1 1:1 0:M 1:M 1:M 0:M
dConfiguration.10 - EMS Agency Protocols dConfiguration.11 - EMS Agency Specialty Service Capability dConfiguration.12 - Billing Status
dConfiguration.13 - Emergency Medical Dispatch (EMD) Provided to EMS Agency Service N Area S M dConfiguration.14 - EMD Vendor dConfiguration.15 - Patient Monitoring Capability(ies) dConfiguration.16 - Crew Call Sign dConfiguration.17 - Dispatch Center (CAD) Name or ID
S N N O E S S C N, L C M M C C
dConfiguration
www.NEMSIS.org
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dConfiguration.01
State National
dConfiguration.01 - State Associated with the Certification/Licensure Levels Definition The state associated with the state certification/licensure levels. National Element State Element Version 2 Element Usage Constraints
Yes Yes
No No No 1:1
Mandatory
Recurrence

Associated with the state (dAgency.01 - EMS Agency State). GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm The state EMS system does not need to import this information into their database. Reference the Demographic Dataset Submission Guide for further details.
www.NEMSIS.org
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dConfiguration.02
State National
dConfiguration.02 - State Certification/Licensure Levels Definition All of the potential levels of certification/licensure for EMS personnel recognized by the state. National Element State Element Version 2 Element Usage Attributes
No No No 1:M
Code List
Code 9911001 9911003 9911005 9911007 9911009 9911011 9911013 9911015 9911017 9911019 9911021 9911023 9911025 9911027 9911029 9911031 9911033 Description 2009 Advanced Emergency Medical Technician (AEMT) 2009 Emergency Medical Responder (EMR) 2009 Emergency Medical Technician (EMT) 2009 Paramedic EMT-Basic EMT-Intermediate EMT-Paramedic First Responder Nurse DEPRECATED Other Physician Critical Care Paramedic Community Paramedicine Nurse Practitioner Physician Assistant Licensed Practical Nurse (LPN) Registered Nurse

The new 2009 Education Levels have been added. The category EMT-Intermediate includes EMS professionals with an "85" or "99" certification level. The state EMS system does not need to import this information into their database. Reference the Demographic Dataset Submission Guide for further details.
www.NEMSIS.org
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dConfiguration.03
State National
dConfiguration.03 - Procedures Permitted by the State Definition A list of all of the procedures permitted by the EMS Agency's licensing state. National Element State Element Version 2 Element Usage
Yes Yes
No Yes Yes 1:M
Required
Response
Recurrence
STEMI Stroke Trauma

Constraints
Data Type integer maxInclusive 1000000000 minInclusive 100000

This data element should capture all of the procedures permitted by the state for any/all levels of EMS personnel in the state. This is associated with the EMS Agency State (dAgency.01). This is related to the EMS Agency's procedures (dConfiguration.07) which have been implemented within the EMS System. State EMS systems which have regulatory authority to determine the procedures statewide may identify SNOMEDCT procedure codes based on medical direction and their own need. Code list is represented in SNOMEDCT: Reference the NEMSIS Suggested Lists at: http://nemsis.org/v3/resources.html SNOMEDCT Website: http://www.nlm.nih.gov/research/umls/Snomed/snomed_main.html Product: Product - UMLS Metathesaurus The EMS agency should submit "Not Applicable" and "Nil" to the state system for the demographic export. The state EMS system does not need to import this information into their database. It is the responsibility of the state to submit this element to the national EMS database (NEMSIS). Reference the Demographic Dataset Submission Guide for further details.
www.NEMSIS.org
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dConfiguration.04
State National
dConfiguration.04 - Medications Permitted by the State Definition A list of all of the medications permitted by the state to be used by each EMS state certification/licensure level. National Element State Element Version 2 Element Usage
Yes Yes
No Yes Yes 1:M
Required
Response
Recurrence
STEMI Stroke Trauma

Constraints

This data element should capture all of the medications permitted by the state for any/all levels of EMS personnel in the state. This should be stored as an RxNorm (RXCUI) Code. This is associated with the EMS Agency State (dAgency.01). The EMS agency should submit "Not Applicable" and "Nil" to the state system for the demographic export. The state EMS system does not need to import this information into their database. It is the responsibility of the state to submit this element to the national EMS database (NEMSIS). Reference the Demographic Dataset Submission Guide for further details.

State EMS systems which have regulatory authority to identify medications to be administered within the state may identify specific RxNorm codes based on medical direction and their own need. List of medications based on RxNorm (RXCUI) code. Reference the NEMSIS Suggested Lists at: http://nemsis.org/v3/resources.html RxNorm Website - http://uts.nlm.nih.gov Product - UMLS Metathesaurus Website - http://www.nlm.nih.gov/research/umls/rxnorm/docs/rxnormfiles.html Product - RxNorm Full Monthly Release
www.NEMSIS.org
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dConfiguration.05
State National
dConfiguration.05 - Protocols Permitted by the State Definition A list of all of the protocols permitted by the state. National Element State Element Version 2 Element Usage
Yes Yes
No Yes Yes 1:M
Required
Response
Recurrence
STEMI Stroke Trauma

Code List
Code 9914001 9914003 9914005 9914007 9914009 9914011 9914013 9914015 9914017 9914019 9914021 9914023 9914025 9914027 9914029 9914031 9914033 9914035 9914037 9914039 9914041 9914043 9914045 9914047 9914049 9914051 9914053 9914055 9914057 9914059 9914061 9914063 9914065 9914067 9914069 9914071 9914073 9914075 9914077 Description Airway Airway-Failed Airway-Obstruction/Foreign Body Airway-Rapid Sequence Induction (RSI-Paralytic) Airway-Sedation Assisted (Non-Paralytic) Cardiac Arrest-Asystole Cardiac Arrest-Hypothermia-Therapeutic Cardiac Arrest-Pulseless Electrical Activity Cardiac Arrest-Ventricular Fibrillation/ Pulseless Ventricular Tachycardia Cardiac Arrest-Post Resuscitation Care Environmental-Altitude Sickness Environmental-Cold Exposure Environmental-Frostbite/Cold Injury Environmental-Heat Exposure/Exhaustion Environmental-Heat Stroke/Hyperthermia Environmental-Hypothermia Exposure-Airway/Inhalation Irritants Exposure-Biological/Infectious Exposure-Blistering Agents Exposure-Carbon Monoxide/Smoke Inhalation DEPRECATED Exposure-Chemicals to Eye Exposure-Cyanide Exposure-Explosive/ Blast Injury Exposure-Nerve Agents Exposure-Radiologic Agents General-Back Pain General-Behavioral/Patient Restraint General-Cardiac Arrest General-Dental Problems General-Epistaxis General-Fever General-Individualized Patient Protocol General-Indwelling Medical Devices/Equipment General-IV Access General-Medical Device Malfunction General-Pain Control General-Spinal Immobilization/Clearance General-Universal Patient Care/ Initial Patient Contact Injury-Amputation
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9914079 9914081 9914083 9914085 9914087 9914089 9914091 9914093 9914095 9914097 9914099 9914101 9914103 9914105 9914107 9914109 9914111 9914113 9914115 9914117 9914119 9914121 9914123 9914125 9914127 9914129 9914131 9914133 9914135 9914137 9914139 9914141 9914143 9914145 9914147 9914149 9914151 9914153 9914155 9914157 9914159 9914161 9914163 9914165 9914167 9914169 9914171 9914173 9914175 9914177 9914179 9914181 9914183 9914185 9914187 9914189 9914191 9914193 9914195 9914197 9914199
Injury-Bites and Envenomations-Land Injury-Bites and Envenomations-Marine Injury-Bleeding/ Hemorrhage Control Injury-Burns-Thermal Injury-Cardiac Arrest Injury-Crush Syndrome Injury-Diving Emergencies Injury-Drowning/Near Drowning Injury-Electrical Injuries Injury-Extremity Injury-Eye Injury-Head Injury-Impaled Object Injury-Multisystem Injury-Spinal Cord Medical-Abdominal Pain Medical-Allergic Reaction/Anaphylaxis Medical-Altered Mental Status Medical-Bradycardia Medical-Cardiac Chest Pain Medical-Diarrhea Medical-Hyperglycemia Medical-Hypertension Medical-Hypoglycemia/Diabetic Emergency Medical-Hypotension/Shock (Non-Trauma) Medical-Influenza-Like Illness/ Upper Respiratory Infection Medical-Nausea/Vomiting Medical-Newborn/ Neonatal Resuscitation Medical-Overdose/Poisoning/Toxic Ingestion Medical-Pulmonary Edema/CHF Medical-Respiratory Distress/Asthma/COPD/Croup/Reactive Airway Medical-Seizure Medical-ST-Elevation Myocardial Infarction (STEMI) Medical-Stroke/TIA Medical-Supraventricular Tachycardia (Including Atrial Fibrillation) Medical-Syncope Medical-Ventricular Tachycardia (With Pulse) Not Done OB/GYN-Childbirth/Labor/Delivery OB/GYN-Eclampsia OB/GYN-Gynecologic Emergencies OB/GYN-Pregnancy Related Emergencies OB/GYN-Post-partum Hemorrhage Other Exposure-Carbon Monoxide Cardiac Arrest-Do Not Resuscitate Cardiac Arrest-Special Resuscitation Orders Exposure-Smoke Inhalation General-Community Paramedicine / Mobile Integrated Healthcare General-Exception Protocol General-Extended Care Guidelines General-Interfacility Transfers General-Law Enforcement - Blood for Legal Purposes General-Law Enforcement - Assist with Law Enforcement Activity General-Neglect or Abuse Suspected General-Refusal of Care Injury-Mass/Multiple Casualties Injury-Thoracic Medical-Adrenal Insufficiency Medical-Apparent Life Threatening Event (ALTE) Medical-Tachycardia

This data element should capture all of the protocols permitted by the state for any/all levels of EMS personnel in the state. This is associated with the EMS Agency State (dAgency.01). States can add additional protocols to the list but the additional state protocols must map to these uniform codes. The list is defined by the NASEMSO State Medical Directors.
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The EMS agency should submit "Not Applicable" and "Nil" to the state system for the demographic export. The state EMS system does not need to import this information into their database. It is the responsibility of the state to submit this element to the national EMS database (NEMSIS). Reference the Demographic Dataset Submission Guide for further details.

Added to better identify states with statewide protocols and define state EMS capability and care.
www.NEMSIS.org
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dConfiguration.06
State National
dConfiguration.06 - EMS Certification Levels Permitted to Perform Each Procedure Definition EMS certification levels which are permitted to perform the procedure listed in dConfiguration.07. National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No No No 1:1


Using each certification level within the agency, indicate the approved procedures allowed utilizing dConfiguration.07 (EMS Agency Procedures). The category EMT-Intermediate includes EMS professionals with an "85" or "99" certification level.
www.NEMSIS.org
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dConfiguration.07
State National
dConfiguration.07 - EMS Agency Procedures Definition A list of all procedures that the agency has implemented and available for use by any/all EMS certification levels. National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No No No 1:M

Constraints

This is associated with the EMS Agency Number (dAgency.02) since each EMS Agency Number may have different capabilities. Each procedure is associated with the EMS professional certification levels permitted to perform the procedure. EMS Agencies may identify additional SNOMEDCT procedure codes based on medical direction and their own need. If an agency resides in a state with statewide approved procedures, they should be listed/implemented here. Code list is represented in SNOMEDCT: Reference the NEMSIS Suggested Lists at: http://nemsis.org/v3/resources.html SNOMEDCT Website: http://www.nlm.nih.gov/research/umls/Snomed/snomed_main.html Product: Product - UMLS Metathesaurus
www.NEMSIS.org
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dConfiguration.08
State National
dConfiguration.08 - EMS Certification Levels Permitted to Administer Each Medication Definition All EMS certification levels which are permitted to administer the medications listed in dConfiguration.09 (EMS Agency Medications). National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No No No 1:1


Using each certification level within the agency, indicate the approved medications allowed utilizing dConfiguration.09 (EMS Agency Medications). The category EMT-Intermediate includes EMS professionals with an "85" or "99" certification level.
www.NEMSIS.org
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dConfiguration.09
State National
dConfiguration.09 - EMS Agency Medications Definition A list of all medications the agency has implemented and have available for use. National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No No No 1:M

Constraints

The medication list is stored as the RxNorm (RXCUI) Code. This is associated with the EMS Agency Number (dAgency.02) since each EMS Agency Number may have different capabilities. List of medications based on RxNorm (RXCUI) code. Reference the NEMSIS Suggested Lists at: http://nemsis.org/v3/resources.html RxNorm Website - http://uts.nlm.nih.gov Product - UMLS Metathesaurus Website - http://www.nlm.nih.gov/research/umls/rxnorm/docs/rxnormfiles.html Product - RxNorm Full Monthly Release
www.NEMSIS.org
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dConfiguration.10
State National
dConfiguration.10 - EMS Agency Protocols Definition A list of all of the EMS field protocols that the agency has in place and available for use. National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No No No 1:M

Code List
Code 9914001 9914003 9914005 9914007 9914009 9914011 9914013 9914015 9914017 9914019 9914021 9914023 9914025 9914027 9914029 9914031 9914033 9914035 9914037 9914039 9914041 9914043 9914045 9914047 9914049 9914051 9914053 9914055 9914057 9914059 9914061 9914063 9914065 9914067 9914069 9914071 9914073 9914075 9914077 9914079 9914081 Description Airway Airway-Failed Airway-Obstruction/Foreign Body Airway-Rapid Sequence Induction (RSI-Paralytic) Airway-Sedation Assisted (Non-Paralytic) Cardiac Arrest-Asystole Cardiac Arrest-Hypothermia-Therapeutic Cardiac Arrest-Pulseless Electrical Activity Cardiac Arrest-Ventricular Fibrillation/ Pulseless Ventricular Tachycardia Cardiac Arrest-Post Resuscitation Care Environmental-Altitude Sickness Environmental-Cold Exposure Environmental-Frostbite/Cold Injury Environmental-Heat Exposure/Exhaustion Environmental-Heat Stroke/Hyperthermia Environmental-Hypothermia Exposure-Airway/Inhalation Irritants Exposure-Biological/Infectious Exposure-Blistering Agents Exposure-Carbon Monoxide/Smoke Inhalation DEPRECATED Exposure-Chemicals to Eye Exposure-Cyanide Exposure-Explosive/ Blast Injury Exposure-Nerve Agents Exposure-Radiologic Agents General-Back Pain General-Behavioral/Patient Restraint General-Cardiac Arrest General-Dental Problems General-Epistaxis General-Fever General-Individualized Patient Protocol General-Indwelling Medical Devices/Equipment General-IV Access General-Medical Device Malfunction General-Pain Control General-Spinal Immobilization/Clearance General-Universal Patient Care/ Initial Patient Contact Injury-Amputation Injury-Bites and Envenomations-Land Injury-Bites and Envenomations-Marine
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9914083 9914085 9914087 9914089 9914091 9914093 9914095 9914097 9914099 9914101 9914103 9914105 9914107 9914109 9914111 9914113 9914115 9914117 9914119 9914121 9914123 9914125 9914127 9914129 9914131 9914133 9914135 9914137 9914139 9914141 9914143 9914145 9914147 9914149 9914151 9914153 9914155 9914157 9914159 9914161 9914163 9914165 9914167 9914169 9914171 9914173 9914175 9914177 9914179 9914181 9914183 9914185 9914187 9914189 9914191 9914193 9914195 9914197 9914199
Injury-Bleeding/ Hemorrhage Control Injury-Burns-Thermal Injury-Cardiac Arrest Injury-Crush Syndrome Injury-Diving Emergencies Injury-Drowning/Near Drowning Injury-Electrical Injuries Injury-Extremity Injury-Eye Injury-Head Injury-Impaled Object Injury-Multisystem Injury-Spinal Cord Medical-Abdominal Pain Medical-Allergic Reaction/Anaphylaxis Medical-Altered Mental Status Medical-Bradycardia Medical-Cardiac Chest Pain Medical-Diarrhea Medical-Hyperglycemia Medical-Hypertension Medical-Hypoglycemia/Diabetic Emergency Medical-Hypotension/Shock (Non-Trauma) Medical-Influenza-Like Illness/ Upper Respiratory Infection Medical-Nausea/Vomiting Medical-Newborn/ Neonatal Resuscitation Medical-Overdose/Poisoning/Toxic Ingestion Medical-Pulmonary Edema/CHF Medical-Respiratory Distress/Asthma/COPD/Croup/Reactive Airway Medical-Seizure Medical-ST-Elevation Myocardial Infarction (STEMI) Medical-Stroke/TIA Medical-Supraventricular Tachycardia (Including Atrial Fibrillation) Medical-Syncope Medical-Ventricular Tachycardia (With Pulse) Not Done OB/GYN-Childbirth/Labor/Delivery OB/GYN-Eclampsia OB/GYN-Gynecologic Emergencies OB/GYN-Pregnancy Related Emergencies OB/GYN-Post-partum Hemorrhage Other Exposure-Carbon Monoxide Cardiac Arrest-Do Not Resuscitate Cardiac Arrest-Special Resuscitation Orders Exposure-Smoke Inhalation General-Community Paramedicine / Mobile Integrated Healthcare General-Exception Protocol General-Extended Care Guidelines General-Interfacility Transfers General-Law Enforcement - Blood for Legal Purposes General-Law Enforcement - Assist with Law Enforcement Activity General-Neglect or Abuse Suspected General-Refusal of Care Injury-Mass/Multiple Casualties Injury-Thoracic Medical-Adrenal Insufficiency Medical-Apparent Life Threatening Event (ALTE) Medical-Tachycardia

This is associated with the EMS Agency Number (dAgency.02) since each EMS Agency Number may have different capabilities. State and local entities can add additional protocols to the list but the additional protocols must map to these uniform codes. The list is defined by the NASEMSO State Medical Directors.
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dConfiguration.11
State National
dConfiguration.11 - EMS Agency Specialty Service Capability Definition Special training or services provided by the EMS Agency and available to the EMS service area/community. National Element State Element Version 2 Element Usage Attributes
Yes Yes
No No No 1:M
Mandatory
Recurrence
Code List
Code 1211001 1211003 1211005 1211007 1211009 1211011 1211013 1211015 1211017 1211019 1211021 1211023 1211025 1211027 1211029 1211031 1211033 1211035 Description Air Rescue CBRNE Community Health Medicine Disaster Medical Assistance Team (DMAT) Disaster Mortuary (DMORT) Dive Rescue Farm Rescue High Angle Rescue Machinery Disentanglement None Ski / Snow Rescue Tactical EMS Trench / Confined Space Rescue Urban Search and Rescue (USAR) Vehicle Extrication Veterinary Medical Assistance Team (VMAT) Water or Ice Related Rescue (Incl Swift Water) Wilderness Search and Rescue
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dConfiguration.12
dConfiguration.12 - Billing Status Definition Indication of whether the EMS agency routinely bills for any segment of the patient population. National Element State Element Version 2 Element Usage Code List
No No No 0:1

Billing status is associated with each EMS Agency for the specific EMS Agency Number (dAgency.02).
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dConfiguration.13
State National
dConfiguration.13 - Emergency Medical Dispatch (EMD) Provided to EMS Agency Service Area Definition Indication as to whether Emergency Medical Dispatch is provided to the EMS Agency's service area. National Element State Element Version 2 Element Usage
Yes Yes
No No No 1:1
Mandatory
Pediatric Response
Recurrence
STEMI Stroke Trauma

Code 1213001 1213003 1213005 Description No Yes, 100% of the EMS Agency's Service Area Yes, Less than 100% of the EMS Agency's Service Area

Added to better document the implementation of Emergency Medical Dispatch. Associated with each EMS Agency and the specific EMS Agency Number (dAgency.02).
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dConfiguration.14
State
dConfiguration.14 - EMD Vendor Definition The vendor or company associated with the EMD Card set and algorithms. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:M
Constraints
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dConfiguration.15
State National
dConfiguration.15 - Patient Monitoring Capability(ies) Definition The EMS Agency's patient monitoring capability which can be provided to any/all patients presenting to EMS. National Element State Element Version 2 Element Usage
Yes Yes
No No No 1:M
Mandatory
Pediatric Response
Recurrence
STEMI Stroke Trauma

Code List
Code 1215001 1215003 1215005 1215007 1215009 1215011 1215013 1215015 1215017 1215019 Description Capnography-Numeric Capnography-Waveform ECG-12 Lead or Greater ECG-Less than 12 Lead (Cardiac Monitor) Oximetry-Carbon Monoxide Oximetry-Oxygen Pressure Measurement-Invasive (Arterial, CVP, Swan, etc.) Pressure Measurement-Non-Invasive (Blood Pressure, etc.) Ventilator-Transport Vital Sign Monitoring

Added to identify the patient monitoring capability of the EMS Agency. Associated with each EMS Agency Number (dAgency.02) since each EMS Agency Number may have a different capability within each EMS Agency. Other patient monitoring capability may exist but NEMSIS Version 3 only includes these specific capabilities.
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dConfiguration.16
State National
dConfiguration.16 - Crew Call Sign Definition The EMS crew call sign used to dispatch and communicate with the unit. This may be the same as the EMS Unit/Vehicle Number in many agencies. National Element State Element Version 2 Element Usage Attributes
No No No 1:M
Constraints
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dConfiguration.17
dConfiguration.17 - Dispatch Center (CAD) Name or ID Definition The name or ID of the dispatch center (Primary or Secondary Service Answering Point - PSAP) that dispatches the EMS agency. National Element State Element Version 2 Element Usage Attributes
No No
No No No 0:M
Optional
Recurrence
Constraints

This element can be used to identify the dispatch center (Primary or Secondary Service Answering Point - PSAP) that dispatches the EMS agency. If the EMS agency is able to populate the Patient Care Report (PCR) with CAD specific details (times, incident address information, crew information, EMD, etc) the name or ID of the dispatch center should be documented. Information in dConfiguration.17 may be used to populate eDispatch.04 - Computer Aided Dispatch (CAD) Name or ID if a CAD integration exists.

Added to the dataset to assist in identifying the CAD / dispatch center providing information to the EMS agency and ePCR when there are multiple dispatch centers sending resources to the same EMS incident.
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dLocation
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Legend
S State
D Deprecated
dLocation
0:M
dLocation.LocationGroup
0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:M
C O O O O O O O O O O O O C
dLocation.01 - EMS Location Type dLocation.02 - EMS Location Name dLocation.03 - EMS Location Number dLocation.04 - EMS Location GPS dLocation.05 - EMS Location US National Grid Coordinates dLocation.06 - EMS Location Address dLocation.07 - EMS Location City dLocation.08 - EMS Location State dLocation.09 - EMS Station or Location ZIP Code dLocation.10 - EMS Location County dLocation.11 - EMS Location Country dLocation.12 - EMS Location Phone Number
dLocation
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dLocation.01
dLocation.01 - EMS Location Type Definition The type of EMS Location which could be a fixed station or a pre-determined staging area. National Element State Element Version 2 Element Usage Code List
Code 1301001 1301003 1301005 1301007 Description EMS Agency Headquarters EMS Staging Area EMS Station Other (Not Listed)
No No
No No No 0:1
Optional
Recurrence

This is associated with the EMS Agency associated with the EMS Agency Number (dAgency.02).

Added to allow multiple locations to be documented for an EMS Agency.
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dLocation.02
dLocation.02 - EMS Location Name Definition The name of the EMS Location. National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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dLocation.03
dLocation.03 - EMS Location Number Definition The ID number of the EMS Location. National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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dLocation.04
dLocation.04 - EMS Location GPS Definition The GPS coordinate of the EMS location. National Element State Element Version 2 Element Usage Constraints
Pattern (\+|-)?(90(\.[0]{1,6})?|([1-8][0-9]|[0-9])(\.[0-9]{1,6})?),(\+|-)?(180(\.[0]{1,6})?|(1[0-7][0-9]|[1-9][0-9]|[0-9])(\.[0-9]{1,6})?)
No No No 0:1

The pattern for GPS location is in the format "latitude,longitude" where: - latitude has a minimum of -90 and a maximum of 90 with up to 6 decimal places - longitude has a minimum of -180 and a maximum of 180 with up to 6 decimal places
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dLocation.05
dLocation.05 - EMS Location US National Grid Coordinates Definition The US National Grid Coordinates of the EMS location. National Element State Element Version 2 Element Usage Constraints
Pattern [1][0-9][R,S,T,U][ABCDEFGHJKLMNPQRSTUVWXYZ][ABCDEFGHJKLMNPQRSTUV][0-9]{8}
No No
No No No 0:1
Optional
Recurrence

For more information go to www.fgdc.gov/usng.
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dLocation.06
dLocation.06 - EMS Location Address Definition The address of the EMS Location. National Element State Element Version 2 Element Usage Attributes
StreetAddress2 Data Type: string minLength: 1 maxLength: 55
No No No 0:1
Constraints
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dLocation.07
dLocation.07 - EMS Location City Definition The city of the EMS location type (e.g. fixed station, sub-station, staging area, etc). National Element State Element Version 2 Element Usage Data Element Comment
City codes are based on GNIS Feature Class. The primary Feature Class to use is "Civil" with "Populated Place" and "Military" code as additional options. Definitions for each GNIS City Feature Class can be found on the GNIS Codes website. GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
No No No 0:1
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dLocation.08
dLocation.08 - EMS Location State Definition The state of the EMS Location. National Element State Element Version 2 Element Usage Constraints
No No No 0:1

Based on the ANSI Code. ANSI Country Codes (ISO 3166) Website:http://geonames.usgs.gov/domestic/download_data.htm
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dLocation.09
dLocation.09 - EMS Station or Location ZIP Code Definition The ZIP code of the EMS Location. National Element State Element Version 2 Element Usage Constraints
Pattern [0-9]{5}|[0-9]{5}-[0-9]{4}|[0-9]{5}-[0-9]{5}|[A-Z][0-9][A-Z] [0-9][A-Z][0-9]
No No No 0:1

Zip Codes Product Website: https://www.zipcodedownload.com/Products/Product/Z5Commercial/Standard/Overview/ Product: USA - 5-digit ZIP Code Database, Commercial Edition
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dLocation.10
dLocation.10 - EMS Location County Definition The county of the EMS Location National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

County codes are based on ISO/ANSI codes. A 5-digit code based on state (2-digits) and county (5-digit). GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
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dLocation.11
dLocation.11 - EMS Location Country Definition The country of the EMS location. National Element State Element Version 2 Element Usage Code List
No No
No No No 0:1
Optional
Recurrence

The International Organization for Standardization (ISO) ISO 3166-1-alpha-2 code element for the country. ANSI Country Codes (ISO 3166) Website: http://www.iso.org/iso/country_codes/iso_3166_code_lists.htm

Added to improve international implementations.
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dLocation.12
dLocation.12 - EMS Location Phone Number Definition The phone number of the EMS Location. National Element State Element Version 2 Element Usage Attributes
CorrelationID Data Type: string PhoneNumberType 9913001 - Fax 9913007 - Pager minLength: 0 9913003 - Home 9913009 - Work maxLength: 255 9913005 - Mobile
No No No 0:M
Constraints
Pattern [2-9][0-9][0-9]-[2-9][0-9][0-9]-[0-9][0-9][0-9][0-9]
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dVehicle
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Legend
S State
D Deprecated
dVehicle
0:M
dVehicle.VehicleGroup
0:1 0:1 0:1 0:1 0:M
C S O O S E N, L C O E N, L
dVehicle.01 - Unit/Vehicle Number dVehicle.02 - Vehicle Identification Number dVehicle.03 - EMS Unit Call Sign dVehicle.04 - Vehicle Type dVehicle.VehicleCertificationLevelsGroup
0:1 0:1 0:1 0:1
dVehicle.05 - Crew State Certification/Licensure Levels
dVehicle.06 - Number of Each EMS Personnel Level on Normal 911 Ambulance Response O dVehicle.07 - Number of Each EMS Personnel Level on Normal 911 Response (Non-Transport) Vehicle O dVehicle.08 - Number of Each EMS Personnel Level on Normal Medical (Non-911) Transport Ambulance O
O S E N, L C O O O
0:1 0:1 0:M
dVehicle.09 - Vehicle Initial Cost dVehicle.10 - Vehicle Model Year dVehicle.YearGroup

0:1 0:1 0:1
dVehicle.11 - Year Miles/Kilometers Hours Accrued dVehicle.12 - Annual Vehicle Hours dVehicle.13 - Annual Vehicle Miles/Kilometers
dVehicle
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dVehicle.01
State
dVehicle.01 - Unit/Vehicle Number Definition The unique ID number for the unit which is specific for each vehicle. This ID number may be the state's vehicle's permit number. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Constraints

This element can be used in EMS PCR documentation to document the vehicle. This element should be used to populate eResponse.13 (EMS Vehicle (Unit) Number).
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dVehicle.02
dVehicle.02 - Vehicle Identification Number Definition The manufacturer's VIN associated with the vehicle. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Consider VIN standard ISO-3779 and ISO-3780.
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dVehicle.03
dVehicle.03 - EMS Unit Call Sign Definition The EMS unit number used to dispatch and communicate with the unit. This may be the same as the EMS Unit/Vehicle Number in many agencies. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence
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dVehicle.04
State
dVehicle.04 - Vehicle Type Definition The vehicle type of the unit (ambulance, fire, truck, etc.). National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Code List
Code 1404001 1404003 1404005 1404007 1404009 1404011 1404013 1404015 1404017 1404019 1404021 1404023 1404025 Description Ambulance ATV Bicycle Fire Apparatus Fixed Wing Motorcycle Other Personal Vehicle Quick Response Vehicle (Non-Transport Vehicle other than Fire Apparatus) Rescue Rotor Craft Snow Vehicle Watercraft
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dVehicle.05
dVehicle.05 - Crew State Certification/Licensure Levels Definition The certification/licensure level of the ambulance by the state or the certification/licensure level at which the vehicle is most commonly staffed. National Element State Element Version 2 Element Usage Code List
No No No 0:1

The new 2009 EMS Educational Levels have been added. The category EMT-Intermediate includes EMS professionals with an "85" or "99" certification level.
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dVehicle.06
dVehicle.06 - Number of Each EMS Personnel Level on Normal 911 Ambulance Response Definition The number of each personnel level associated with the vehicle crew. National Element State Element Version 2 Element Usage Constraints
Data Type positiveInteger minInclusive 1 maxInclusive 12
No No No 0:1

Indicate the number of each of the following EMS Personnel levels on the crew. Associated with each Certification/Licensure Level in dVehicle.05 (Crew State Certification/Licensure Levels).
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dVehicle.07
dVehicle.07 - Number of Each EMS Personnel Level on Normal 911 Response (Non-Transport) Vehicle Definition The number of each personnel level for your EMS Agency's Medical (Non-911) Non-Transport Ambulance. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Indicate the number of each of the following EMS Personnel levels on the crew. Associated with each Certification/Licensure Level in dVehicle.05 (Crew State Certification/Licensure Levels).
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dVehicle.08
dVehicle.08 - Number of Each EMS Personnel Level on Normal Medical (Non-911) Transport Ambulance Definition The number of each personnel level for your EMS Agency's Medical (Non-911) Transport Ambulance. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Indicate the number of each of the following EMS Personnel levels on the crew. Associated with each Certification/Licensure Level in dVehicle.05(Crew State Certification/Licensure Levels).
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dVehicle.09
dVehicle.09 - Vehicle Initial Cost Definition Initial costs of vehicles held by agency excluding all medical and other equipment not associated with the vehicle. This cost should be inclusive of all sources of funding including grants, donations, and any other capital. National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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dVehicle.10
State
dVehicle.10 - Vehicle Model Year Definition The year the vehicle was manufactured. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Constraints
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dVehicle.11
dVehicle.11 - Year Miles/Kilometers Hours Accrued Definition The year the hours and miles/kilometers were accumulated. National Element State Element Version 2 Element Usage Constraints
No No No 0:1

The grouping dVehicle.YearGroup, allows multiple year information to be stored for each EMS vehicle. This includes elements dVehicle.11 - Year Miles/Kilometers Hours Accrued, dVehicle.12 - Annual Vehicle Hours, and dVehicle.13 - Annual Vehicle Miles/Kilometers.
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dVehicle.12
dVehicle.12 - Annual Vehicle Hours Definition The number of hours the vehicle was in service for the agency for the defined year. National Element State Element Version 2 Element Usage Constraints
Data Type positiveInteger minInclusive 1 maxInclusive 10,000
No No No 0:1

Associated with each year of element dVehicle.11 (Year Miles/Hours Accrued).
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dVehicle.13
dVehicle.13 - Annual Vehicle Miles/Kilometers Definition The number of miles/kilometers the vehicle accumulated in service for the agency for the defined year (Odometer Reading). National Element State Element Version 2 Element Usage Attributes
DistanceUnit 9929001 - Kilometers 9929003 - Miles
No No No 0:1
Constraints
Data Type decimal totalDigits 7 fractionDigits 1

Associated with each year of (dVehicle.11) Year Miles/Kilometers Hours Accrued.
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dPersonnel
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Legend
S State
D Deprecated
dPersonnel
0:M
dPersonnel.PersonnelGroup
0:1
dPersonnel.NameGroup
0:1 0:1 0:1
dPersonnel.01 - EMS Personnel's Last Name dPersonnel.02 - EMS Personnel's First Name dPersonnel.03 - EMS Personnel's Middle Name/Initial
S S S
E E E
N, L N, L N, L
0:1
dPersonnel.AddressGroup
0:1 0:1 0:1 0:1 0:1
dPersonnel.04 - EMS Personnel's Mailing Address dPersonnel.05 - EMS Personnel's City of Residence dPersonnel.06 - EMS Personnel's State dPersonnel.07 - EMS Personnel's ZIP Code dPersonnel.08 - EMS Personnel's Country
O O S S S O O O O C C C C E E E
O O O O O
0:M 0:M 0:1 0:1 0:M 0:1 0:1 0:M 0:M 0:M
dPersonnel.09 - EMS Personnel's Phone Number dPersonnel.10 - EMS Personnel's Email Address dPersonnel.11 - EMS Personnel's Date of Birth dPersonnel.12 - EMS Personnel's Gender dPersonnel.13 - EMS Personnel's Race dPersonnel.14 - EMS Personnel's Citizenship dPersonnel.15 - EMS Personnel's Highest Educational Degree dPersonnel.16 - EMS Personnel's Degree Subject/Field of Study dPersonnel.17 - EMS Personnel's Motor Vehicle License Type dPersonnel.ImmunizationsGroup
0:1 0:1
N, L N, L N, L C
C O O O O C S S S O O O E E E N, L N, L N, L C
dPersonnel.18 - EMS Personnel's Immunization Status dPersonnel.19 - EMS Personnel's Immunization Year
0:M 0:1 0:M
dPersonnel.20 - EMS Personnel's Foreign Language Ability dPersonnel.21 - EMS Personnel's Agency ID Number dPersonnel.LicensureGroup
0:1 0:1 0:1 0:1 0:1 0:1
dPersonnel.22 - EMS Personnel's State of Licensure dPersonnel.23 - EMS Personnel's State's Licensure ID Number dPersonnel.24 - EMS Personnel's State EMS Certification Licensure Level dPersonnel.25 - EMS Personnel's State EMS Current Certification Date dPersonnel.26 - EMS Personnel's Initial State's Licensure Issue Date dPersonnel.27 - EMS Personnel's Current State's Licensure Expiration Date
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0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:M 0:1 0:1 0:M
dPersonnel.28 - EMS Personnel's National Registry Number dPersonnel.29 - EMS Personnel's National Registry Certification Level dPersonnel.30 - EMS Personnel's Current National Registry Expiration Date dPersonnel.31 - EMS Personnel's Employment Status dPersonnel.32 - EMS Personnel's Employment Status Date dPersonnel.33 - EMS Personnel's Hire Date dPersonnel.34 - EMS Personnel's Primary EMS Job Role dPersonnel.35 - EMS Personnel's Other Job Responsibilities dPersonnel.36 - EMS Personnel's Total Length of Service in Years dPersonnel.37 - EMS Personnel's Date Length of Service Documented dPersonnel.CertificationLevelGroup
0:1 0:1
O O O S S O S S O O C O O E E N, L N, L C E E N, L N, L
dPersonnel.38 - EMS Professional's Practice Level dPersonnel.39 - Date of Professional's Certification or Licensure for Agency
dPersonnel
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dPersonnel.01
State
dPersonnel.01 - EMS Personnel's Last Name Definition The last name of the personnel. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Constraints
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dPersonnel.02
State
dPersonnel.02 - EMS Personnel's First Name Definition The first name of the personnel. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Constraints
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dPersonnel.03
State
dPersonnel.03 - EMS Personnel's Middle Name/Initial Definition The middle name or initial of the personnel. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Constraints
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dPersonnel.04
dPersonnel.04 - EMS Personnel's Mailing Address Definition The Street or PO Box of the personnel's mailing address. National Element State Element Version 2 Element Usage Attributes
No No No 0:1
Constraints

For individuals living outside the USA the full address can be entered in the address line.
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dPersonnel.05
dPersonnel.05 - EMS Personnel's City of Residence Definition The city of the personnel's mailing address. National Element State Element Version 2 Element Usage Data Element Comment
No No No 0:1
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dPersonnel.06
dPersonnel.06 - EMS Personnel's State Definition The state of the personnel's mailing address. National Element State Element Version 2 Element Usage Constraints
No No No 0:1

Based on ANSI Code. GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
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dPersonnel.07
dPersonnel.07 - EMS Personnel's ZIP Code Definition The ZIP code of the personnel's mailing address. National Element State Element Version 2 Element Usage Constraints
Pattern [0-9]{5}|[0-9]{5}-[0-9]{4}|[0-9]{5}-[0-9]{5}|[A-Z][0-9][A-Z] [0-9][A-Z][0-9]
No No No 0:1

Zip Codes Product Website: https://www.zipcodedownload.com/Products/Product/Z5Commercial/Standard/Overview/ Product: USA - 5-digit ZIP Code Database, Commercial Edition
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dPersonnel.08
dPersonnel.08 - EMS Personnel's Country Definition The country of the personnel mailing address. National Element State Element Version 2 Element Usage Code List
No No
No No No 0:1
Optional
Recurrence

Based on ANSI Code. ANSI Country Codes (ISO 3166) Website: http://www.iso.org/iso/country_codes/iso_3166_code_lists.htm
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dPersonnel.09
dPersonnel.09 - EMS Personnel's Phone Number Definition The phone number for the personnel. National Element State Element Version 2 Element Usage Attributes
No No No 0:M
Constraints
Pattern [2-9][0-9][0-9]-[2-9][0-9][0-9]-[0-9][0-9][0-9][0-9]
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dPersonnel.10
dPersonnel.10 - EMS Personnel's Email Address Definition The primary email address of the personnel. National Element State Element Version 2 Element Usage Attributes
CorrelationID Data Type: string EmailAddressType 9904001 - Personal minLength: 0 9904003 - Work maxLength: 255
No No No 0:M
Constraints
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dPersonnel.11
State
dPersonnel.11 - EMS Personnel's Date of Birth Definition The personnel's date of birth. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Constraints
Data Type date minInclusive 1900-01-01 maxInclusive 2050-01-01
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dPersonnel.12
State
dPersonnel.12 - EMS Personnel's Gender Definition The personnel's gender. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Code List
Code 9906001 9906003 9906005 Description Female Male Unknown (Unable to Determine)
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dPersonnel.13
State
dPersonnel.13 - EMS Personnel's Race Definition The personnel's race as defined by the OMB (US Office of Management and Budget). National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:M
Code List
Code 1513001 1513003 1513005 1513007 1513009 1513011 Description American Indian or Alaska Native Asian Black or African American Hispanic or Latino Native Hawaiian or Other Pacific Islander White

OMB requirements are provided at: http://www.omhrc.gov/templates/browse.aspx?lvl=2&lvlID=172. A single multiple choice question methodology is being implemented to improve the completion of ethnicity information. Ethnicity (Version 2.1.1: D08_14) has been merged with this data element and retired.
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dPersonnel.14
dPersonnel.14 - EMS Personnel's Citizenship Definition The documentation of the personnel's citizenship. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Website: http://www.iso.org/iso/country_codes/iso_3166_code_lists.htm
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dPersonnel.15
dPersonnel.15 - EMS Personnel's Highest Educational Degree Definition The highest educational degree completed by the personnel. National Element State Element Version 2 Element Usage Code List
Code 1515001 1515003 1515005 1515007 1515009 1515011 1515013 1515015 1515017 1515019 1515021 1515023 1515025 1515027 1515029 1515031 Description No Schooling Completed Nursery School to 4th Grade 5th Grade or 6th Grade 7th Grade or 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade, No Diploma High School Graduate-Diploma or the Equivalent (GED) Some College Credit, but Less than 1 Year 1 or More Years of College, No Degree Associate Degree Bachelor's Degree Master's Degree Professional Degree (i.e. MD, DDS, DVM, LLB, JD) Doctorate Degree (i.e. PhD, EdD)
No No
No No No 0:1
Optional
Recurrence

Based on Census 2000 Educational Attainment Question.
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dPersonnel.16
dPersonnel.16 - EMS Personnel's Degree Subject/Field of Study Definition The area of the personnel's post high-school (post-secondary) degree. National Element State Element Version 2 Element Usage Attributes
No No
No No No 0:M
Optional
Recurrence
Code List
Code 1516001 1516003 1516005 1516007 1516009 1516011 1516013 1516015 1516017 1516019 1516021 1516023 1516025 1516027 1516029 1516031 1516033 1516035 1516037 1516039 1516041 1516043 1516045 1516047 1516049 1516051 1516053 1516055 1516057 1516059 1516061 1516063 1516065 1516067 1516069 1516071 Description Agriculture and Natural Resources Architecture and Related Services Area, Ethnic, Cultural, and Gender Studies Biological and Biomedical Sciences Business Communication, Journalism, and Related Programs Communications Technologies Computer and Information Sciences Education Emergency Medical Services Engineering Engineering Technologies English Language and Literature/Letters Family and Consumer Sciences/Human Sciences Fire Science Foreign Languages, Literatures, and Linguistics Health Professions and Related Clinical Sciences, Not Including Emergency Medical Services Legal Professions and Studies Liberal Arts and Sciences, General Studies, and Humanities Library Science Mathematics and Statistics Military Technologies Multi/Interdisciplinary Studies Not Classified by Field of Study None Parks, Recreation, Leisure and Fitness Studies Philosophy and Religious Studies Physical Sciences and Science Technologies Precision Production Psychology Public Administration and Social Services Security and Protective Services, Not Including Fire Science Social Sciences and History Theology and Religious Vocations Transportation and Materials Moving Visual and Performing Arts
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dPersonnel.17
dPersonnel.17 - EMS Personnel's Motor Vehicle License Type Definition The type of motor vehicle license (i.e. Class A, B, Pilot, etc.) of the EMS personnel. National Element State Element Version 2 Element Usage Attributes
No No
No No No 0:M
Optional
Recurrence
Code List
Code 1517001 1517003 1517005 1517007 1517009 1517011 1517013 1517015 1517017 1517019 1517021 1517023 Description All-Terrain Vehicle (ATV) Commercial Class A Commercial Class B Commercial Class C Motorcycle-Class M None Operator Class D (Normal) Other (Not Listed) Pilot-Rotor Wing Air Pilot-Fixed Wing Air Snowmobile Taxi and Livery Class E
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dPersonnel.18
dPersonnel.18 - EMS Personnel's Immunization Status Definition The type of immunization status. National Element State Element Version 2 Element Usage Code List
Code 9910001 9910003 9910005 9910007 9910009 9910011 9910013 9910015 9910017 9910019 9910021 9910023 9910025 9910027 9910029 9910031 9910033 9910035 9910037 9910039 9910041 9910043 9910045 9910047 9910049 9910051 Description Anthrax Cholera DPT (Diphtheria, Pertussis, Tetanus) Hemophilus Influenza B Hepatitis A Hepatitis B Human Papilloma Virus (HPV) Influenza-H1N1 Influenza-Other Influenza-Seasonal (In past 12 months) Lyme Disease Meningococcus MMR (Measles, Mumps, Rubella) Other-Not Listed Plague Pneumococcal (Pneumonia) Polio Rabies Rotavirus Shingles Small Pox Tetanus Tuberculosis Typhoid Varicella (Chickenpox) Yellow Fever
No No
No No No 0:1
Optional
Recurrence
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dPersonnel.19
dPersonnel.19 - EMS Personnel's Immunization Year Definition The year associated with each immunization type. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence
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dPersonnel.20
dPersonnel.20 - EMS Personnel's Foreign Language Ability Definition The languages spoken (other than English) by the personnel with at least an elementary level of proficiency. National Element State Element Version 2 Element Usage Attributes
No No
No No No 0:M
Optional
Recurrence
Code List
Code amh ara arm ben crp chi hrv cze dan dut fin tai fre cpf ger gre guj heb hin hun ilo itl jpn kor kro lit mal hmn mkh nav nno pan gem per pol por rum rus smo srp slo spa swe syr tgl tha tur Description Amharic Arabic Armenian Bengali Cajun (Creole and Pidgins) Chinese Croatian Czech Danish Dutch Finnish Formosan French French Creole German Greek Gujarati Hebrew Hindi (Urdu) Hungarian Ilocano Italian Japanese Korean Kru Lithuanian Malayalam Miao (Hmong) Mon-Khmer (Cambodian) Navaho Norwegian Panjabi Pennsylvania Dutch (Germanic Other) Persian Polish Portuguese Romanian Russian Samoan Serbo-Croatian Slovak Spanish Swedish Syriac Tagalog Thai (Laotian) Turkish
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ukr vie yid
Ukrainian Vietnamese Yiddish

Added to better describe the EMS workforce.
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dPersonnel.21
dPersonnel.21 - EMS Personnel's Agency ID Number Definition The local agency ID number for the personnel. National Element State Element Version 2 Element Usage Constraints
No No No 0:1

This is a local ID and not the ID associated with the state credential. This may be the same as the state credential ID depending on the state and local implementation. This should be a unique number and not reused.
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dPersonnel.22
State
dPersonnel.22 - EMS Personnel's State of Licensure Definition The state of the certification/licensure ID number assigned to the personnel member. National Element State Element Version 2 Element Usage Attributes
No Yes
No Yes Yes 0:1
Recommended
Recurrence
Constraints
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dPersonnel.23
State
dPersonnel.23 - EMS Personnel's State's Licensure ID Number Definition The state's licensure/certification ID number for the personnel. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Constraints
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dPersonnel.24
State
dPersonnel.24 - EMS Personnel's State EMS Certification Licensure Level Definition The personnel's state EMS certification level. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Code List
Code 9925001 9925003 9925005 9925007 9925013 9925015 9925017 9925019 9925021 9925023 9925025 9925027 9925029 9925031 9925033 9925035 9925037 9925039 9925041 9925043 Description 2009 Advanced Emergency Medical Technician (AEMT) 2009 Emergency Medical Responder (EMR) 2009 Emergency Medical Technician (EMT) 2009 Paramedic First Responder EMT-Basic EMT-Intermediate EMT-Paramedic Nurse DEPRECATED Other Healthcare Professional Other Non-Healthcare Professional Physician Respiratory Therapist Student Critical Care Paramedic Community Paramedicine Nurse Practitioner Physician Assistant Licensed Practical Nurse (LPN) Registered Nurse

Added 2009 EMS Education Levels. The category EMT-Intermediate includes EMS professionals with an "85" or "99" certification level. Some listed health care providers may not have an EMS certification/licensure number, however their level should be indicated from the list above and the state licensure number should be indicated in dPersonnel.23 - EMS Personnel's State's Licensure ID Number.
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dPersonnel.25
dPersonnel.25 - EMS Personnel's State EMS Current Certification Date Definition The date of the personnel's current EMS certification/licensure. National Element State Element Version 2 Element Usage Constraints
No No No 0:1

Clarified as the current certification/licensure.
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dPersonnel.26
dPersonnel.26 - EMS Personnel's Initial State's Licensure Issue Date Definition The date on which the EMS personnel's state's EMS certification/licensure was originally issued. This is the date of the first certification/licensure for the EMS level. National Element State Element Version 2 Element Usage Constraints
No No No 0:1

Clarified as the FIRST (original) certification/licensure date.
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dPersonnel.27
dPersonnel.27 - EMS Personnel's Current State's Licensure Expiration Date Definition The date on which the EMS personnel's (highest) state EMS certification/licensure expires. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence
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dPersonnel.28
dPersonnel.28 - EMS Personnel's National Registry Number Definition The National Registry number associated with the level of certification/licensure obtained through NREMT. National Element State Element Version 2 Element Usage Constraints
Pattern [A-Z][A-Z0-9][0-9]{6}
No No
No No No 0:1
Optional
Recurrence
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dPersonnel.29
dPersonnel.29 - EMS Personnel's National Registry Certification Level Definition The level of the current National Registry of Emergency Medical Technicians (NREMT) certification. National Element State Element Version 2 Element Usage Code List
Code 1529901 1529003 1529005 1529007 1529009 1529011 1529013 1529015 Description 2009 Advanced Emergency Medical Technician(AEMT) 2009 Emergency Medical Responder (EMR) 2009 Emergency Medical Technician 2009 Paramedic EMT-Basic EMT-Intermediate EMT-Paramedic First Responder
No No
No No No 0:1
Optional
Recurrence

The category EMT-Intermediate includes EMS professionals with an "85" or "99" certification level.
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dPersonnel.30
dPersonnel.30 - EMS Personnel's Current National Registry Expiration Date Definition The date on which the EMS Personnel's National Registry of EMTs certification/licensure expires National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence
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dPersonnel.31
State
dPersonnel.31 - EMS Personnel's Employment Status Definition The personnel's primary employment status for this agency. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Code List
Code 1531001 1531003 1531005 1531007 Description Full Time Paid Employee Part Time Paid Employee Volunteer Neither an Employee Nor a Volunteer
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dPersonnel.32
State
dPersonnel.32 - EMS Personnel's Employment Status Date Definition The personnel's employment status date. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Constraints
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dPersonnel.33
dPersonnel.33 - EMS Personnel's Hire Date Definition The date the employee was hired by the EMS agency for this current job. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

This is intended to collect information based on the current employment/job. If the EMS personnel has a come and go status, this should reflect the most recent employment/job.
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dPersonnel.34
State
dPersonnel.34 - EMS Personnel's Primary EMS Job Role Definition The individuals primary/main EMS role at the EMS agency. This is the function which is performed the majority of the time for the EMS personnel. National Element State Element Version 2 Element Usage Attributes
No Yes
No Yes Yes 0:1
Recommended
Recurrence
Code List
Code 1534001 1534003 1534005 1534007 1534009 1534011 1534013 1534015 1534017 Description Administrator/Manager Driver/Pilot Educator/Preceptor Fire Suppression First-Line Supervisor Law Enforcement Other (Not Listed) Patient Care Provider Rescue

This is a single choice data element which should reflect the EMS Personnel's primary/main job role for which he/she functions. It is understood that most EMS personnel perform more than one role as a part of their position. Other roles should be documented in dPersonnel.35 (EMS Personnel's Other Job Responsibilities).
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dPersonnel.35
State
dPersonnel.35 - EMS Personnel's Other Job Responsibilities Definition The EMS personnel's other job responsibilities at the agency beyond their primary role documented in dPersonnel.34 (EMS Personnel's Primary EMS Job Role). National Element State Element Version 2 Element Usage Attributes
No Yes
No Yes Yes 0:M
Recommended
Recurrence
Code List
Code 1534001 1534003 1534005 1534007 1534009 1534011 1534013 1534015 1534017 Description Administrator/Manager Driver/Pilot Educator/Preceptor Fire Suppression First-Line Supervisor Law Enforcement Other (Not Listed) Patient Care Provider Rescue
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dPersonnel.36
dPersonnel.36 - EMS Personnel's Total Length of Service in Years Definition The personnel's total length of EMS service at any level (years). National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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dPersonnel.37
dPersonnel.37 - EMS Personnel's Date Length of Service Documented Definition The date which the length of EMS service was documented. National Element State Element Version 2 Element Usage Constraints
No No No 0:1

Associated with dPersonnel.37 (EMS Personnel's Total Length of Service in Years).
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dPersonnel.38
dPersonnel.38 - EMS Professional's Practice Level Definition The EMS certification level at which the individual is providing patient care services for the EMS agency. National Element State Element Version 2 Element Usage Code List
No No No 0:1

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dPersonnel.39
dPersonnel.39 - Date of Professional's Certification or Licensure for Agency Definition The date that the Certification/Licensure was achieved for the local EMS agency. National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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dDevice
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Legend
S State
D Deprecated
dDevice
0:M
dDevice.DeviceGroup
0:1 0:1 0:M 0:1 0:1 0:1
C O O O O O O C
dDevice.01 - Medical Device Serial Number dDevice.02 - Medical Device Name or ID dDevice.03 - Medical Device Type dDevice.04 - Medical Device Manufacturer dDevice.05 - Medical Device Model Number dDevice.06 - Medical Device Purchase Date
dDevice
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dDevice.01
dDevice.01 - Medical Device Serial Number Definition The unique manufacturer's serial number associated with a medical device. National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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dDevice.02
dDevice.02 - Medical Device Name or ID Definition The local number or configurable Name/ID of the medical device. National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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dDevice.03
dDevice.03 - Medical Device Type Definition The type of medical device. National Element State Element Version 2 Element Usage Attributes
No No
No No No 0:M
Optional
Recurrence
Code List
Code 1603001 1603003 1603005 1603007 1603009 1603011 1603013 1603015 1603017 1603019 1603021 1603023 1603025 1603027 1603029 1603031 1603033 1603035 1603037 1603039 Description Capnography-Numeric Capnography-Waveform Chemistry Measurement-Blood or Serum Chemistry Measurement-Glucometer Chemistry Measurement-Urine CPR-External Device Defibrillator-Automated Defibrillator-Manual ECG-12 Lead or Greater ECG-Less than 12 Lead (Cardiac Monitor) Medication Infusion Pump Other (Not Listed) Oximetry-Carbon Monoxide Oximetry-Oxygen Pressure Monitors-Invasive Pressure Monitors-Non-Invasive Respirator (BLS) Ventilator (ALS) Ventilator Assistance-BiPAP Ventilator Assistance-CPAP

This is multiple choice to allow documentation of various multifunction device configurations.
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dDevice.04
dDevice.04 - Medical Device Manufacturer Definition The manufacturer of the medical device. National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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dDevice.05
dDevice.05 - Medical Device Model Number Definition The specific manufacturer's model number associated with medical device. National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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dDevice.06
dDevice.06 - Medical Device Purchase Date Definition The date the device was purchased or placed in service by the EMS agency. National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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dFacility
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Legend
S State
D Deprecated
dFacility
0:M
dFacilityGroup
0:1 0:M
C O C O O O O O O O O O O O O O C
dFacility.01 - Type of Facility dFacility.FacilityGroup

0:1 0:1 0:M 0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1
dFacility.02 - Facility Name dFacility.03 - Facility Location Code dFacility.04 - Hospital Designations dFacility.05 - Facility National Provider Identifier dFacility.06 - Facility Room, Suite, or Apartment dFacility.07 - Facility Street Address dFacility.08 - Facility City dFacility.09 - Facility State dFacility.10 - Facility ZIP Code dFacility.11 - Facility County dFacility.12 - Facility Country dFacility.13 - Facility GPS Location dFacility.14 - Facility US National Grid Coordinates
dFacility
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dFacility.01
dFacility.01 - Type of Facility Definition The type of facility (healthcare or other) that the EMS agency transports patients to or from. National Element State Element Version 2 Element Usage Code List
Code 1701001 1701003 1701005 1701007 1701009 1701011 Description Assisted Living Facility Clinic Hospital Nursing Home Other (Not Listed) Urgent Care
No No No 0:1
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dFacility.02
dFacility.02 - Facility Name Definition The name of the facility. National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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dFacility.03
dFacility.03 - Facility Location Code Definition The code of the facility as assigned by the state or the EMS agency. National Element State Element Version 2 Element Usage Constraints
No No No 0:1

The information contained within this element could be used to populate eScene.09 (Incident Facility Code) or eDisposition.02 (Destination/Transferred To, Code) via a drop down list created at either the EMS Agency or State level.
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dFacility.04
dFacility.04 - Hospital Designations Definition The designation(s) associated with the hospital (e.g. Trauma, STEMI, Peds, etc) National Element State Element Version 2 Element Usage Attributes
No No
No No No 0:M
Optional
Recurrence
Code List
Code 9908001 9908003 9908005 9908007 9908009 9908011 9908013 9908015 9908017 9908019 9908021 9908023 9908025 9908027 9908029 9908031 9908033 9908035 Description Behavioral Health Burn Center Critical Access Hospital Hospital (General) Neonatal Center Pediatric Center STEMI DEPRECATED STEMI Center (24/7) DEPRECATED Stroke Center Rehab Center Trauma Center Level 1 Trauma Center Level 2 Trauma Center Level 3 Trauma Center Level 4 Trauma Center Level 5 Cardiac-STEMI/PCI Capable Cardiac-STEMI/PCI Capable (24/7) Cardiac-STEMI/Non-PCI Capable
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dFacility.05
dFacility.05 - Facility National Provider Identifier Definition The facility National Provider Identifier associated with National Provider System (NPS). National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence
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dFacility.06
dFacility.06 - Facility Room, Suite, or Apartment Definition The number of the specific room, suite, or apartment of the facility. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence
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dFacility.07
dFacility.07 - Facility Street Address Definition The address where the facility is located. National Element State Element Version 2 Element Usage Attributes
No No
No No No 0:1
Optional
Recurrence
Constraints

The information contained within this element could be used to populate the address information within eScene.18 (Incident State) and/or eDisposition.03 (Destination Street Address) as appropriate.
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dFacility.08
dFacility.08 - Facility City Definition The city where the facility is located (physical address). National Element State Element Version 2 Element Usage Data Element Comment
The information contained within this element could be used to populate the address information within eScene.17 (Incident City) and/or eDisposition.04 (Destination City) as appropriate. City codes are based on GNIS Feature Class. The primary Feature Class to use is "Civil" with "Populated Place" and "Military" code as additional options. Definitions for each GNIS City Feature Class can be found on the GNIS Codes website. GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
No No
No No No 0:1
Optional
Recurrence
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dFacility.09
dFacility.09 - Facility State Definition The state where the facility is located. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Based on the ANSI Code. The information contained within this element could be used to populate the address information within eScene.18 (Incident State) and/or eDisposition.05 (Destination State) as appropriate. GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
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dFacility.10
dFacility.10 - Facility ZIP Code Definition The zip code where the facility is located. National Element State Element Version 2 Element Usage Constraints
Pattern [0-9]{5}|[0-9]{5}-[0-9]{4}|[0-9]{5}-[0-9]{5}|[A-Z][0-9][A-Z] [0-9][A-Z][0-9]
No No
No No No 0:1
Optional
Recurrence

The information contained within this element could be used to populate the address information within eScene.19 (Incident ZIP Code) and/or eDisposition.07 (Destination ZIP Code) as appropriate. ZIP Codes Product Website: https://www.zipcodedownload.com/Products/Product/Z5Commercial/Standard/Overview/ Product: USA - 5-digit ZIP Code Database, Commercial Edition
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dFacility.11
dFacility.11 - Facility County Definition The county where the facility is located. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Based on the ANSI Code. The information contained within this element could be used to populate the address information within eScene.21 (Incident County) and/or eDisposition.06 (Destination County) as appropriate. GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
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dFacility.12
dFacility.12 - Facility Country Definition The country where the facility is located. National Element State Element Version 2 Element Usage Code List
No No
No No No 0:1
Optional
Recurrence

Based on the ANSI Code. The information contained within this element could be used to populate the address information within eScene.22 (Incident Country) and/or eDisposition.08 (Destination Country) as appropriate. ANSI Country Codes (ISO 3166) Website: http://www.iso.org/iso/country_codes/iso_3166_code_lists.htm
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dFacility.13
dFacility.13 - Facility GPS Location Definition The facility GPS Coordinates. National Element State Element Version 2 Element Usage Constraints
Pattern (\+|-)?(90(\.[0]{1,6})?|([1-8][0-9]|[0-9])(\.[0-9]{1,6})?),(\+|-)?(180(\.[0]{1,6})?|(1[0-7][0-9]|[1-9][0-9]|[0-9])(\.[0-9]{1,6})?)
No No
No No No 0:1
Optional
Recurrence

The information contained within this element could be used to populate the address information within eScene.10 (Scene GPS Location) and/or eDisposition.09 (Destination GPS Location) as appropriate. The pattern for GPS location is in the format "latitude,longitude" where: - latitude has a minimum of -90 and a maximum of 90 with up to 6 decimal places - longitude has a minimum of -180 and a maximum of 180 with up to 6 decimal places
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dFacility.14
dFacility.14 - Facility US National Grid Coordinates Definition Facility US National Grid Coordinates National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Standard found at www.fgdc.gov/usng. The information contained within this element could be used to populate the address information within eScene.11 (Scene US National Grid Coordinates) and/or eDisposition.10 (Disposition Location US National Grid Coordinates) as appropriate.
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dCustomResults
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Legend
S State
D Deprecated
dCustomResults
0:M
dCustomResults.ResultsGroup
1:M 1:1 0:1
C M M O N, L, P
dCustomResults.01 - Custom Data Element Result dCustomResults.02 - Custom Element ID Referenced dCustomResults.03 - CorrelationID of DemographicReport Element or Group
dCustomResults
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dCustomResults.01
dCustomResults.01 - Custom Data Element Result Definition The actual value or values chosen (if values listed in dCustomConfiguration.06) or result (free text, Date/Time, or number) documented for the Custom Data Element National Element State Element Version 2 Element Usage Attributes
NOT Values (NV) Pertinent Negatives (PN) NV 7701001 - Not Applicable PN 8801001 - Contraindication Noted 8801007 - Medication Allergy 8801015 - None Reported 8801021 - Unresponsive
No No
Yes Yes Yes 1:M
Mandatory
Recurrence
7701003 - Not Recorded 8801003 - Denied By Order 8801009 - Medication Already Taken 8801017 - Not Performed by EMS 8801023 - Unable to Complete
7701005 - Not Reporting 8801005 - Exam Finding Not Present 8801013 - No Known Drug Allergy 8801019 - Refused
Constraints

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dCustomResults.02
dCustomResults.02 - Custom Element ID Referenced Definition References the CustomElementID attribute for dCustomConfiguration.CustomGroup National Element State Element Version 2 Element Usage Constraints
No No
No No No 1:1
Mandatory
Recurrence
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dCustomResults.03
dCustomResults.03 - CorrelationID of DemographicReport Element or Group Definition References the CorrelationID attribute of an element or group in the DemographicReport section National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence
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eState
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Legend
S State
D Deprecated
eState
0:M
eState.01 - State Required Element
eState
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eState.01
eState.01 - State Required Element Definition Indicates which elements are required by the state National Element State Element Version 2 Element Usage Attributes
TIMESTAMP Data Type: String minInclusive: 1950-01-01T00:00:00-00:00 maxInclusive: 2050-01-01T00:00:00-00:00
No No
No No No 0:M
Optional
Recurrence
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}
Constraints

This element was created to document elements required by the state. The TIMESTAMP attribute describes the active date of the element.
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Legend
S State
D Deprecated
0:M
eCustomConfiguration.CustomGroup
1:1 1:1 1:1 1:1 1:1 0:M 0:M 0:M
eCustomConfiguration.01 - Custom Data Element Title eCustomConfiguration.02 - Custom Definition eCustomConfiguration.03 - Custom Data Type eCustomConfiguration.04 - Custom Data Element Recurrence eCustomConfiguration.05 - Custom Data Element Usage eCustomConfiguration.06 - Custom Data Element Potential Values eCustomConfiguration.07 - Custom Data Element Potential NOT Values (NV)
M M M M M O O
eCustomConfiguration.08 - Custom Data Element Potential Pertinent Negative Values (PN) O
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eCustomConfiguration.01
eCustomConfiguration.01 - Custom Data Element Title Definition This is the title of the custom data element created to collect information that is not defined formally in NEMSIS Version 3. National Element State Element Version 2 Element Usage Attributes
nemsisElement Data Type: anySimpleType whiteSpace: preserve
No No
No No No 1:1
Mandatory
Recurrence
Constraints

This is grouped with all data elements in this section and can have multiple instances.

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eCustomConfiguration.02 - Custom Definition Definition The definition of the custom element and how it should be used. National Element State Element Version 2 Element Usage Constraints
No No
No No No 1:1
Mandatory
Recurrence
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eCustomConfiguration.03 - Custom Data Type Definition The data type of the custom element. National Element State Element Version 2 Element Usage Code List
Code 9902001 9902003 9902005 9902007 9902009 9902011 Description Binary Date/Time Integer/Number Other (Not Listed) Text/String Boolean
No No
No No No 1:1
Mandatory
Recurrence
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eCustomConfiguration.04 - Custom Data Element Recurrence Definition Indication if the data element will accept multiple values. National Element State Element Version 2 Element Usage Code List
No No
No No No 1:1
Mandatory
Recurrence

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eCustomConfiguration.05 - Custom Data Element Usage Definition The Usage (Mandatory, Required, Recommended or Optional) for the Custom Data Element. National Element State Element Version 2 Element Usage Code List
Code 9903001 9903003 9903005 9903007 Description Mandatory Required Recommended Optional
No No
No No No 1:1
Mandatory
Recurrence

Mandatory = Must be completed and will not accept null values Required = Must be completed but will accept null values Recommended = Not required but if collected will accept null values Optional = Not required but if collected, it cannot be a null value.

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eCustomConfiguration.06 - Custom Data Element Potential Values Definition The values which are associated with the Custom Data Element. Values would be the choices provided to the user when they document the Custom Data Element National Element State Element Version 2 Element Usage Attributes
nemsisCode Data Type: anySimpleType whiteSpace: preserve customValueDescription Data Type: anySimpleType whiteSpace: preserve
No No
No No No 0:M
Optional
Recurrence
Constraints

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eCustomConfiguration.07 - Custom Data Element Potential NOT Values (NV) Definition NOT Values (NV) associated with the custom element National Element State Element Version 2 Element Usage Code List
Code 7701001 7701003 7701005 Description Not Applicable Not Recorded Not Reporting
No No
No No No 0:M
Optional
Recurrence
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eCustomConfiguration.08 - Custom Data Element Potential Pertinent Negative Values (PN) Definition Pertinent Negative Values (PN) associated with the custom element National Element State Element Version 2 Element Usage Code List
Code 8801001 8801003 8801005 8801007 8801009 8801013 8801015 8801017 8801019 8801021 8801023 Description Contraindication Noted Denied By Order Exam Finding Not Present Medication Allergy Medication Already Taken No Known Drug Allergy None Reported Not Performed by EMS Refused Unresponsive Unable to Complete
No No
No No No 0:M
Optional
Recurrence
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eRecord
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Legend
S State
D Deprecated
eRecord
1:1 1:1
eRecord.01 - Patient Care Report Number eRecord.SoftwareApplicationGroup

1:1 1:1 1:1
eRecord.02 - Software Creator eRecord.03 - Software Name eRecord.04 - Software Version
N N N
S S S
M M M
eRecord
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eRecord.01
State National
eRecord.01 - Patient Care Report Number Definition The unique number automatically assigned by the EMS agency for each Patient Care Report (PCR). This should be a unique number for the EMS agency for all of time. National Element State Element Version 2 Element Usage
Yes Yes E01_01 Mandatory

Pediatric Response

STEMI Stroke Trauma
No No No 1:1

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eRecord.02
State National
eRecord.02 - Software Creator Definition The name of the vendor, manufacturer, and developer who designed the application that created this record. National Element State Element Version 2 Element Usage Constraints
No No No 1:1

This is required to document the software used to generate the Patient Care Report. This is not the last software which aggregated/stored the Patient Care Report after it was sent from another software.
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eRecord.03
State National
eRecord.03 - Software Name Definition The name of the application used to create this record. National Element State Element Version 2 Element Usage Constraints
No No No 1:1

This is the EMS Agency's software, not the state or other level software which electronically received the data from the local EMS Agency.
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eRecord.04
State National
eRecord.04 - Software Version Definition The version of the application used to create this record. National Element State Element Version 2 Element Usage Constraints
No No No 1:1
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eResponse
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Legend
S State
D Deprecated
eResponse
1:1
eResponse.AgencyGroup
1:1 0:1
eResponse.01 - EMS Agency Number eResponse.02 - EMS Agency Name

N N
N S S S
S E R R
M N, L N, L N, L
1:1 1:1 1:1
eResponse.03 - Incident Number eResponse.04 - EMS Response Number eResponse.ServiceGroup

1:1 0:1
eResponse.05 - Type of Service Requested eResponse.06 - Standby Purpose

N N N N N N N N N O O O S S S S N N
N O S S S S S S S S S
1:1 1:M 1:M 1:M 1:M 1:M 1:1 1:1 1:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1 1:1 1:M
eResponse.07 - Primary Role of the Unit eResponse.08 - Type of Dispatch Delay eResponse.09 - Type of Response Delay eResponse.10 - Type of Scene Delay eResponse.11 - Type of Transport Delay eResponse.12 - Type of Turn-Around Delay eResponse.13 - EMS Vehicle (Unit) Number eResponse.14 - EMS Unit Call Sign eResponse.15 - Level of Care of This Unit eResponse.16 - Vehicle Dispatch Location eResponse.17 - Vehicle Dispatch GPS Location eResponse.18 - Vehicle Dispatch US National Grid Location eResponse.19 - Beginning Odometer Reading of Responding Vehicle eResponse.20 - On-Scene Odometer Reading of Responding Vehicle eResponse.21 - Patient Destination Odometer Reading of Responding Vehicle eResponse.22 - Ending Odometer Reading of Responding Vehicle eResponse.23 - Response Mode to Scene eResponse.24 - Additional Response Mode Descriptors
M R R R R R M M M N, L C N, L C N, L C N, L C N, L C
O O O O S S M R N, L C
eResponse
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eResponse.01
State National
eResponse.01 - EMS Agency Number Definition The state-assigned provider number of the responding agency National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No No No 1:1


The EMS Agency Number in eResponse.01 can auto-populate from dAgency.02 EMS Agency Number in the demographic section.
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eResponse.02
State
eResponse.02 - EMS Agency Name Definition EMS Agency Name National Element State Element Version 2 Element Usage Attributes
No Yes
No Yes Yes 0:1
Recommended
Recurrence
Constraints

Added to better identify the EMS Agency associated with the EMS event.
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eResponse.03
State National
eResponse.03 - Incident Number Definition The incident number assigned by the 911 Dispatch System National Element State Element Version 2 Element Usage Attributes
Yes Yes E02_02 Required
No Yes Yes 1:1
Constraints

This number can be used to associate multiple EMS responses, dispatch information, and other information to the same EMS event or patient.
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eResponse.04
State National
eResponse.04 - EMS Response Number Definition The internal EMS response number which is unique for each EMS Vehicle's (Unit) response to an incident within an EMS Agency. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 1:1
Constraints
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eResponse.05
State National
eResponse.05 - Type of Service Requested Definition The type of service or category of service requested of the EMS Agency responding for this specific EMS event National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No No No 1:1

Code 2205001 2205003 2205005 2205007 2205009 2205011 2205013 Description 911 Response (Scene) Intercept Interfacility Transport Medical Transport Mutual Aid Public Assistance/Other Not Listed Standby

"Interfacility Transfer" has been changed to "Interfacility Transport. "Public Assistance/Other Not Listed" added for EMS expanded scope events such as elderly assistance, injury prevention, public education, immunization programs, etc.
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eResponse.06
eResponse.06 - Standby Purpose Definition The main reason the EMS Unit is on Standby as the Primary Type of Service for the EMS event. National Element State Element Version 2 Element Usage Code List
Code 2206001 2206003 2206005 2206007 2206009 2206011 2206013 2206015 2206017 2206019 2206021 Description Disaster Event-Drill/Exercise Disaster Event-Live Staging Education EMS Staging-Improve Coverage Fire Support-Rehab Fire Support-Standby Mass Gathering-Concert/Entertainment Event Mass Gathering-Fair/Community Event Mass Gathering-Sporting Event Other (Not Listed) Public Safety Support
No No
No No No 0:1
Optional
Recurrence

Added to document the reason for "Standby" when populated in eResponse.05 (Type of Service Requested). This information will assist in administrative analysis of EMS service delivery, special event coverage, etc.
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eResponse.07
State National
eResponse.07 - Primary Role of the Unit Definition The primary role of the EMS Unit which responded to this specific EMS event National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No No No 1:1

Code 2207001 2207003 2207005 2207007 2207009 2207011 2207013 Description Air Transport DEPRECATED Ground Transport Non-Transport Administrative (e.g., Supervisor) Non-Transport Assistance Non-Transport Rescue Air Transport-Helicopter Air Transport-Fixed Wing

Supervisor clarified to Administrative Only. If the Supervisor is responding to assist, that would be considered Non-Transport. Transport separated into Air and Ground. In Version 2 there was no way to identify Air Transport.
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eResponse.08
State National
eResponse.08 - Type of Dispatch Delay Definition The dispatch delays, if any, associated with the dispatch of the EMS unit to the EMS event. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:M

Code List
Code 2208001 2208003 2208005 2208007 2208009 2208011 2208013 2208015 2208017 Description Caller (Uncooperative) Diversion/Failure (of previous unit) High Call Volume Language Barrier Location (Inability to Obtain) No EMS Vehicles (Units) Available None/No Delay Other (Not Listed) Technical Failure (Computer, Phone etc.)

A dispatch delay is any time delay that occurs from the time of PSAP call (eTimes.01) to the time the unit is notified by dispatch (eTimes.03).
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eResponse.09
State National
eResponse.09 - Type of Response Delay Definition The response delays, if any, of the EMS unit associated with the EMS event. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:M

Code List
Code 2209001 2209003 2209005 2209007 2209009 2209011 2209013 2209015 2209017 2209019 2209021 2209023 2209025 2209027 2209029 2209031 2209033 Description Crowd Directions/Unable to Locate Distance Diversion (Different Incident) HazMat None/No Delay Other (Not Listed) Rendezvous Transport Unavailable Route Obstruction (e.g., train) Scene Safety (Not Secure for EMS) Staff Delay Traffic Vehicle Crash Involving this Unit Vehicle Failure of this Unit Weather Mechanical Issue-Unit, Equipment, etc. Flight Planning

Rendezvous Transport Unavailable added for situations where there is a wait for an EMS Transport Unit, a Ferry, Air Medical, etc to return to service. A response delay is any time delay that occurs from the time the unit is notified by dispatch (eTimes.03) to the time the unit arrived on scene (eTimes.06).
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eResponse.10
State National
eResponse.10 - Type of Scene Delay Definition The scene delays, if any, of the EMS unit associated with the EMS event. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:M

Code List
Code 2210001 2210003 2210005 2210007 2210009 2210011 2210013 2210015 2210017 2210019 2210021 2210023 2210025 2210027 2210029 2210031 2210033 2210035 2210037 2210039 Description Awaiting Air Unit Awaiting Ground Unit Crowd Directions/Unable to Locate Distance Extrication HazMat Language Barrier None/No Delay Other (Not Listed) Patient Access Safety-Crew/Staging Safety-Patient Staff Delay Traffic Triage/Multiple Patients Vehicle Crash Involving this Unit Vehicle Failure of this Unit Weather Mechanical Issue-Unit, Equipment, etc

A scene delay is any time delay that occurs from the time the unit arrived on scene (eTimes.06) to the time the unit left the scene (eTimes.09).
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eResponse.11
State National
eResponse.11 - Type of Transport Delay Definition The transport delays, if any, of the EMS unit associated with the EMS event. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:M

Code List
Code 2211001 2211003 2211005 2211007 2211009 2211011 2211013 2211015 2211017 2211019 2211021 2211023 2211025 2211027 2211029 2211031 Description Crowd Directions/Unable to Locate Distance Diversion HazMat None/No Delay Other (Not Listed) Rendezvous Transport Unavailable Route Obstruction (e.g., Train) Safety Staff Delay Traffic Vehicle Crash Involving this Unit Vehicle Failure of this Unit Weather Patient Condition Change (e.g. Unit Stopped)

Rendezvous Transport Unavailable added for situations where there is a wait for an EMS Transport Unit, a Ferry, Air Medical, etc. A transport delay is any time delay that occurs from the time the unit left the scene (eTimes.09) to the time the patient arrived at the destination (eTimes.10).
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eResponse.12
State National
eResponse.12 - Type of Turn-Around Delay Definition The turn-around delays, if any, of EMS unit associated with the EMS event. National Element State Element Version 2 Element Usage
Response
No Yes Yes 1:M

Code List
Code 2212001 2212003 2212005 2212007 2212009 2212011 2212013 2212015 2212017 2212019 2212021 2212023 2212025 2212027 2212029 2212031 2212033 Description Clean-up Decontamination Distance Documentation ED Overcrowding / Transfer of Care Equipment Failure Equipment/Supply Replenishment None/No Delay Other (Not Listed) Rendezvous Transport Unavailable Route Obstruction (e.g. Train) Staff Delay Traffic Vehicle Crash of this Unit Vehicle Failure of this Unit Weather EMS Crew Accompanies Patient for Facility Procedure

Rendezvous Transport Unavailable added for situations where there is a wait for an EMS Transport Unit, a Ferry, Air Medical, etc to return to service. If a patient is being transported by the unit, turn-around delay is any time delay that occurs from the time the patient arrived at the destination (eTimes.10) until the time the unit is back in service (eTimes.13) or unit back at the home location (eTimes15) [whichever is the greater of the two times]. If no patient is being transported by the unit, turn-around delay is any time delay that occurs from the time the unit arrived on scene (eTimes.06) until the unit is back in service (eTimes.13) or the unit back at the home location (eTimes.15) [whichever is the greater of the two times].
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eResponse.13
State National
eResponse.13 - EMS Vehicle (Unit) Number Definition The unique physical vehicle number of the responding unit. National Element State Element Version 2 Element Usage Constraints
No No No 1:1

This is recommended to be the State Vehicle Permit Number if unique to the vehicle. If the vehicle is not licensed by the state, this should be a unique number only associated with a specific vehicle. This element should be populated from dVehicle.01 Unit/Vehicle Number.
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eResponse.14
State National
eResponse.14 - EMS Unit Call Sign Definition The EMS unit number used to dispatch and communicate with the unit. This may be the same as the EMS Unit/Vehicle Number in many agencies. National Element State Element Version 2 Element Usage Constraints
No No No 1:1

"This element could be populated from a list created in dVehicle.03 EMS Unit Call Sign or dConfiguration.16 (Crew Call Sign).
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eResponse.15
State National
eResponse.15 - Level of Care of This Unit Definition The level of care (BLS or ALS) the unit is able to provide based on the units' treatment capabilities for this EMS response. National Element State Element Version 2 Element Usage
Yes Yes
No No No 1:1
Mandatory
Pediatric Response
Recurrence
STEMI Stroke Trauma

Code 2215001 2215003 2215005 2215007 2215023 2215009 2215011 2215013 2215015 2215017 2215019 2215021 Description BLS-First Responder/EMR BLS-Basic /EMT BLS-AEMT BLS-Intermediate BLS-Community Paramedicine ALS-AEMT ALS-Intermediate ALS-Paramedic ALS-Community Paramedicine ALS-Nurse ALS-Physician Specialty Critical Care

Added to identify the level of care (license level) the EMS unit/crew can provide regardless of patient need, based on this unit's capabilities. For example, if a unit/crew is staffed with an EMT-Intermediate or EMT-Paramedic but the unit is either licensed or stocked at a BLS level the appropriate level of care is "BLS-Basic". This is because the care provided to patients is limited to BLS skills.
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eResponse.16
eResponse.16 - Vehicle Dispatch Location Definition The EMS Location or healthcare facility name representing the geographic location of the vehicle at the time of dispatch. National Element State Element Version 2 Element Usage Constraints
No No E02_13 Optional
No No No 0:1

This element can be populated from dLocation.02 EMS Location Name or dFacility information. Depending on the information the EMS Agency or State is interested in knowing the following elements can be utilized: 1. dLocation.02 EMS Location Name 2. dFacility.02 Facility Name 3. dFacility.03 Facility Code
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eResponse.17
eResponse.17 - Vehicle Dispatch GPS Location Definition The GPS coordinates associated with the EMS unit at the time of dispatch documented in decimal degrees. National Element State Element Version 2 Element Usage
Response
No No No 0:1

Pattern (\+|-)?(90(\.[0]{1,6})?|([1-8][0-9]|[0-9])(\.[0-9]{1,6})?),(\+|-)?(180(\.[0]{1,6})?|(1[0-7][0-9]|[1-9][0-9]|[0-9])(\.[0-9]{1,6})?)

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eResponse.18
eResponse.18 - Vehicle Dispatch US National Grid Location Definition The US National Grid Coordinates for the EMS Vehicle's Dispatch Location. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Standard found at www.fgdc.gov/usng. Used by the EMS components of US Governmental entities such as national parks and military agencies.
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eResponse.19
State
eResponse.19 - Beginning Odometer Reading of Responding Vehicle Definition The mileage (counter or odometer reading) of the vehicle at the beginning of the call (when the wheels begin moving). If EMS vehicle/unit is via water or air travel document the number in "hours" as it relates to the documentation of Boat, Fixed Wing, or Rotor Craft in eDisposition.16 (EMS Transport Method) National Element State Element Version 2 Element Usage Constraints
Data Type decimal fractionDigits 2 totalDigits 8
No Yes E02_16 Optional
No No No 0:1

If a mileage counter is being used instead of an odometer, this value would be 0.
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eResponse.20
State
eResponse.20 - On-Scene Odometer Reading of Responding Vehicle Definition The mileage (counter or odometer reading) of the vehicle when it arrives at the scene. If EMS vehicle/unit is via water or air travel document the number in "hours" as it relates to the documentation of Boat, Fixed Wing, or Rotor Craft in eDisposition.16 (EMS Transport Method) National Element State Element Version 2 Element Usage Constraints
No No No 0:1

If using a counter, this is the mileage traveled from dispatch to the scene starting from 0.
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eResponse.21
State
eResponse.21 - Patient Destination Odometer Reading of Responding Vehicle Definition The mileage (counter or odometer reading) of the vehicle when it arrives at the patient's destination. If EMS vehicle/unit is via water or air travel document the number in "hours" as it relates to the documentation of Boat, Fixed Wing, or Rotor Craft in eDisposition.16 (EMS Transport Method) National Element State Element Version 2 Element Usage Constraints
No No No 0:1

If using a counter, this is the mileage traveled from dispatch to the patient's transport destination starting from 0.
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eResponse.22
State
eResponse.22 - Ending Odometer Reading of Responding Vehicle Definition If using a counter, this is the mileage traveled beginning with dispatch through the transport of the patient to their destination and ending when back in service, starting from 0. If EMS vehicle/unit is via water or air travel document the number in "hours" as it relates to the documentation of boat, Fixed Wing, or Rotor Craft in eDisposition.16 National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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eResponse.23
State National
eResponse.23 - Response Mode to Scene Definition The indication whether the response was emergent or non-emergent. An emergent response is an immediate response (typically using lights and sirens). National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No No No 1:1

Code 2223001 2223003 2223005 2223007 Description Emergent (Immediate Response) Emergent Downgraded to Non-Emergent Non-Emergent Non-Emergent Upgraded to Emergent

Information now split between eResponse.23 (Response Mode to Scene) and eResponse.24 (Additional Response Mode Descriptors)
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eResponse.24
State National
eResponse.24 - Additional Response Mode Descriptors Definition The documentation of response mode techniques used for this EMS response. National Element State Element Version 2 Element Usage
Yes Yes
No Yes Yes 1:M
Required
Response
Recurrence
STEMI Stroke Trauma

Code List
Code 2224001 2224003 2224005 2224007 2224009 2224011 2224013 2224015 2224017 2224019 2224021 2224023 Description Intersection Navigation-Against Normal Light Patterns Intersection Navigation-With Automated Light Changing Technology Intersection Navigation-With Normal Light Patterns Scheduled Speed-Enhanced per Local Policy Speed-Normal Traffic Unscheduled Lights and Sirens Lights and No Sirens No Lights or Sirens Initial No Lights or Sirens, Upgraded to Lights and Sirens Initial Lights and Sirens, Downgraded to No Lights or Sirens

Descriptors have been added to better describe the EMS Response. This includes information on whether the EMS event was schedule or unscheduled.
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eDispatch
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Legend
S State
D Deprecated
eDispatch
1:1 1:1 0:1 0:1 0:1
eDispatch.01 - Complaint Reported by Dispatch eDispatch.02 - EMD Performed eDispatch.03 - EMD Card Number eDispatch.04 - Dispatch Center Name or ID eDispatch.05 - Dispatch Priority (Patient Acuity)
N N O O O
S S
M R N, L
eDispatch
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eDispatch.01
State National
eDispatch.01 - Complaint Reported by Dispatch Definition The complaint dispatch reported to the responding unit. National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No No No 1:1

Code 2301001 2301003 2301005 2301007 2301009 2301011 2301013 2301015 2301017 2301019 2301021 2301023 2301025 2301027 2301029 2301031 2301033 2301035 2301037 2301039 2301041 2301043 2301045 2301047 2301049 2301051 2301053 2301055 2301057 2301059 2301061 2301063 2301065 2301067 2301069 2301071 2301073 2301075 2301077 2301079 2301081 2301083 Description Abdominal Pain/Problems Allergic Reaction/Stings Animal Bite Assault Automated Crash Notification Back Pain (Non-Traumatic) Breathing Problem Burns/Explosion Carbon Monoxide/Hazmat/Inhalation/CBRN Cardiac Arrest/Death Chest Pain (Non-Traumatic) Choking Convulsions/Seizure Diabetic Problem Electrocution/Lightning Eye Problem/Injury Falls Fire Headache Healthcare Professional/Admission Heart Problems/AICD Heat/Cold Exposure Hemorrhage/Laceration Industrial Accident/Inaccessible Incident/Other Entrapments (Non-Vehicle) Medical Alarm No Other Appropriate Choice Overdose/Poisoning/Ingestion Pandemic/Epidemic/Outbreak Pregnancy/Childbirth/Miscarriage Psychiatric Problem/Abnormal Behavior/Suicide Attempt Sick Person Stab/Gunshot Wound/Penetrating Trauma Standby Stroke/CVA Traffic/Transportation Incident Transfer/Interfacility/Palliative Care Traumatic Injury Well Person Check Unconscious/Fainting/Near-Fainting Unknown Problem/Person Down Drowning/Diving/SCUBA Accident Airmedical Transport

Added Pandemic/Epidemic/Outbreak. Added Automated Crash Notification
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Added Healthcare Professional Admission Added Transfer/Interfacility/Palliative Care - Other entries expanded based on current national EMD Dispatch List
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eDispatch.02
State National
eDispatch.02 - EMD Performed Definition Indication of whether Emergency Medical Dispatch was performed for this EMS event. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Code List
Code 2302001 2302003 2302005 2302007 Description No Yes, With Pre-Arrival Instructions Yes, Without Pre-Arrival Instructions Yes, Unknown if Pre-Arrival Instructions Given
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eDispatch.03
eDispatch.03 - EMD Card Number Definition The EMD card number reported by dispatch, consisting of the card number, dispatch level, and dispatch mode National Element State Element Version 2 Element Usage
Response

STEMI Stroke Trauma
No No No 0:1

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eDispatch.04
eDispatch.04 - Dispatch Center Name or ID Definition The name or ID of the dispatch center providing electronic data to the PCR for the EMS agency, if applicable. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

This element can be used to identify the dispatch center (Primary or Secondary Public Safety Answering Point - PSAP) that dispatches the EMS agency. If the EMS agency is able to populate the Patient Care Report (PCR) with CAD specific details (times, incident address information, crew information, EMD, etc) the name or ID of the dispatch center should be documented.

Added to the dataset to assist in identifying the CAD / dispatch center providing information to the EMS agency and ePCR when there are multiple dispatch centers sending resources to the same EMS incident.
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eDispatch.05
eDispatch.05 - Dispatch Priority (Patient Acuity) Definition The actual, apparent, or potential acuity of the patient's condition as determined through information obtained during the EMD process. National Element State Element Version 2 Element Usage Code List
Code 2305001 2305003 2305005 2305007 Description Priority 1 (Critical) Priority 2 (Emergent) Priority 3 (Lower Acuity) Priority 4 (Non-Acute [e.g. Scheduled Transfer or Standby])
No No
No No No 0:1
Optional
Recurrence

The use of priority and acuity values vary by EMS agency. Some systems may utilize fewer than four priority levels and some more. The use of four priority levels is to capture the majority and allow for the inclusion of the NHTSA National EMS Core Content definitions for patient acuity, specifically: Critical, Emergent, and Lower Acuity. Provided below is an example application only. This example bears no relationship to any particular federal, state, or agency billing requirement For EMS Agencies and CAD / EMD systems utilizing Alpha-Echo, Omega levels for determining the priority level for dispatch of the EMS unit, the recommended mapping is: Echo = Priority 1 Charlie = Priority 2 Alpha = Priority 3 Delta = Priority 1 Bravo = Priority 2 Omega = Priority 4
Priority 1 is typically an emergent (lights and sirens) response Priority 2 is typically an emergent response without the use lights and sirens Priority 3 is typically a non-emergent response for nursing home, hospital-to-hospital transfers, etc. Priority 4 is typically a scheduled response (scheduled transfer) or standby event Definitions related to "Critical, Emergent, and Lower Acuity" can be found in the National EMS Core Content document from NHTSA EMS (DOT HS 809-898 July 2005) at http://www.nhtsa.gov/people/injury/ems/emscorecontent/images/EMSCoreContent.pdf For Air Medical Transports the most appropriate values choices should be limited to two: Emergent (Priority 2) and Non-Emergent (Priority 4).
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eCrew
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Legend
S State
D Deprecated
eCrew
0:M
eCrew.CrewGroup
0:1 0:1 0:M
C S S S E E E N, L N, L N, L C
eCrew.01 - Crew Member ID eCrew.02 - Crew Member Level eCrew.03 - Crew Member Response Role
eCrew
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eCrew.01
State
eCrew.01 - Crew Member ID Definition The state certification/licensure ID number assigned to the crew member. National Element State Element Version 2 Element Usage
No Yes E04_01 Recommended

Pediatric Response

STEMI Stroke Trauma
No Yes Yes 0:1

Constraints

Document the state certification/licensure ID for the state where the event occurred.
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eCrew.02
State
eCrew.02 - Crew Member Level Definition The functioning level of the crew member ID during this EMS patient encounter. National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No Yes Yes 0:1

Code List

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eCrew.03
State
eCrew.03 - Crew Member Response Role Definition The role(s) of the role member during response, at scene treatment, and/or transport. National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No Yes Yes 0:M

Code List
Code 2403001 2403003 2403005 2403007 2403009 2403011 2403013 Description Driver/Pilot-Response Driver/Pilot-Transport Other (Not Listed) Other Patient Caregiver-At Scene Other Patient Caregiver-Transport Primary Patient Caregiver-At Scene Primary Patient Caregiver-Transport

This element has been changed to allow for multiple selections. There must be a driver for response and transport. There must be a primary patient caregiver for scene and transport.
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eTimes
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Legend
S State
D Deprecated
eTimes
1:1 0:1 1:1 0:1 1:1 1:1 1:1 0:1 1:1 0:1 1:1 1:1 1:1 0:1 0:1 0:1
eTimes.01 - PSAP Call Date/Time eTimes.02 - Dispatch Notified Date/Time eTimes.03 - Unit Notified by Dispatch Date/Time eTimes.04 - Dispatch Acknowledged Date/Time eTimes.05 - Unit En Route Date/Time eTimes.06 - Unit Arrived on Scene Date/Time eTimes.07 - Arrived at Patient Date/Time eTimes.08 - Transfer of EMS Patient Care Date/Time eTimes.09 - Unit Left Scene Date/Time eTimes.10 - Arrival at Destination Landing Area Date/Time eTimes.11 - Patient Arrived at Destination Date/Time eTimes.12 - Destination Patient Transfer of Care Date/Time eTimes.13 - Unit Back in Service Date/Time eTimes.14 - Unit Canceled Date/Time eTimes.15 - Unit Back at Home Location Date/Time eTimes.16 - EMS Call Completed Date/Time
N O N O N N N S N O N N N S O O
N, L
S S S E S
R R R
N, L N, L N, L
N, L R N, L
S S S O
R R M
N, L N, L
eTimes
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eTimes.01
State National
eTimes.01 - PSAP Call Date/Time Definition The date/time the phone rings (911 call to public safety answering point or other designated entity) requesting EMS services. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints
Data Type dateTime minInclusive 1950-01-01T00:00:00-00:00 maxInclusive 2050-01-01T00:00:00-00:00
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

This date/time might be the same as Dispatch Notified Date/Time (eTimes.02). DateTime consists of finite-length characters of the form: yyyy '-' mm '-' dd 'T' hh ':' mm ':' ss ('.' s+)? (zzzzzz) yyyy '-' mm dd T hh ':' mm ss a four-digit numeral that represents the year separators between parts of the date portion a two-digit numeral that represents the month a two-digit numeral that represents the day separator that indicates time-of-day follows a two-digit numeral that represents the hour a separator between parts of the time-of-day portion a two-digit numeral that represents the minute a two-integer-digit numeral that represents the whole seconds
'.' s+ (not required) represents the fractional seconds zzzzzz (required) represents the timezone (as described below) Timezones, required, are durations with (integer-valued) hour and minute properties in the form: ('+' | '-') hh ':' mm hh a two-digit numeral (with leading zeros as required) that represents the hours mm a two-digit numeral that represents the minutes '+' '-' a nonnegative duration a nonpositive duration
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eTimes.02
eTimes.02 - Dispatch Notified Date/Time Definition The date/time dispatch was notified by the 911 call taker (if a separate entity). National Element State Element Version 2 Element Usage Constraints
No No No 0:1
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

This date/time might be the same as PSAP Call Date/Time (eTimes.01). DateTime consists of finite-length characters of the form: yyyy '-' mm '-' dd 'T' hh ':' mm ':' ss ('.' s+)? (zzzzzz) yyyy '-' mm dd T hh ':' mm ss '.' s+ a four-digit numeral that represents the year separators between parts of the date portion a two-digit numeral that represents the month a two-digit numeral that represents the day separator that indicates time-of-day follows a two-digit numeral that represents the hour a separator between parts of the time-of-day portion a two-digit numeral that represents the minute a two-integer-digit numeral that represents the whole seconds (not required) represents the fractional seconds
zzzzzz (required) represents the timezone (as described below) Timezones, required, are durations with (integer-valued) hour and minute properties in the form: ('+' | '-') hh ':' mm hh a two-digit numeral (with leading zeros as required) that represents the hours mm a two-digit numeral that represents the minutes '+' '-' a nonnegative duration a nonpositive duration
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eTimes.03
State National
eTimes.03 - Unit Notified by Dispatch Date/Time Definition The date/time the responding unit was notified by dispatch. National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No No No 1:1

Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

DateTime consists of finite-length characters of the form: yyyy '-' mm '-' dd 'T' hh ':' mm ':' ss ('.' s+)? (zzzzzz) yyyy '-' mm dd T hh ':' mm ss a four-digit numeral that represents the year separators between parts of the date portion a two-digit numeral that represents the month a two-digit numeral that represents the day separator that indicates time-of-day follows a two-digit numeral that represents the hour a separator between parts of the time-of-day portion a two-digit numeral that represents the minute a two-integer-digit numeral that represents the whole seconds
'.' s+ (not required) represents the fractional seconds zzzzzz (required) represents the timezone (as described below) Timezones, required, are durations with (integer-valued) hour and minute properties in the form: ('+' | '-') hh ':' mm hh a two-digit numeral (with leading zeros as required) that represents the hours mm a two-digit numeral that represents the minutes '+' '-' a nonnegative duration a nonpositive duration
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eTimes.04
eTimes.04 - Dispatch Acknowledged Date/Time Definition The date/time the dispatch was acknowledged by the EMS Unit. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

This is the end of turnout time or the beginning of response time. Added per Fire Service to better calculate NFPA 1710. DateTime consists of finite-length characters of the form: yyyy '-' mm '-' dd 'T' hh ':' mm ':' ss ('.' s+)? (zzzzzz) yyyy '-' mm dd T hh ':' mm ss '.' s+ a four-digit numeral that represents the year separators between parts of the date portion a two-digit numeral that represents the month a two-digit numeral that represents the day separator that indicates time-of-day follows a two-digit numeral that represents the hour a separator between parts of the time-of-day portion a two-digit numeral that represents the minute a two-integer-digit numeral that represents the whole seconds (not required) represents the fractional seconds
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eTimes.05
State National
eTimes.05 - Unit En Route Date/Time Definition The date/time the unit responded; that is, the time the vehicle started moving. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

DateTime consists of finite-length characters of the form: yyyy '-' mm '-' dd 'T' hh ':' mm ':' ss ('.' s+)? (zzzzzz) yyyy '-' mm dd T hh ':' mm ss '.' s+ a four-digit numeral that represents the year separators between parts of the date portion a two-digit numeral that represents the month a two-digit numeral that represents the day separator that indicates time-of-day follows a two-digit numeral that represents the hour a separator between parts of the time-of-day portion a two-digit numeral that represents the minute a two-integer-digit numeral that represents the whole seconds (not required) represents the fractional seconds
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eTimes.06
State National
eTimes.06 - Unit Arrived on Scene Date/Time Definition The date/time the responding unit arrived on the scene; that is, the time the vehicle stopped moving at the scene. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

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eTimes.07
State National
eTimes.07 - Arrived at Patient Date/Time Definition The date/time the responding unit arrived at the patient's side. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

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eTimes.08
State
eTimes.08 - Transfer of EMS Patient Care Date/Time Definition The date/time the patient was transferred from this EMS agency to another EMS agency for care. National Element State Element Version 2 Element Usage

Pediatric STEMI

Stroke Trauma
No Yes Yes 0:1

Constraints
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

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eTimes.09
State National
eTimes.09 - Unit Left Scene Date/Time Definition The date/time the responding unit left the scene with a patient (started moving). National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

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eTimes.10
eTimes.10 - Arrival at Destination Landing Area Date/Time Definition The date/time the Air Medical vehicle arrived at the destination landing area. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

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eTimes.11
State National
eTimes.11 - Patient Arrived at Destination Date/Time Definition The date/time the responding unit arrived with the patient at the destination or transfer point. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

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eTimes.12
State National
eTimes.12 - Destination Patient Transfer of Care Date/Time Definition The date/time that patient care was transferred to the destination healthcare facilities staff. National Element State Element Version 2 Element Usage
Yes Yes
No Yes Yes 1:1
Required
Response
Recurrence
STEMI Stroke Trauma

Constraints
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

This was added to better document delays in ED transfer of care due to ED crowding or other issues beyond EMS control. DateTime consists of finite-length characters of the form: yyyy '-' mm '-' dd 'T' hh ':' mm ':' ss ('.' s+)? (zzzzzz) yyyy '-' mm dd T hh ':' mm ss '.' s+ a four-digit numeral that represents the year separators between parts of the date portion a two-digit numeral that represents the month a two-digit numeral that represents the day separator that indicates time-of-day follows a two-digit numeral that represents the hour a separator between parts of the time-of-day portion a two-digit numeral that represents the minute a two-integer-digit numeral that represents the whole seconds (not required) represents the fractional seconds
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eTimes.13
State National
eTimes.13 - Unit Back in Service Date/Time Definition The date/time the unit back was back in service and available for response (finished with call, but not necessarily back in home location). National Element State Element Version 2 Element Usage
Response
No No No 1:1

Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

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eTimes.14
State
eTimes.14 - Unit Canceled Date/Time Definition The date/time the unit was canceled. National Element State Element Version 2 Element Usage
Response
No No No 0:1

Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

This date/time is to be documented if the unit went en route but neither arrived on scene nor made patient contact. DateTime consists of finite-length characters of the form: yyyy '-' mm '-' dd 'T' hh ':' mm ':' ss ('.' s+)? (zzzzzz) yyyy '-' mm dd T hh ':' mm ss '.' s+ a four-digit numeral that represents the year separators between parts of the date portion a two-digit numeral that represents the month a two-digit numeral that represents the day separator that indicates time-of-day follows a two-digit numeral that represents the hour a separator between parts of the time-of-day portion a two-digit numeral that represents the minute a two-integer-digit numeral that represents the whole seconds (not required) represents the fractional seconds
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eTimes.15
eTimes.15 - Unit Back at Home Location Date/Time Definition The date/time the responding unit was back in their service area. With agencies who utilized Agency Status Management, home location means the service area as assigned through the agency status management protocol. National Element State Element Version 2 Element Usage
Response
No No No 0:1

Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

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eTimes.16
eTimes.16 - EMS Call Completed Date/Time Definition The date/time the responding unit completed all tasks associated with the event including transfer of the patient, and such things as cleaning and restocking. National Element State Element Version 2 Element Usage
Response
No No
No No No 0:1
Optional
Recurrence

Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

For many EMS agencies, this would equal Unit Back in Service Date/Time (eTimes.13) if no travel is required to be back in service. DateTime consists of finite-length characters of the form: yyyy '-' mm '-' dd 'T' hh ':' mm ':' ss ('.' s+)? (zzzzzz) yyyy '-' mm dd T hh ':' mm ss '.' s+ a four-digit numeral that represents the year separators between parts of the date portion a two-digit numeral that represents the month a two-digit numeral that represents the day separator that indicates time-of-day follows a two-digit numeral that represents the hour a separator between parts of the time-of-day portion a two-digit numeral that represents the minute a two-integer-digit numeral that represents the whole seconds (not required) represents the fractional seconds
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ePatient
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Legend
S State
D Deprecated
ePatient
0:1 0:1
ePatient.01 - EMS Patient ID ePatient.PatientNameGroup

0:1 0:1 0:1
ePatient.02 - Last Name ePatient.03 - First Name ePatient.04 - Middle Initial/Name

S S N N N S O O N N
S S O O O S S S O
E E
N, L, P N, L, P
0:1 0:1 1:1 1:1 1:1 0:1 0:1 0:1 1:1 1:M 1:1
ePatient.05 - Patient's Home Address ePatient.06 - Patient's Home City ePatient.07 - Patient's Home County ePatient.08 - Patient's Home State ePatient.09 - Patient's Home ZIP Code ePatient.10 - Patient's Home Country ePatient.11 - Patient Home Census Tract ePatient.12 - Social Security Number ePatient.13 - Gender ePatient.14 - Race ePatient.AgeGroup
1:1 1:1
R R R
N, L N, L N, L
S S
R R
N, L N, L C
ePatient.15 - Age ePatient.16 - Age Units

S O O O O
N N E C C
S S
R R
N, L N, L
0:1 0:M 0:M 0:1 0:1
ePatient.17 - Date of Birth ePatient.18 - Patient's Phone Number ePatient.19 - Patient's Email Address ePatient.20 - State Issuing Driver's License ePatient.21 - Driver's License Number
N, L, P
ePatient
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ePatient.01
ePatient.01 - EMS Patient ID Definition The unique ID for the patient within the Agency National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

This has been inserted to allow each patient to be tracked across multiple PCRs within an EMS Agency.
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ePatient.02
State
ePatient.02 - Last Name Definition The patient's last (family) name National Element State Element Version 2 Element Usage Attributes
NOT Values (NV) 7701001 - Not Applicable Pertinent Negatives (PN) 8801019 - Refused 7701003 - Not Recorded 8801023 - Unable to Complete 7701005 - Not Reporting
Yes Yes Yes 0:1
Constraints

Pertinent negatives accepted with option of "Unable to Complete" or "Refused".
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ePatient.03
State
ePatient.03 - First Name Definition The patient's first (given) name National Element State Element Version 2 Element Usage Attributes
Yes Yes Yes 0:1
Constraints

Pertinent negatives accepted with option of "Unable to Complete" or "Refused".
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ePatient.04
ePatient.04 - Middle Initial/Name Definition The patient's middle name, if any National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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ePatient.05
State
ePatient.05 - Patient's Home Address Definition Patient's address of residence National Element State Element Version 2 Element Usage Attributes
No No No 0:1
Constraints

This is a CMS standard. According to the Medicare Claims Processing Manual, Chapter 15 - Ambulance, Ambulance suppliers bill using CMS-1500 form or CMS-1450 form for institution-based ambulance providers. This standard adheres to CMS-1500 and 1450. This element allows for a two line documentation of the address. For out of country addresses the second line should be used to document, city, country, postal code and any other pertinent information.
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ePatient.06
State
ePatient.06 - Patient's Home City Definition The patient's primary city or township of residence. National Element State Element Version 2 Element Usage Data Element Comment
No No No 0:1
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ePatient.07
State National
ePatient.07 - Patient's Home County Definition The patient's home county or parish of residence. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints

Based on the ANSI Code Single Choice based on the County Name but stored as the ANSI code (combined 5 digit State and County codes) Should be required if there is a patient associated with the event. GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
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ePatient.08
State National
ePatient.08 - Patient's Home State Definition The state, territory, or province where the patient resides. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints

The ANSI Code Selection by text but stored as ANSI code. GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
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ePatient.09
State National
ePatient.09 - Patient's Home ZIP Code Definition The patient's ZIP code of residence. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints
Pattern [0-9]{5}|[0-9]{5}-[0-9]{4}|[0-9]{5}-[0-9]{5}|[A-Z][0-9][A-Z] [0-9][A-Z][0-9]

ZIP Codes Product Website: https://www.zipcodedownload.com/Products/Product/Z5Commercial/Standard/Overview/ Product: USA - 5-digit ZIP Code Database, Commercial Edition
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ePatient.10
State
ePatient.10 - Patient's Home Country Definition The country of residence of the patient. National Element State Element Version 2 Element Usage Constraints
No No No 0:1

Based on the ISO Country Code. ANSI Country Codes (ISO 3166) Website: http://www.iso.org/iso/country_codes/iso_3166_code_lists.htm
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ePatient.11
ePatient.11 - Patient Home Census Tract Definition The census tract in which the patient lives National Element State Element Version 2 Element Usage
No No
No No No 0:1
Optional
Response
Recurrence
STEMI Stroke Trauma

Pattern [0-9]{11}

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ePatient.12
ePatient.12 - Social Security Number Definition The patient's social security number National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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ePatient.13
State National
ePatient.13 - Gender Definition The Patient's Gender National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Code List
Code 9906001 9906003 9906005 Description Female Male Unknown (Unable to Determine)
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ePatient.14
State National
ePatient.14 - Race Definition The patient's race as defined by the OMB (US Office of Management and Budget) National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:M

Code List
Code 2514001 2514003 2514005 2514007 2514009 2514011 Description American Indian or Alaska Native Asian Black or African American Hispanic or Latino Native Hawaiian or Other Pacific Islander White

OMB requirements are provided at: http://www.omhrc.gov/templates/browse.aspx?lvl=2&lvlID=172. Using single multiple choice question methodology to improve the completion of ethnicity information. Ethnicity (Version 2.2.1: E06_13) has been merged with this data element and retired.
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ePatient.15
State National
ePatient.15 - Age Definition The patient's age (either calculated from date of birth or best approximation) National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints
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ePatient.16
State National
ePatient.16 - Age Units Definition The unit used to define the patient's age National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Code List
Code 2516001 2516003 2516005 2516007 2516009 Description Days Hours Minutes Months Years
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ePatient.17
State
ePatient.17 - Date of Birth Definition The patient's date of birth National Element State Element Version 2 Element Usage Attributes
Yes Yes Yes 0:1
Constraints
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ePatient.18
ePatient.18 - Patient's Phone Number Definition The patient's phone number National Element State Element Version 2 Element Usage Attributes
No No No 0:M
Constraints
Pattern [2-9][0-9][0-9]-[2-9][0-9][0-9]-[0-9][0-9][0-9][0-9]

This element contains an attribute to define what type of phone number is being documented i.e. Fax, Home, Mobile, Pager, and Work.
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ePatient.19
ePatient.19 - Patient's Email Address Definition The email address of the patient National Element State Element Version 2 Element Usage Attributes
CorrelationID Data Type: string EmailAddressType 9904001 - Personal minLength: 0 9904003 - Work maxLength: 255
No No
No No No 0:M
Optional
Recurrence
Constraints

Added to improve follow-up and billing communication.
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ePatient.20
ePatient.20 - State Issuing Driver's License Definition The state that issued the drivers license National Element State Element Version 2 Element Usage Constraints
No No No 0:1

Stored as the ANSI State Code. GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
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ePatient.21
ePatient.21 - Driver's License Number Definition The patient's drivers license number National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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ePayment
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Legend
S State
D Deprecated
ePayment
1:1 0:1
ePayment.01 - Primary Method of Payment ePayment.CertificateGroup

0:1 0:1 0:M 0:1 0:1 0:1
N, L
ePayment.02 - Physician Certification Statement ePayment.03 - Date Physician Certification Statement Signed ePayment.04 - Reason for Physician Certification Statement ePayment.05 - Healthcare Provider Type Signing Physician Certification Statement ePayment.06 - Last Name of Individual Signing Physician Certification Statement ePayment.07 - First Name of Individual Signing Physician Certification Statement
O
O O O O O O C
0:1 0:M
ePayment.08 - Patient Resides in Service Area ePayment.InsuranceGroup

0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1
C O O O O O O O O O O O O O O
ePayment.09 - Insurance Company ID ePayment.10 - Insurance Company Name ePayment.11 - Insurance Company Billing Priority ePayment.12 - Insurance Company Address ePayment.13 - Insurance Company City ePayment.14 - Insurance Company State ePayment.15 - Insurance Company ZIP Code ePayment.16 - Insurance Company Country ePayment.17 - Insurance Group ID/Name ePayment.18 - Insurance Policy ID Number ePayment.19 - Last Name of the Insured ePayment.20 - First Name of the Insured ePayment.21 - Middle Initial/Name of the Insured ePayment.22 - Relationship to the Insured
0:1
ePayment.ClosestRelativeGroup
0:1 0:1 0:1 0:1 0:1 0:1 0:1
ePayment.23 - Closest Relative/Guardian Last Name ePayment.24 - Closest Relative/ Guardian First Name ePayment.25 - Closest Relative/ Guardian Middle Initial/Name ePayment.26 - Closest Relative/ Guardian Street Address ePayment.27 - Closest Relative/ Guardian City ePayment.28 - Closest Relative/ Guardian State ePayment.29 - Closest Relative/ Guardian ZIP Code
O O O O O O O
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0:1 0:M 0:1 0:1
ePayment.30 - Closest Relative/ Guardian Country ePayment.31 - Closest Relative/ Guardian Phone Number ePayment.32 - Closest Relative/ Guardian Relationship
O O O C
ePayment.EmployerGroup
0:1 0:1 0:1 0:1 0:1 0:1 0:1
ePayment.33 - Patient's Employer ePayment.34 - Patient's Employer's Address ePayment.35 - Patient's Employer's City ePayment.36 - Patient's Employer's State ePayment.37 - Patient's Employer's ZIP Code ePayment.38 - Patient's Employer's Country ePayment.39 - Patient's Employer's Primary Phone Number
O O O
O O O O O O O
0:1 0:M 0:M 0:1 0:M 0:1 0:1 0:M 0:1 0:1 1:1 0:M 0:M 0:1 0:1 0:M
ePayment.40 - Response Urgency ePayment.41 - Patient Transport Assessment ePayment.42 - Specialty Care Transport Care Provider ePayment.43 - Ambulance Transport Code ePayment.44 - Ambulance Transport Reason Code ePayment.45 - Round Trip Purpose Description ePayment.46 - Stretcher Purpose Description ePayment.47 - Ambulance Conditions Indicator ePayment.48 - Mileage to Closest Hospital Facility ePayment.49 - ALS Assessment Performed and Warranted ePayment.50 - CMS Service Level ePayment.51 - EMS Condition Code ePayment.52 - CMS Transportation Indicator ePayment.53 - Transport Authorization Code ePayment.54 - Prior Authorization Code Payer ePayment.SupplyItemGroup
0:1 0:1
C C
D O O O O O O O N O O O O C O O S C C R N, L C C
ePayment.55 - Supply Item Used Name ePayment.56 - Number of Supply Item(s) Used
ePayment
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ePayment.01
State National
ePayment.01 - Primary Method of Payment Definition The primary method of payment or type of insurance associated with this EMS encounter National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Code List
Code 2601001 2601003 2601005 2601007 2601009 2601011 2601013 2601015 2601017 2601019 2601021 2601023 Description Insurance Medicaid Medicare Not Billed (for any reason) Other Government Self Pay Workers Compensation Payment by Facility Contracted Payment Community Network No Insurance Identified Other Payment Option
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ePayment.02
ePayment.02 - Physician Certification Statement Definition Indication of whether a physician certification statement (PCS) is available documenting the medical necessity or the EMS encounter. National Element State Element Version 2 Element Usage Code List
Code 9922001 9922003 9922005 Description No Unknown Yes
No No No 0:1

Data Element Name changed from Certificate of Medical Necessity to Physician Certification Statement. The PCS statement and documentation of medical necessity is a requirement of the Centers for Medicare & Medicaid Services. The circumstances are defined in 42 CFR 410.40 (d)(2) and (d)(3). http://www.cms.gov/ A PCS is required for the following non-emergency transport: 1) Non-Emergency Repetitive Scheduled 2) Non Emergency Non-Repetitive-Scheduled 3) Non Emergency Services - Non Scheduled - Under direct care of a physician
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ePayment.03
ePayment.03 - Date Physician Certification Statement Signed Definition The date the Physician Certification Statement was signed National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

Added to assist in billing documentation. Associated with ePayment.02: Physician Certification Statement. DateTime consists of finite-length characters of the form: yyyy '-' mm '-' dd 'T' hh ':' mm ':' ss ('.' s+)? (zzzzzz) yyyy '-' mm dd T hh ':' mm ss '.' s+ a four-digit numeral that represents the year separators between parts of the date portion a two-digit numeral that represents the month a two-digit numeral that represents the day separator that indicates time-of-day follows a two-digit numeral that represents the hour a separator between parts of the time-of-day portion a two-digit numeral that represents the minute a two-integer-digit numeral that represents the whole seconds (not required) represents the fractional seconds
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ePayment.04
ePayment.04 - Reason for Physician Certification Statement Definition The reason for EMS transport noted on the Physician Certification Statement National Element State Element Version 2 Element Usage Attributes
No No
No No No 0:M
Optional
Recurrence
Code List
Code 2604001 2604003 2604005 2604007 2604009 2604011 2604013 2604015 2604017 2604019 2604021 2604023 2604025 2604027 2604029 2604031 2604033 2604035 2604037 Description Bed Confined Cardiac/Hemodynamic monitoring required during transport Confused, combative, lethargic, comatose Contractures Danger to self or others-monitoring Danger to self or others-seclusion (flight risk) DVT requires elevation of lower extremity IV medications/fluids required during transport Moderate to severe pain on movement Morbid Obesity requires additional personnel/equipment to handle Non-healing fractures Orthopedic device (backboard, halo, use of pins in traction, etc) requiring special handling in transit Restraints (Physical or Chemical) anticipated or used during transport Risk of falling off wheelchair or stretcher while in motion (not related to obesity) Severe Muscular weakness and de-conditioned state precludes any significant physical activity Special handling en route-Isolation Third Party assistance/attendant required to apply, administer, or regulate or adjust oxygen en route Unable to maintain erect sitting position in a chair for time needed to transport, due to moderate muscular weakness and de-conditioning. Unable to sit in chair or wheelchair due to Grade II or greater decubitus ulcers on buttocks.

Added to assist in billing documentation.
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ePayment.05
ePayment.05 - Healthcare Provider Type Signing Physician Certification Statement Definition The type of healthcare provider who signed the Physician Certification Statement National Element State Element Version 2 Element Usage Code List
Code 2605001 2605003 2605005 2605007 2605009 2605011 Description Clinical Nurse Specialist Discharge Planner Physician (MD or DO) Physician Assistant Registered Nurse Registered Nurse Practitioner
No No
No No No 0:1
Optional
Recurrence

CMS defines the individual signing the PCS as a person who has personal knowledge of the beneficiary's condition at the time the ambulance transport is ordered or the service is furnished.
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ePayment.06
ePayment.06 - Last Name of Individual Signing Physician Certification Statement Definition The last name of the healthcare provider who signed the Physician Certification Statement. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

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ePayment.07
ePayment.07 - First Name of Individual Signing Physician Certification Statement Definition The first name of the healthcare provider who signed the Physician Certification Statement. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

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ePayment.08
ePayment.08 - Patient Resides in Service Area Definition An indication of whether the patient's current residence is within the EMS agency service area. National Element State Element Version 2 Element Usage Code List
Code 2608001 2608003 Description Resident Within EMS Service Area Not a Resident Within EMS Service Area
No No
No No No 0:1
Optional
Recurrence

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ePayment.09
ePayment.09 - Insurance Company ID Definition The ID Number of the patient's insurance company. National Element State Element Version 2 Element Usage Constraints
No No No 0:1

This element should be used as the Health Plan ID (HPID) field in X12. It is currently under development for X12 and will be a future release.
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ePayment.10
ePayment.10 - Insurance Company Name Definition The name of the patient's insurance company. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence
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ePayment.11
ePayment.11 - Insurance Company Billing Priority Definition The billing priority or order for the insurance company. National Element State Element Version 2 Element Usage Code List
Code 2611001 2611003 2611005 2611007 2611009 2611011 2611013 2611015 2611017 2611019 2611021 2611023 2611025 Description Other Primary Secondary Tertiary Payer Responsibility Four Payer Responsibility Five Payer Responsibility Six Payer Responsibility Seven Payer Responsibility Eight Payer Responsibility Nine Payer Responsibility Ten Payer Responsibility Eleven Unknown
No No No 0:1
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ePayment.12
ePayment.12 - Insurance Company Address Definition The mailing address of the Insurance Company National Element State Element Version 2 Element Usage Attributes
No No No 0:1
Constraints
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ePayment.13
ePayment.13 - Insurance Company City Definition The insurance company's city or township used for mailing purposes. National Element State Element Version 2 Element Usage Data Element Comment
City codes are based on GNIS Feature Class. The primary Feature Class to use is ""Civil"" with ""Populated Place"" and ""Military"" code as additional options. Definitions for each GNIS City Feature Class can be found on the GNIS Codes website. GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
No No No 0:1
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ePayment.14
ePayment.14 - Insurance Company State Definition The insurance company's state, territory, or province, or District of Columbia. National Element State Element Version 2 Element Usage Constraints
No No No 0:1

Based on the ANSI State Code. GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
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ePayment.15
ePayment.15 - Insurance Company ZIP Code Definition The insurance company's ZIP Code National Element State Element Version 2 Element Usage Constraints
Pattern [0-9]{5}|[0-9]{5}-[0-9]{4}|[0-9]{5}-[0-9]{5}|[A-Z][0-9][A-Z] [0-9][A-Z][0-9]
No No No 0:1

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ePayment.16
ePayment.16 - Insurance Company Country Definition The insurance company's country National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence


Added to better document international addresses.
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ePayment.17
ePayment.17 - Insurance Group ID/Name Definition The ID number or name of the patient's insurance group National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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ePayment.18
ePayment.18 - Insurance Policy ID Number Definition The ID number of the patient's insurance policy National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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ePayment.19
ePayment.19 - Last Name of the Insured Definition The last (family) name of the person insured by the insurance company. National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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ePayment.20
ePayment.20 - First Name of the Insured Definition The first (given) name of the person insured by the insurance company National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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ePayment.21
ePayment.21 - Middle Initial/Name of the Insured Definition The middle name, if any, of the person insured by the insurance company. National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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ePayment.22
ePayment.22 - Relationship to the Insured Definition The relationship of the patient to the primary insured person National Element State Element Version 2 Element Usage Code List
Code 2622001 2622003 2622005 2622007 2622009 2622011 2622013 2622015 2622017 2622019 Description Self Spouse Child/Dependent Other DEPRECATED Cadaver Donor Employee Life/Domestic Partner Organ Donor Unknown Other Relationship
No No No 0:1

Descriptors are consistent with X12 Loop 2000C PAT01, Specifies the patient's relationship to the person insured.
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ePayment.23
ePayment.23 - Closest Relative/Guardian Last Name Definition The last (family) name of the patient's closest relative or guardian National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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ePayment.24
ePayment.24 - Closest Relative/ Guardian First Name Definition The first (given) name of the patient's closest relative or guardian National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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ePayment.25
ePayment.25 - Closest Relative/ Guardian Middle Initial/Name Definition The middle name/initial, if any, of the closest patient's relative or guardian. National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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ePayment.26
ePayment.26 - Closest Relative/ Guardian Street Address Definition The street address of the residence of the patient's closest relative or guardian. National Element State Element Version 2 Element Usage Attributes
No No No 0:1
Constraints

This element allows for a two line documentation of the address. For out of country addresses the second line should be used to document, city, country, postal code and any other pertinent information.
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ePayment.27
ePayment.27 - Closest Relative/ Guardian City Definition The primary city or township of residence of the patient's closest relative or guardian. National Element State Element Version 2 Element Usage Data Element Comment
City codes are based on GNIS Feature Class. The primary Feature Class to use is "Civil" with "Populated Place" and ""Military" code as additional options. Definitions for each GNIS City Feature Class can be found on the GNIS Codes website. GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
No No No 0:1
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ePayment.28
ePayment.28 - Closest Relative/ Guardian State Definition The state of residence of the patient's closest relative or guardian. National Element State Element Version 2 Element Usage Constraints
No No No 0:1

Based on ANSI State Code. GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
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ePayment.29
ePayment.29 - Closest Relative/ Guardian ZIP Code Definition The ZIP Code of the residence of the patient's closest relative or guardian. National Element State Element Version 2 Element Usage Constraints
Pattern [0-9]{5}|[0-9]{5}-[0-9]{4}|[0-9]{5}-[0-9]{5}|[A-Z][0-9][A-Z] [0-9][A-Z][0-9]
No No No 0:1

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ePayment.30
ePayment.30 - Closest Relative/ Guardian Country Definition The country of residence of the patient's closest relative or guardian. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence


Added to improve international compatibility.
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ePayment.31
ePayment.31 - Closest Relative/ Guardian Phone Number Definition The phone number of the patient's closest relative or guardian National Element State Element Version 2 Element Usage Attributes
No No No 0:M
Constraints
Pattern [2-9][0-9][0-9]-[2-9][0-9][0-9]-[0-9][0-9][0-9][0-9]
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ePayment.32
ePayment.32 - Closest Relative/ Guardian Relationship Definition The relationship of the patient's closest relative or guardian National Element State Element Version 2 Element Usage Code List
Code 2632001 2632003 2632005 2632007 2632009 2632011 2632013 2632015 2632017 2632019 2632021 Description Appointed Guardian Child/Dependent Father Mother Other (Non-Relative) Other (Relative) Sibling Spouse Employee Life/Domestic Partner Unknown
No No No 0:1
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ePayment.33
ePayment.33 - Patient's Employer Definition The patient's employers Name National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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ePayment.34
ePayment.34 - Patient's Employer's Address Definition The street address of the patient's employer National Element State Element Version 2 Element Usage Attributes
No No No 0:1
Constraints

This element allows for a two line documentation of the address. For out of country addresses the second line should be used to document, city, country, postal code and any other pertinent information.
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ePayment.35
ePayment.35 - Patient's Employer's City Definition The city or township of the patient's employer used for mailing purposes. National Element State Element Version 2 Element Usage Data Element Comment
No No No 0:1
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ePayment.36
ePayment.36 - Patient's Employer's State Definition The state of the patient's employer National Element State Element Version 2 Element Usage Constraints
No No No 0:1

Based on ANSI State Code. GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
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ePayment.37
ePayment.37 - Patient's Employer's ZIP Code Definition The ZIP Code of the patient's employer National Element State Element Version 2 Element Usage Constraints
Pattern [0-9]{5}|[0-9]{5}-[0-9]{4}|[0-9]{5}-[0-9]{5}|[A-Z][0-9][A-Z] [0-9][A-Z][0-9]
No No No 0:1

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ePayment.38
ePayment.38 - Patient's Employer's Country Definition The country of the patient's employer National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence


Added to improve international compatibility.
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ePayment.39
ePayment.39 - Patient's Employer's Primary Phone Number Definition The employer's primary phone number. National Element State Element Version 2 Element Usage Attributes
PhoneNumberType 9913001 - Fax 9913007 - Pager 9913003 - Home 9913009 - Work 9913005 - Mobile
No No No 0:1
Constraints
Pattern [2-9][0-9][0-9]-[2-9][0-9][0-9]-[0-9][0-9][0-9][0-9]
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ePayment.40
ePayment.40 - Response Urgency Definition The urgency in which the EMS agency began to mobilize resources for this EMS encounter. National Element State Element Version 2 Element Usage Code List
Code 2640001 2640003 Description Immediate Non-Immediate
No No No 0:1

This is for billing documentation.
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ePayment.41
ePayment.41 - Patient Transport Assessment Definition Documentation of the patient's transport need based on mobility and/or physical capability. National Element State Element Version 2 Element Usage Attributes
No No
No No No 0:M
Optional
Recurrence
Code List
Code 2641001 2641003 2641005 Description Unable to sit without assistance Unable to stand without assistance Unable to walk without assistance

Added to better justify the medical necessity of the transport. Based on CMS 42 CFR Ch IV (10-1-02 Edition) & 410.40 (d) medical necessity requirement (1)
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ePayment.42
ePayment.42 - Specialty Care Transport Care Provider Definition Documentation to show the patient care provided to the patient met the Specialty Care Transport Base Rate requirements. National Element State Element Version 2 Element Usage Attributes
No No
No No No 0:M
Optional
Recurrence
Code List
Code 2642001 2642003 2642005 2642007 2642009 2642009 2642011 2642013 2642015 2642017 2642019 2642021 2642023 2642025 2642027 2642029 2642031 2642033 2642035 2642037 Description Advanced EMT-Paramedic Nurse Nurse Practitioner Physician (MD, DO) Physician Assistant 2009 Emergency Medical Responder (EMR) 2009 Emergency Medical Technician (EMT) 2009 Paramedic First Responder EMT-Basic EMT-Intermediate EMT-Paramedic Other Healthcare Professional Other Non-Healthcare Professional Physician Respiratory Therapist Student Critical Care Paramedic Community Paramedicine Registered Nurse

Added to improve Specialty Care Transport billing justification. In accordance with CMS requirements Specialty Care Transport (SCT): ""Additional training" means the specific additional training that a State requires a paramedic to complete in order to qualify to furnish specialty care to a critically ill or injured patient during an SCT."
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ePayment.43
Deprecated ePayment.43 - Ambulance Transport Code Definition Indicator about the type of transport of the patient. National Element State Element Version 2 Element Usage Code List
Code I R X T Description Initial Trip Return Trip Round Trip Transfer Trip
No No
No No No 0:1
Optional
Recurrence

Added to improve billing with electronic claims using X12. The Ambulance Transport Code values are those determined by US Dept of HHS for the "Code indicating the type of ambulance transport". The Accredited Standards Committee X12 organization maintains the standard. See the X12 website http://www.x12.org or United States Health Information Knowledgebase website for more information: http://ushik.org/dr.ui.drData_Page?system=mdr&Search=xxKEYIDxx&KeyOrgID=18&KeyRID=24821000&Referer=DataElement
Deprecated Comment
Originally added to improve billing with electronic claims using X12. This element has been retired from the X12 5010 standard.
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ePayment.44
ePayment.44 - Ambulance Transport Reason Code Definition The CMS Ambulance Transport Reason Code for the transport. National Element State Element Version 2 Element Usage Attributes
No No
No No No 0:M
Optional
Recurrence
Code List
Code A B C D E Description Patient was transported to the nearest facility for care of symptoms, complaints, or both Patient was transported for the benefit of a preferred physician Patient was transported for the nearness of family members Patient was transported for the care of a specialist or for availability of equipment Patient was transferred to a Rehabilitation Facility

Added to improve billing with electronic claims using the ASC X12 Standard. The Ambulance Transport Code values are those determined by US Dept of HHS for the "Code indicating the type of ambulance transport". The Accredited Standards Committee X12 organization maintains the standard. See the X12 website http://www.x12.org or United States Health Information Knowledgebase website for more information: http://ushik.ahrq.gov/ViewItemDetails?system=mdr&itemKey=21826000
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ePayment.45
ePayment.45 - Round Trip Purpose Description Definition Free text description providing the purpose of the round trip EMS transport based on CR109 field for CMS. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Added to improve billing documentation for CMS X12 based transactions. This element should be documented when ePayment.43 (Ambulance Transport Code) code = X (Round Trip). Ambulance providers can use this field to provide additional information regarding the circumstances of a round trip transport or for other medical necessity documentation.

Added to improve billing with electronic claims using X12
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ePayment.46
ePayment.46 - Stretcher Purpose Description Definition Free Text Documentation providing the reason for use of a stretcher in the EMS patient transport. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Added to improve billing using CMS X12 transactions based on CR110. Documentation of Stretcher Purpose Description (ePayment.46) is required when needed to justify use of a stretcher. (X12 - Loop 2300 CR110).
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ePayment.47
ePayment.47 - Ambulance Conditions Indicator Definition Documentation of the CRC03 through CRC07 requirements for CMS billing using X12 transactions. National Element State Element Version 2 Element Usage Attributes
No No
No No No 0:M
Optional
Recurrence
Code List
Code 01 04 05 06 07 08 09 12 Description Patient was admitted to a hospital Patient was moved by stretcher Patient was unconscious or in shock Patient was transported in an emergency situation Patient had to be physically restrained Patient had visible hemorrhaging Ambulance service was medically necessary Patient is confined to a bed or chair (Use code 12 to indicate patient was bedridden during transport.)

Added to improve billing documentation and justification.

Added to improve billing with electronic claims using X12. The Codes and Descriptors updated Sept 2013 to meet the X12 5010 standard.
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ePayment.48
ePayment.48 - Mileage to Closest Hospital Facility Definition The mileage to the closest hospital facility from the scene. Documented only if the patient was transported to a facility farther away than the closest hospital. National Element State Element Version 2 Element Usage Constraints
Data Type decimal fractionDigits 2 minInclusive 1 maxInclusive 1000
No No
No No No 0:1
Optional
Recurrence

Added to clarify billing mileage when the patient is not taken to the closest facility.

Added for improved billing documentation.
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ePayment.49
ePayment.49 - ALS Assessment Performed and Warranted Definition Documentation that the patient required an ALS assessment and it was performed. National Element State Element Version 2 Element Usage Code List
No No
No No No 0:1
Optional
Recurrence

Added to improve billing justification

Added to improve billing justification
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ePayment.50
State National
ePayment.50 - CMS Service Level Definition The CMS service level for this EMS encounter. National Element State Element Version 2 Element Usage
Airway Pediatric STEMI

Stroke Trauma
No Yes Yes 1:1

Code List
Code 2650001 2650003 2650005 2650007 2650009 2650011 2650013 2650015 2650017 Description ALS, Level 1 ALS, Level 1 Emergency ALS, Level 2 BLS BLS, Emergency Fixed Wing (Airplane) Paramedic Intercept Specialty Care Transport Rotary Wing (Helicopter)
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ePayment.51
ePayment.51 - EMS Condition Code Definition The condition code associated with the CMS EMS negotiated rule-making process. National Element State Element Version 2 Element Usage
STEMI

Stroke Trauma
No No No 0:M

Constraints
Pattern [A-Z][0-9]{2}((\.[0-9A-Z]{1,3})?)

Code list is represented in ICD-10-CM Codes: Website - http://uts.nlm.nih.gov Product - UMLS Metathesaurus
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ePayment.52
ePayment.52 - CMS Transportation Indicator Definition The CMS Ambulance Fee Schedule Transportation and Air Medical Transportation Indicators are used to better describe why it was necessary for the patient to be transported in a particular way or circumstance. National Element State Element Version 2 Element Usage Attributes
No No No 0:M
Code List
Code C1 C2 C3 C4 C5 C6 C7 D1 D2 D3 D4 Description Interfacility Transport (Requires Higher level of care) Interfacility Transport (service not available) Emergency Trauma Dispatch Condition Code (Major Incident or Mechanism of Injury) Medically Necessary Transport (Facility on Divert or Services Unavailable) BLS Transport of ALS Patient (ALS not available) ALS Response (Based on Dispatch Info) to BLS Patient (Condition) IV Medications required en route (ALS) Long Distance-patient's condition requires rapid transportation over a long distance Rare Circumstances, Traffic Patterns Precludes Ground Transport Time to the closest appropriate hospital due to the patient's condition precludes ground transport; maximize clinical benefits Pick up Point not Accessible by Ground Transport

Name changed from Condition Code Modifier to CMS Transportation Indicator

Name changed from Condition Code Modifier to CMS Transportation Indicator
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ePayment.53
ePayment.53 - Transport Authorization Code Definition Prior authorization code provided by the insurance carrier/payer. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Added to improve billing documentation.
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ePayment.54
ePayment.54 - Prior Authorization Code Payer Definition The Payer who has provided the Prior Authorization Code. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Added to document Prior Authorization Codes for an EMS Transport.

Added to improve billing documentation.
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ePayment.55
ePayment.55 - Supply Item Used Name Definition The name of the supply used on the patient by the EMS Crew during the EMS event. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Added to track EMS supplies for billing. The list of supplies would be created by the EMS Agency. There is no master list of supply items defined.

Added to track EMS supplies for billing.
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ePayment.56
ePayment.56 - Number of Supply Item(s) Used Definition The number of the specific supply item used on the patient by the EMS Crew during the EMS event. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Associated with ePayment.56 (Supply Item Used Name). Used to better track supply items for billing

Added to track EMS supplies for billing.
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eScene
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Legend
S State
D Deprecated
eScene
1:1 0:M
eScene.01 - First EMS Unit on Scene eScene.ResponderGroup

0:1 0:1 0:1
R C
N, L
eScene.02 - Other EMS or Public Safety Agencies at Scene eScene.03 - Other EMS or Public Safety Agency ID Number eScene.04 - Type of Other Service at Scene
O N N N N S S S S S S S S N N S N O O
O O O
0:1 1:1 1:1 1:1 1:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1 1:1 1:1 0:1 1:1 0:1 0:1
eScene.05 - Date/Time Initial Responder Arrived on Scene eScene.06 - Number of Patients at Scene eScene.07 - Mass Casualty Incident eScene.08 - Triage Classification for MCI Patient eScene.09 - Incident Location Type eScene.10 - Incident Facility Code eScene.11 - Scene GPS Location eScene.12 - Scene US National Grid Coordinates eScene.13 - Incident Facility or Location Name eScene.14 - Mile Post or Major Roadway eScene.15 - Incident Street Address eScene.16 - Incident Apartment, Suite, or Room eScene.17 - Incident City eScene.18 - Incident State eScene.19 - Incident ZIP Code eScene.20 - Scene Cross Street or Directions eScene.21 - Incident County eScene.22 - Incident Country eScene.23 - Incident Census Tract
S S S S E O O O E E E E S S E S
R R R R
N, L N, L N, L N, L
N, L
N, L N, L N, L N, L R R N, L N, L
N, L R N, L
eScene
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eScene.01
State National
eScene.01 - First EMS Unit on Scene Definition Documentation that this EMS Unit was the first EMS Unit for the EMS Agency on the Scene National Element State Element Version 2 Element Usage Attributes
Yes Yes
No Yes Yes 1:1
Required
Recurrence
Code List

Added to improve the evaluation of Response Times when multiple EMS units are responding to the same scene.
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eScene.02
eScene.02 - Other EMS or Public Safety Agencies at Scene Definition Other EMS agency names that were at the scene, if any National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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eScene.03
eScene.03 - Other EMS or Public Safety Agency ID Number Definition The ID number for the EMS Agency or Other Public Safety listed in eScene.02 National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

The ID should be the state ID (license number) for the EMS agency or ID number for the law enforcement. This may be an ID assigned by the state or created by the EMS agency.
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eScene.04
eScene.04 - Type of Other Service at Scene Definition The type of public safety or EMS service associated with Other Agencies on Scene National Element State Element Version 2 Element Usage Code List
Code 2704001 2704003 2704005 2704007 2704009 2704011 2704013 2704015 2704017 2704019 Description EMS Mutual Aid Fire First Responder Hazmat Law Other Other EMS Agency Other Health Care Provider Rescue Utilities
No No No 0:1

Associated with each Other Service in eScene.02
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eScene.05
eScene.05 - Date/Time Initial Responder Arrived on Scene Definition The time that the initial responder arrived on the scene, if applicable. National Element State Element Version 2 Element Usage
Airway Cardiac Arrest STEMI
Trauma
No No No 0:1

Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

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eScene.06
State National
eScene.06 - Number of Patients at Scene Definition Indicator of how many total patients were at the scene National Element State Element Version 2 Element Usage Attributes
No Yes Yes 1:1
Code List
Code 2707001 2707003 2707005 Description Multiple None Single
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eScene.07
State National
eScene.07 - Mass Casualty Incident Definition Indicator if this event would be considered a mass casualty incident (overwhelmed existing EMS resources) National Element State Element Version 2 Element Usage
Trauma
No Yes Yes 1:1

Code List
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eScene.08
State National
eScene.08 - Triage Classification for MCI Patient Definition The color associated with the initial triage assessment/classification of the MCI patient. National Element State Element Version 2 Element Usage
Yes Yes
No Yes Yes 1:1
Required
Response
Recurrence
STEMI Stroke Trauma

Code List
Code 2708001 2708003 2708005 2708007 2708009 Description Red - Immediate Yellow - Delayed Green - Minimal (Minor) Gray - Expectant Black - Deceased

This element is documented when eScene.07 (Mass Casualty Incident) = Yes. Examples of triage systems include START and SALT.
Adapted from: SALT mass casualty triage: concept endorsed by the American College of Emergency Physicians, American College of Surgeons Committee on Trauma, American Trauma Society, National Association of EMS Physicians, National Disaster Life Support Education Consortium, and State and Territorial Injury Prevention Directors Association. Disaster Med Public Health Prep. 2008 Dec;2(4):245-6.
START reference: Benson M, Koenig KL, Schultz CH. Disaster triage: START, then SAVE-a new method of dynamic triage for victims of a catastrophic earthquake. Prehospital Disaster Med. 1996; Apr-Jun; 11(2): 117-24
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eScene.09
State National
eScene.09 - Incident Location Type Definition The kind of location where the incident happened National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints
Pattern Y92\.[0-9]{1,3}

Code list is represented in ICD-10-CM. Reference the NEMSIS Suggested Lists at: http://nemsis.org/v3/resources.html ICD-10-CM Website - http://uts.nlm.nih.gov Product - UMLS Metathesaurus
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eScene.10
State
eScene.10 - Incident Facility Code Definition The state, regulatory, or other unique number (code) associated with the facility if the Incident is a Healthcare Facility. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Constraints

This may be populated from a list created within dFacility.03 (Facility Location Code) or dFacility.05 (Facility National Provider Identifier).
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eScene.11
State
eScene.11 - Scene GPS Location Definition The GPS coordinates associated with the Scene. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No No No 0:1

Pattern (\+|-)?(90(\.[0]{1,6})?|([1-8][0-9]|[0-9])(\.[0-9]{1,6})?),(\+|-)?(180(\.[0]{1,6})?|(1[0-7][0-9]|[1-9][0-9]|[0-9])(\.[0-9]{1,6})?)

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eScene.12
State
eScene.12 - Scene US National Grid Coordinates Definition The US National Grid Coordinates for the Scene. National Element State Element Version 2 Element Usage Constraints
No Yes
No No No 0:1
Optional
Recurrence

Standard found at www.fgdc.gov/usng
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eScene.13
State
eScene.13 - Incident Facility or Location Name Definition The name of the facility, business, building, etc. associated with the scene of the EMS event. National Element State Element Version 2 Element Usage Constraints
No Yes
No No No 0:1
Optional
Recurrence

This element may be populated from a list created within dFacility.02 (Facility Name).
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eScene.14
State
eScene.14 - Mile Post or Major Roadway Definition The mile post or major roadway associated with the incident locations National Element State Element Version 2 Element Usage Attributes
No Yes
No Yes Yes 0:1
Recommended
Recurrence
Constraints
Data Type string maxLength 35 minLength 2
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eScene.15
State
eScene.15 - Incident Street Address Definition The street address where the patient was found, or, if no patient, the address to which the unit responded. National Element State Element Version 2 Element Usage Attributes
NOT Values (NV) 7701001 - Not Applicable StreetAddress2 Data Type: string 7701003 - Not Recorded minLength: 1 maxLength: 55
No Yes Yes 0:1
Constraints
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eScene.16
State
eScene.16 - Incident Apartment, Suite, or Room Definition The number of the specific apartment, suite, or room where the incident occurred. National Element State Element Version 2 Element Usage Attributes
No Yes
No Yes Yes 0:1
Recommended
Recurrence
Constraints
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eScene.17
State
eScene.17 - Incident City Definition The city or township (if applicable) where the patient was found or to which the unit responded (or best approximation) National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1

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eScene.18
State National
eScene.18 - Incident State Definition The state, territory, or province where the patient was found or to which the unit responded (or best approximation) National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints

Based on the ANSI State Code. GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
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eScene.19
State National
eScene.19 - Incident ZIP Code Definition The ZIP code of the incident location National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints
Pattern [0-9]{5}|[0-9]{5}-[0-9]{4}|[0-9]{5}-[0-9]{5}|[A-Z][0-9][A-Z] [0-9][A-Z][0-9]

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eScene.20
State
eScene.20 - Scene Cross Street or Directions Definition The nearest cross street to the incident address or directions from a recognized landmark or the second street name of an intersection. National Element State Element Version 2 Element Usage Attributes
No Yes
No Yes Yes 0:1
Recommended
Recurrence
Constraints

Added to better locate/document the scene (incident) location.
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eScene.21
State National
eScene.21 - Incident County Definition The county or parish where the patient was found or to which the unit responded (or best approximation) National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints

Based on the ANSI Code Single Choice based on the County Name but stored as the ANSI code (combined 5 digit State and County codes) Should be required if there is a patient associated with the event. GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
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eScene.22
eScene.22 - Incident Country Definition The country of the incident location. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence


Added for international compatibility.
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Page 369
eScene.23
eScene.23 - Incident Census Tract Definition The census tract in which the incident occurred. National Element State Element Version 2 Element Usage
No No
No No No 0:1
Optional
Response
Recurrence
STEMI Stroke Trauma

Pattern [0-9]{11}


Added to improve the ability to use census and other demographic information within EMS research.
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eSituation
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Legend
S State
D Deprecated
eSituation
1:1 1:1 0:M
eSituation.01 - Date/Time of Symptom Onset/Last Normal eSituation.02 - Possible Injury eSituation.PatientComplaintGroup

0:1 0:1 0:1 0:1
N N
S S
R R C
N, L N, L
eSituation.03 - Complaint Type eSituation.04 - Complaint eSituation.05 - Duration of Complaint eSituation.06 - Time Units of Duration of Complaint
N N N N N N N
S S S S S S S S S S S
E E E E R R R R R R R
N, L N, L N, L N, L N, L N, L N, L N, L C N, L N, L C N, L
1:1 1:1 1:1 1:M 1:1 1:M 1:1 0:1
eSituation.07 - Chief Complaint Anatomic Location eSituation.08 - Chief Complaint Organ System eSituation.09 - Primary Symptom eSituation.10 - Other Associated Symptoms eSituation.11 - Provider's Primary Impression eSituation.12 - Provider's Secondary Impressions eSituation.13 - Initial Patient Acuity eSituation.WorkRelatedGroup
0:1 0:1 0:1
eSituation.14 - Work-Related Illness/Injury eSituation.15 - Patient's Occupational Industry eSituation.16 - Patient's Occupation
S
S O O E
N, L
0:M
eSituation.17 - Patient Activity
N, L C
eSituation
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eSituation.01
State National
eSituation.01 - Date/Time of Symptom Onset/Last Normal Definition The date and time the symptom began as it relates to this EMS event. This is described or estimated by the patient, family, and/or healthcare professionals. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

For stroke related events, this is the date and time the patient was last seen normal. For cardiac or respiratory arrest related events, this is the date and time the patient was last known to have a pulse or when interaction was had with the patient. For drowning related events, this is the date and time the patient was last seen. The intent of this element is to document the estimate date and time the patient was last known to be in their normal state. DateTime consists of finite-length characters of the form: yyyy '-' mm '-' dd 'T' hh ':' mm ':' ss ('.' s+)? (zzzzzz) yyyy '-' mm dd T hh ':' mm ss '.' s+ a four-digit numeral that represents the year separators between parts of the date portion a two-digit numeral that represents the month a two-digit numeral that represents the day separator that indicates time-of-day follows a two-digit numeral that represents the hour a separator between parts of the time-of-day portion a two-digit numeral that represents the minute a two-integer-digit numeral that represents the whole seconds (not required) represents the fractional seconds
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Added to better define the EMS patient event.
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eSituation.02
State National
eSituation.02 - Possible Injury Definition Indication whether or not there was an injury National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Code List

This data element provides documentation to classify the EMS Reason for Encounter as either injury or non-injury related based on mechanism and not on actual injury. eSituation.02 (Possible Injury), eSituation.09 (Primary Symptom), eSituation.07 (Chief Complaint Anatomic Location), and eSituation.08 (Chief Complaint Organ System) are grouped together to form the EMS Reason for Encounter.
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eSituation.03
State
eSituation.03 - Complaint Type Definition The type of patient healthcare complaint being documented. National Element State Element Version 2 Element Usage
No Yes
No Yes Yes 0:1
Recommended
Pediatric Response
Recurrence
STEMI Stroke Trauma

Code List
Code 2803001 2803003 2803005 Description Chief (Primary) Other (Not Listed) Secondary

This was added to group complaints in a more efficient manner

Added to improve data integrity.
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eSituation.04
State
eSituation.04 - Complaint Definition The statement of the problem by the patient or the history provider. National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No Yes Yes 0:1

Constraints
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eSituation.05
State
eSituation.05 - Duration of Complaint Definition The duration of the complaint National Element State Element Version 2 Element Usage

Pediatric STEMI

Stroke Trauma
No Yes Yes 0:1

Constraints

Associated with eSituation.06 (Time Units of Duration of the Complaint).
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eSituation.06
State
eSituation.06 - Time Units of Duration of Complaint Definition The time units of the duration of the patient's complaint National Element State Element Version 2 Element Usage

Pediatric STEMI

Stroke Trauma
No Yes Yes 0:1

Code List
Code 2806001 2806003 2806005 2806007 2806009 2806011 2806013 Description Seconds Minutes Hours Days Weeks Months Years

Associated with eSituation.05 (Duration of the Complaint).
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eSituation.07
State National
eSituation.07 - Chief Complaint Anatomic Location Definition The primary anatomic location of the chief complaint as identified by EMS personnel National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
No Yes Yes 1:1

Code List
Code 2807001 2807003 2807005 2807007 2807009 2807011 2807013 2807015 2807017 Description Abdomen Back Chest Extremity-Lower Extremity-Upper General/Global Genitalia Head Neck

eSituation.02 (Possible Injury), eSituation.09 (Primary Symptom), eSituation.07 (Chief Complaint Anatomic Location), and eSituation.08 (Chief Complaint Organ System) are grouped together to form the EMS Reason for Encounter.
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eSituation.08
State National
eSituation.08 - Chief Complaint Organ System Definition The primary organ system of the patient injured or medically affected. National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
No Yes Yes 1:1

Code List
Code 2808001 2808003 2808005 2808007 2808009 2808011 2808013 2808015 2808017 2808019 2808021 Description Behavioral/Psychiatric Cardiovascular CNS/Neuro Endocrine/Metabolic GI Global/General Lymphatic/Immune Musculoskeletal/Skin Reproductive Pulmonary Renal

Altered to follow the anatomical organ systems as defined by general anatomy. Added Lymphatic/Immune; Merged Skin with Muscular-Skeletal. Changed OB/Gyn to Reproductive. Retained non-organ system designations for Global/General and Behavioral/Psychiatric. eSituation.02 (Possible Injury), eSituation.09 (Primary Symptom), eSituation.07 (Chief Complaint Anatomic Location), and eSituation.08 (Chief Complaint Organ System) are grouped together to form the EMS Reason for Encounter.
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eSituation.09
State National
eSituation.09 - Primary Symptom Definition The primary sign and symptom present in the patient or observed by EMS personnel National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
No Yes Yes 1:1

Constraints
Pattern (R[0-6][0-9](\.[0-9]{1,4})?|(R73\.9)|(R99))|([A-QSTZ][0-9]{2})((\.[0-9A-Z]{1,4})?)

eSituation.02 (Possible Injury), eSituation.09 (Primary Symptom), eSituation.07 (Chief Complaint Anatomic Location), and eSituation.08 (Chief Complaint Organ System) are grouped together to form the EMS Reason for Encounter. Code list is represented in ICD-10-CM Diagnosis Codes. Reference the NEMSIS Suggested Lists at: http://nemsis.org/v3/resources.html ICD-10-CM Website - http://uts.nlm.nih.gov Product - UMLS Metathesaurus
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eSituation.10
State National
eSituation.10 - Other Associated Symptoms Definition Other symptoms identified by the patient or observed by EMS personnel National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
No Yes Yes 1:M

Constraints

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eSituation.11
State National
eSituation.11 - Provider's Primary Impression Definition The EMS personnel's impression of the patient's primary problem or most significant condition which led to the management given to the patient (treatments, medications, or procedures). National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
No Yes Yes 1:1

Constraints

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Page 384
eSituation.12
State National
eSituation.12 - Provider's Secondary Impressions Definition The EMS personnel's impression of the patient's secondary problem or most significant condition which led to the management given to the patient (treatments, medications, or procedures). National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
No Yes Yes 1:M

Constraints

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Page 385
eSituation.13
State National
eSituation.13 - Initial Patient Acuity Definition The acuity of the patient's condition upon EMS arrival at the scene. National Element State Element Version 2 Element Usage
Yes Yes
No Yes Yes 1:1
Required
STEMI
Recurrence
Stroke Trauma

Code List
Code 2813001 2813003 2813005 2813007 Description Critical (Red) Emergent (Yellow) Lower Acuity (Green) Dead without Resuscitation Efforts (Black)

Definitions related to "Critical, Emergent, and Lower Acuity" can be found in the National EMS Core Content document from NHTSA EMS (DOT HS 809-898 July 2005) at http://www.nhtsa.gov/people/injury/ems/emscorecontent/images/EMSCoreContent.pdf Dead without Resuscitation Efforts would be appropriate if resuscitation was initiated by non-EMS personnel but discontinued immediately upon evaluation by first arriving EMS personnel.
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eSituation.14
State
eSituation.14 - Work-Related Illness/Injury Definition Indication of whether or not the illness or injury is work related. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Code List

Moved from Version 2.2.1 E07_15 to allow more complete documentation of work related illness and injury.
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eSituation.15
eSituation.15 - Patient's Occupational Industry Definition The occupational industry of the patient's work. National Element State Element Version 2 Element Usage Code List
Code 2815001 2815003 2815005 2815007 2815009 2815011 2815013 2815015 2815017 2815019 2815021 2815023 2815025 2815027 2815029 2815031 2815033 2815035 2815037 2815039 Description Accommodation and Food Services Administrative and Support and Waste Management and Remediation Services Agriculture, Forestry, Fishing and Hunting Arts, Entertainment, and Recreation Construction Educational Services Finance and Insurance Health Care and Social Assistance Information Management of Companies and Enterprises Manufacturing Mining, Quarrying, and Oil and Gas Extraction Other Services (except Public Administration) Professional, Scientific, and Technical Services Public Administration Real Estate and Rental and Leasing Retail Trade Transportation and Warehousing Utilities Wholesale Trade
No No No 0:1

From the North American Industry Classification System (NAICS) from US Bureau of Labor Statistics (http://www.census.gov/cgi-bin/sssd/naics/naicsrch?chart=2007).
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eSituation.16
eSituation.16 - Patient's Occupation Definition The occupation of the patient. National Element State Element Version 2 Element Usage Code List
Code 2816001 2816003 2816005 2816007 2816009 2816011 2816013 2816015 2816017 2816019 2816021 2816023 2816025 2816027 2816029 2816031 2816033 2816035 2816037 2816039 2816041 2816043 2816045 Description Architecture and Engineering Occupations Arts, Design, Entertainment, Sports, and Media Occupations Building and Grounds Cleaning and Maintenance Occupations Business and Financial Operations Occupations Community and Social Services Occupations Computer and Mathematical Occupations Construction and Extraction Occupations Education, Training, and Library Occupations Farming, Fishing and Forestry Occupations Food Preparation and Serving Related Occupations Healthcare Practitioners and Technical Occupations Healthcare Support Occupations Installation, Maintenance, and Repair Occupations Legal Occupations Life, Physical, and Social Science Occupations Management Occupations Military Specific Occupations Office and Administrative Support Occupations Personal Care and Service Occupations Production Occupations Protective Service Occupations Sales and Related Occupations Transportation and Material Moving Occupations
No No No 0:1

Based on the Standard Occupational Classification of the US Bureau of Labor Statistics (http://www.bls.gov/soc/major_groups.htm)

Added to better describe work related injury.
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eSituation.17
State
eSituation.17 - Patient Activity Definition The activity the patient was involved in at the time the patient experienced the onset of symptoms or experienced an injury. National Element State Element Version 2 Element Usage Attributes
No Yes
No Yes Yes 0:M
Recommended
Recurrence
Constraints
Pattern Y93\.[A-Za-z0-9]{1,4}

Code list is represented in ICD-10-CM. Reference the NEMSIS Suggested Lists at: http://nemsis.org/v3/resources.html Code list is represented in ICD-10 Codes. Website - http://uts.nlm.nih.gov Product - UMLS Metathesaurus
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eInjury
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Legend
S State
D Deprecated
eInjury
1:M 0:M 1:M 1:M 0:1 0:1 0:M 0:M 0:1 0:M 0:1
eInjury.01 - Cause of Injury eInjury.02 - Mechanism of Injury eInjury.03 - Trauma Center Criteria eInjury.04 - Vehicular, Pedestrian, or Other Injury Risk Factor eInjury.05 - Main Area of the Vehicle Impacted by the Collision eInjury.06 - Location of Patient in Vehicle eInjury.07 - Use of Occupant Safety Equipment eInjury.08 - Airbag Deployment eInjury.09 - Height of Fall (feet) eInjury.10 - OSHA Personal Protective Equipment Used eInjury.CollisionGroup
0:1 0:1 0:M 0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:M 0:1 0:1 0:1 0:M
N S N N S S S S S O
S E S S O O E O O C
N, L C
N, L C R R N, L C N, L, P C
N, L C C
eInjury.11 - ACN System/Company Providing ACN Data eInjury.12 - ACN Incident ID eInjury.13 - ACN Call Back Phone Number eInjury.14 - Date/Time of ACN Incident eInjury.15 - ACN Incident Location eInjury.16 - ACN Incident Vehicle Body Type eInjury.17 - ACN Incident Vehicle Manufacturer eInjury.18 - ACN Incident Vehicle Make eInjury.19 - ACN Incident Vehicle Model eInjury.20 - ACN Incident Vehicle Model Year eInjury.21 - ACN Incident Multiple Impacts eInjury.22 - ACN Incident Delta Velocity eInjury.23 - ACN High Probability of Injury eInjury.24 - ACN Incident PDOF eInjury.25 - ACN Incident Rollover eInjury.SeatGroup
0:1 0:1 0:1 0:1
O O O O O O O O O O O O O O O C O O O O C C
eInjury.26 - ACN Vehicle Seat Location eInjury.27 - Seat Occupied eInjury.28 - ACN Incident Seatbelt Use eInjury.29 - ACN Incident Airbag Deployed
eInjury
Published: 03/05/2014 www.NEMSIS.org Page 392
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Page 393
eInjury.01
State National
eInjury.01 - Cause of Injury Definition The category of the reported/suspected external cause of the injury. National Element State Element Version 2 Element Usage
Trauma
No Yes Yes 1:M

Constraints
Pattern ([TV-Y][0-9]{2})((\.[0-9A-Z]{1,7})?)

Suggested code list is represented in ICD-10-CM. Reference the NEMSIS Suggested Lists at: http://nemsis.org/v3/resources.html Code list is represented in ICD-10 Codes. Website - http://uts.nlm.nih.gov Product - UMLS Metathesaurus
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eInjury.02
State
eInjury.02 - Mechanism of Injury Definition The mechanism of the event which caused the injury National Element State Element Version 2 Element Usage
Trauma
No Yes Yes 0:M

Code List
Code 2902001 2902003 2902005 2902007 Description Blunt Burn Other Penetrating
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eInjury.03
State National
eInjury.03 - Trauma Center Criteria Definition Field Triage Criteria for transport to a trauma center as defined by the Centers for Disease Control and Prevention and the American College of Surgeons-Committee on Trauma. National Element State Element Version 2 Element Usage
Trauma
Yes Yes
No Yes Yes 1:M
Required
Recurrence

Code List
Code 2903001 2903003 2903005 2903007 2903009 2903011 2903013 2903015 2903017 2903019 2903021 Description Amputation proximal to wrist or ankle Crushed, degloved, mangled, or pulseless extremity Chest wall instability or deformity (e.g., flail chest) Glasgow Coma Score < 14 Open or depressed skull fracture Paralysis Pelvic fractures All penetrating injuries to head, neck, torso, and extremities proximal to elbow or knee Respiratory Rate <10 or >29 breaths per minute (<20 in infants aged <1 year) or need for ventilatory support Systolic Blood Pressure <90 mmHg Two or more proximal long-bone fractures

2011 Guidelines for the Field Triage of Injured Patients - value choices for Steps 1 and 2. For falls, one story is equal to 10 feet.

Added to better evaluate the CDC-ACS 2011 Guidelines for the Field Triage of Injured Patients. Website: http://www.cdc.gov/FieldTriage/
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eInjury.04
State National
eInjury.04 - Vehicular, Pedestrian, or Other Injury Risk Factor Definition Field Triage Criteria for transport to a trauma center as defined by the Centers for Disease Control and Prevention and the American College of Surgeons-Committee on Trauma. National Element State Element Version 2 Element Usage
Trauma
Yes Yes Yes 1:M

NOT Values (NV) 7701001 - Not Applicable Pertinent Negatives (PN) 8801005 - Exam Finding Not Present CorrelationID Data Type: string minLength: 0 maxLength: 255 7701003 - Not Recorded
Code List
Code 2904001 2904003 2904005 2904007 2904009 2904011 2904013 2904015 2904017 2904019 2904021 2904023 Description Auto v. Pedestrian/Bicyclist Thrown, Run Over, or > 20 MPH Impact Fall Adults: > 20 ft. (one story is equal to 10 ft.) Fall Children: > 10 ft. or 2-3 times the height of the child Crash Death in Same Passenger Compartment Crash Ejection (partial or complete) from vehicle Crash Intrusion, including roof: > 12 in. occupant site; > 18 in. any site Crash Vehicle Telemetry Data (AACN) Consistent with High Risk of Injury Motorcycle Crash > 20 MPH SBP < 110 for age > 65 Anticoagulants and Bleeding Disorders Pregnancy > 20 weeks EMS Provider Judgment

Assesses mechanism of injury and evidence of high-energy impact (Step 3) AND Assess special patient or system considerations (Step 4) based on CDC 2011 Guidelines for the Field Triage of Injured Patients Step 3 and 4. Website: http://www.cdc.gov/FieldTriage/.

Added to better evaluate the CDC-ACS 2011 Guidelines for the Field Triage of Injured Patients. Website: http://www.cdc.gov/FieldTriage/
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eInjury.05
State
eInjury.05 - Main Area of the Vehicle Impacted by the Collision Definition The area or location of initial impact on the vehicle based on 12-point clock diagram. National Element State Element Version 2 Element Usage Constraints
No No No 0:1

The front of the vehicle is 12, passenger (right) side is 3, rear is 6, etc. Based on MMUCC via areas(s) of impact & FARS coding manual clock diagram.
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eInjury.06
State
eInjury.06 - Location of Patient in Vehicle Definition The seat row location of the vehicle at the time of the crash with the front seat numbered as 1 National Element State Element Version 2 Element Usage Code List
Code 2906001 2906003 2906005 2906007 2906009 2906011 2906013 2906015 2906017 2906019 2906021 2906023 2906025 2906027 2906029 Description Front Seat-Left Side (or motorcycle driver) Front Seat-Middle Front Seat-Right Side Passenger in other enclosed passenger or cargo area (non-trailing unit such as a bus, etc.) Passenger in unenclosed passenger or cargo area (non-trailing unit such as a pickup, etc.) Riding on Vehicle Exterior (non-trailing unit) Second Seat-Left Side (or motorcycle passenger) Second Seat-Middle Second Seat-Right Side Sleeper Section of Cab (truck) Third Row-Left Side (or motorcycle passenger) Third Row-Middle Third Row-Right Side Trailing Unit Unknown
No No No 0:1

MMUCC P6 data element
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Page 399
eInjury.07
State
eInjury.07 - Use of Occupant Safety Equipment Definition Safety equipment in use by the patient at the time of the injury National Element State Element Version 2 Element Usage
Trauma
No Yes Yes 0:M

Code List
Code 2907001 2907003 2907005 2907007 2907009 2907015 2907017 2907019 2907021 2907023 2907027 2907029 2907031 Description Child Booster Seat Eye Protection Helmet Worn Infant Car Seat Forward Facing Infant Car Seat Rear Facing None Other Personal Floatation Device Protective Clothing Protective Non-Clothing Gear Shoulder and Lap Belt Used Lap Belt Only Used Shoulder Belt Only Used

MMUCC P7 data element used as baseline information. Data element expanded for added definition in non-vehicular settings.
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Page 400
eInjury.08
State
eInjury.08 - Airbag Deployment Definition Indication of Airbag Deployment National Element State Element Version 2 Element Usage Attributes
No No No 0:M
Code List
Code 2908001 2908003 2908005 2908007 2908009 Description Airbag Deployed Front Airbag Deployed Side Airbag Deployed Other (knee, air belt, etc.) No Airbag Deployed No Airbag Present

MMUCC P8 data element baseline was used for this element.
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Page 401
eInjury.09
State
eInjury.09 - Height of Fall (feet) Definition The distance in feet the patient fell, measured from the lowest point of the patient to the ground National Element State Element Version 2 Element Usage Constraints
No No No 0:1

Classify same level falls as 0 feet
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Page 402
eInjury.10
eInjury.10 - OSHA Personal Protective Equipment Used Definition Documentation of the use of OSHA required protective equipment used by the patient at the time of injury. National Element State Element Version 2 Element Usage Attributes
No No
No No No 0:M
Optional
Recurrence
Code List
Code 2910001 2910003 2910005 2910007 2910009 2910011 2910013 Description Eye and Face Protection Foot Protection Head Protection Hearing Protection Respiratory Protection Safety Belts, lifelines, and lanyards Safety Nets

Added to better document personal protection equipment used by the patient associated with an injury.
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Page 403
eInjury.11
eInjury.11 - ACN System/Company Providing ACN Data Definition The agency providing the Automated Collision Notification (ACN) Data. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Based on Vehicular Emergency Data Set: Provider Name. Vehicular Emergency Data Set (VEDS) Recommendations. Version 3.0 Prepared: (February 2011) by the Advanced Automatic Crash Notification (AACN) Joint APCO/NENA Data Standardization Working Group.

Added to better incorporate advanced automated collision notification information.
www.NEMSIS.org
Page 404
eInjury.12
eInjury.12 - ACN Incident ID Definition The Automated Collision Notification Incident ID. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Based on Vehicular Emergency Data Set: Incident ID. Vehicular Emergency Data Set (VEDS) Recommendations. Version 3.0 Prepared: (February 2011) by the Advanced Automatic Crash Notification (AACN)Joint APCO/NENA Data Standardization Working Group.

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Page 405
eInjury.13
eInjury.13 - ACN Call Back Phone Number Definition The Automated Collision Notification Call Back Phone Number (US Only). National Element State Element Version 2 Element Usage Attributes
No No
No No No 0:M
Optional
Recurrence
Constraints
Pattern [2-9][0-9][0-9]-[2-9][0-9][0-9]-[0-9][0-9][0-9][0-9]

Based on Vehicular Emergency Data Set: Call Back Number. Vehicular Emergency Data Set (VEDS) Recommendations. Version 3.0 Prepared: (February 2011) by the Advanced Automatic Crash Notification (AACN)Joint APCO/NENA Data Standardization Working Group.

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Page 406
eInjury.14
eInjury.14 - Date/Time of ACN Incident Definition The Automated Collision Notification Incident Date and Time. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

Based on Vehicular Emergency Data Set: Incident Date and Time. Vehicular Emergency Data Set (VEDS) Recommendations. Version 3.0 Prepared: (February 2011) by the Advanced Automatic Crash Notification (AACN)Joint APCO/NENA Data Standardization Working Group. DateTime consists of finite-length characters of the form: yyyy '-' mm '-' dd 'T' hh ':' mm ':' ss ('.' s+)? (zzzzzz) yyyy '-' mm dd T hh ':' mm ss '.' s+ a four-digit numeral that represents the year separators between parts of the date portion a two-digit numeral that represents the month a two-digit numeral that represents the day separator that indicates time-of-day follows a two-digit numeral that represents the hour a separator between parts of the time-of-day portion a two-digit numeral that represents the minute a two-integer-digit numeral that represents the whole seconds (not required) represents the fractional seconds

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Page 407
eInjury.15
eInjury.15 - ACN Incident Location Definition The Automated Collision Notification GPS Location. National Element State Element Version 2 Element Usage Constraints
Pattern (\+|-)?(90(\.[0]{1,6})?|([1-8][0-9]|[0-9])(\.[0-9]{1,6})?),(\+|-)?(180(\.[0]{1,6})?|(1[0-7][0-9]|[1-9][0-9]|[0-9])(\.[0-9]{1,6})?)
No No
No No No 0:1
Optional
Recurrence

Based on Vehicular Emergency Data Set: Location (combining Latitude and Longitude). Vehicular Emergency Data Set (VEDS) Recommendations. Version 3.0 Prepared: (February 2011) by the Advanced Automatic Crash Notification (AACN)Joint APCO/NENA Data Standardization Working Group. The pattern for GPS location is in the format "latitude,longitude" where: - latitude has a minimum of -90 and a maximum of 90 with up to 6 decimal places - longitude has a minimum of -180 and a maximum of 180 with up to 6 decimal places

www.NEMSIS.org
Page 408
eInjury.16
eInjury.16 - ACN Incident Vehicle Body Type Definition The Automated Collision Notification Vehicle Body Type. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Based on Vehicular Emergency Data Set: Body Type. Vehicular Emergency Data Set (VEDS) Recommendations. Version 3.0 Prepared: (February 2011) by the Advanced Automatic Crash Notification (AACN)Joint APCO/NENA Data Standardization Working Group.

www.NEMSIS.org
Page 409
eInjury.17
eInjury.17 - ACN Incident Vehicle Manufacturer Definition The Automated Collision Notification Vehicle Manufacturer (e.g. General Motors, Ford, BMW). National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Based on Vehicular Emergency Data Set: Manufacturer. Vehicular Emergency Data Set (VEDS) Recommendations. Version 3.0 Prepared: (February 2011) by the Advanced Automatic Crash Notification (AACN)Joint APCO/NENA Data Standardization Working Group.

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Page 410
eInjury.18
eInjury.18 - ACN Incident Vehicle Make Definition The Automated Collision Notification Vehicle Make (e.g. Cadillac, Ford, BMW). National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Based on Vehicular Emergency Data Set: Make. Vehicular Emergency Data Set (VEDS) Recommendations. Version 3.0 Prepared: (February 2011) by the Advanced Automatic Crash Notification (AACN)Joint APCO/NENA Data Standardization Working Group.

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Page 411
eInjury.19
eInjury.19 - ACN Incident Vehicle Model Definition The Automated Collision Notification Vehicle Model (e.g. Escalade, Taurus, X6M). National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Based on Vehicular Emergency Data Set: Model. Vehicular Emergency Data Set (VEDS) Recommendations. Version 3.0 Prepared: (February 2011) by the Advanced Automatic Crash Notification (AACN)Joint APCO/NENA Data Standardization Working Group.

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Page 412
eInjury.20
eInjury.20 - ACN Incident Vehicle Model Year Definition The Automated Collision Notification Vehicle Model Year (e.g. 2010). National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Based on Vehicular Emergency Data Set: Year. Vehicular Emergency Data Set (VEDS) Recommendations. Version 3.0 Prepared: (February 2011) by the Advanced Automatic Crash Notification (AACN)Joint APCO/NENA Data Standardization Working Group.

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Page 413
eInjury.21
eInjury.21 - ACN Incident Multiple Impacts Definition The Automated Collision Notification Indication of Multiple Impacts associated with the collision. National Element State Element Version 2 Element Usage Code List
No No
No No No 0:1
Optional
Recurrence

Based on Vehicular Emergency Data Set: Multiple Impacts. Vehicular Emergency Data Set (VEDS) Recommendations. Version 3.0 Prepared: (February 2011) by the Advanced Automatic Crash Notification (AACN)Joint APCO/NENA Data Standardization Working Group.

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Page 414
eInjury.22
eInjury.22 - ACN Incident Delta Velocity Definition The Automated Collision Notification Delta Velocity (Delta V) force associated with the crash. National Element State Element Version 2 Element Usage Attributes
DeltaVelocityOrdinal Data Type: integer CorrelationID Data Type: string minInclusive: 1 minLength: 0 9921003 - Miles per Hour maxLength: 255
No No
No No No 0:M
Optional
Recurrence
VelocityUnit 9921001 - Kilometers per Hour
Constraints

Based on Vehicular Emergency Data Set: Delta Velocity. The force of impact based on the change in velocity over the duration of the crash pulse. Vehicular Emergency Data Set (VEDS) Recommendations. Version 3.0 Prepared: (February 2011) by the Advanced Automatic Crash Notification (AACN)Joint APCO/NENA Data Standardization Working Group.

www.NEMSIS.org
Page 415
eInjury.23
eInjury.23 - ACN High Probability of Injury Definition The Automated Collision Notification of the High Probability of Injury. National Element State Element Version 2 Element Usage
Trauma
No No
No No No 0:1
Optional
Recurrence


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Page 416
eInjury.24
eInjury.24 - ACN Incident PDOF Definition The Automated Collision Notification Principal Direction of Force (PDOF). National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Based on Vehicular Emergency Data Set: PDOF. Principal direction of the force of the impact to nearest o'clock reading. Values are 1 through 12 (e.g. 12=Frontal collision, 3=passenger side (right) collision, etc). Vehicular Emergency Data Set (VEDS) Recommendations. Version 3.0 Prepared: (February 2011) by the Advanced Automatic Crash Notification (AACN)Joint APCO/NENA Data Standardization Working Group.

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Page 417
eInjury.25
eInjury.25 - ACN Incident Rollover Definition The Automated Collision Notification Indication that the Vehicle Rolled Over. National Element State Element Version 2 Element Usage Code List
Code Y N Description Yes No
No No
No No No 0:1
Optional
Recurrence

Based on Vehicular Emergency Data Set: Rollover. Indicates if the vehicle rolled over during the collision/event (e.g. True=Rollover, False=No Rollover). Vehicular Emergency Data Set (VEDS) Recommendations. Version 3.0 Prepared: (February 2011) by the Advanced Automatic Crash Notification (AACN)Joint APCO/NENA Data Standardization Working Group.

www.NEMSIS.org
Page 418
eInjury.26
eInjury.26 - ACN Vehicle Seat Location Definition The Automated Collision Notification Indication of the Occupant(s) Seat Location(s) within the vehicle. National Element State Element Version 2 Element Usage Code List
Code 2926001 2926003 2926005 2926007 2926009 2926011 2926013 2926015 2926017 Description Driver Front Seat Front Row Middle Seat Passenger Front Seat Second Row Left Seat Second Row Middle Seat Second Row Right Seat Third Row Left Seat Third Row Middle Seat Third Row Right Seat
No No
No No No 0:1
Optional
Recurrence

Based on Vehicular Emergency Data Set: Seat - Multiple entry for each seats data. Indicates seatbelt and seat sensor data for individual seat position in the vehicle. These elements come from passenger vehicle. Vehicular Emergency Data Set (VEDS) Recommendations. Version 3.0 Prepared: (February 2011) by the Advanced Automatic Crash Notification (AACN)Joint APCO/NENA Data Standardization Working Group.

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Page 419
eInjury.27
eInjury.27 - Seat Occupied Definition Indication if seat is occupied based on seat sensor data. National Element State Element Version 2 Element Usage Code List
No No
No No No 0:1
Optional
Recurrence

Based on Vehicular Emergency Data Set: Occupied - Associated with each seat. Vehicular Emergency Data Set (VEDS) Recommendations. Version 3.0 Prepared: (February 2011) by the Advanced Automatic Crash Notification (AACN)Joint APCO/NENA Data Standardization Working Group.

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Page 420
eInjury.28
eInjury.28 - ACN Incident Seatbelt Use Definition The Automated Collision Notification Indication of Seatbelt use by the occupant(s). National Element State Element Version 2 Element Usage Code List
No No
No No No 0:1
Optional
Recurrence

Based on Vehicular Emergency Data Set: Belt Fastened - Associated with each Seat. Vehicular Emergency Data Set (VEDS) Recommendations. Version 3.0 Prepared: (February 2011) by the Advanced Automatic Crash Notification (AACN)Joint APCO/NENA Data Standardization Working Group.

www.NEMSIS.org
Page 421
eInjury.29
eInjury.29 - ACN Incident Airbag Deployed Definition The Automated Collision Notification Indication of Airbag Deployment. National Element State Element Version 2 Element Usage Code List
No No
No No No 0:1
Optional
Recurrence

Based on Vehicular Emergency Data Set: Deployed - Associated with each seat. Indicates if airbag is deployed. Vehicular Emergency Data Set (VEDS) Recommendations. Version 3.0 Prepared: (February 2011) by the Advanced Automatic Crash Notification (AACN)Joint APCO/NENA Data Standardization Working Group.

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Page 422
eArrest
www.NEMSIS.org
Page 423
Legend
S State
D Deprecated
eArrest
1:1 1:1 1:M 1:M 1:1 0:M 1:1 0:M 1:M 1:1 1:1 1:M 0:1 1:1 0:1 1:1 1:M 1:1
eArrest.01 - Cardiac Arrest eArrest.02 - Cardiac Arrest Etiology eArrest.03 - Resuscitation Attempted By EMS eArrest.04 - Arrest Witnessed By eArrest.05 - CPR Care Provided Prior to EMS Arrival eArrest.06 - Who Provided CPR Prior to EMS Arrival eArrest.07 - AED Use Prior to EMS Arrival eArrest.08 - Who Used AED Prior to EMS Arrival eArrest.09 - Type of CPR Provided eArrest.10 - Therapeutic Hypothermia Initiated eArrest.11 - First Monitored Arrest Rhythm of the Patient eArrest.12 - Any Return of Spontaneous Circulation eArrest.13 - Neurological Outcome at Hospital Discharge eArrest.14 - Date/Time of Cardiac Arrest eArrest.15 - Date/Time Resuscitation Discontinued eArrest.16 - Reason CPR/Resuscitation Discontinued eArrest.17 - Cardiac Rhythm on Arrival at Destination eArrest.18 - End of EMS Cardiac Arrest Event
N N N N N S N S N N N N O N S N N N
S S S S S O S O S S S S
R R R R R C R C R R R R
N, L N, L N, L C N, L C N, L
N, L
N, L C N, L N, L N, L C
S E S S S
N, L
N, L R R R N, L N, L C N, L
eArrest
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Page 424
eArrest.01
State National
eArrest.01 - Cardiac Arrest Definition Indication of the presence of a cardiac arrest at any time during this EMS event. National Element State Element Version 2 Element Usage
Cardiac Arrest
No Yes Yes 1:1

Code List
Code 3001001 3001003 3001005 Description No Yes, Prior to EMS Arrival Yes, After EMS Arrival

This element is a component of the Utstein Cardiac Arrest Criteria. If this EMS event is for an interfacility transfer of a patient with a recent history of a cardiac arrest with ROSC, and who does not experience another cardiac arrest during transport, then do not document Cardiac Arrest (eArrest.01) with "Yes, Prior to EMS Arrival".
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Page 425
eArrest.02
State National
eArrest.02 - Cardiac Arrest Etiology Definition Indication of the etiology or cause of the cardiac arrest (classified as cardiac, non-cardiac, etc.) National Element State Element Version 2 Element Usage
Cardiac Arrest
No Yes Yes 1:1

Code List
Code 3002001 3002003 3002005 3002007 3002009 3002011 3002013 3002015 Description Cardiac (Presumed) Drowning/Submersion Drug Overdose Electrocution Exsanguination Other (Not Listed) Respiratory/Asphyxia Trauma

This element is a component of the Utstein Cardiac Arrest Criteria. Following the UTSTEIN standard of cardiac arrest etiology the values were determined based on the American Heart Association journal "Resuscitation" from 2004 entitled "Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports". http://circ.ahajournals.org/cgi/content/full/110/21/3385
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Page 426
eArrest.03
State National
eArrest.03 - Resuscitation Attempted By EMS Definition Indication of an attempt to resuscitate the patient who is in cardiac arrest (attempted, not attempted due to DNR, etc.) National Element State Element Version 2 Element Usage
Cardiac Arrest
No Yes Yes 1:M

Code List
Code 3003001 3003003 3003005 3003007 3003009 3003011 Description Attempted Defibrillation Attempted Ventilation Initiated Chest Compressions Not Attempted-Considered Futile Not Attempted-DNR Orders Not Attempted-Signs of Circulation

This element is a component of the Utstein Cardiac Arrest Criteria as identified in the American Heart Association journal "Resuscitation" from 2004 entitled "Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports". http://circ.ahajournals.org/cgi/content/full/110/21/3385
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Page 427
eArrest.04
State National
eArrest.04 - Arrest Witnessed By Definition Indication of who the cardiac arrest was witnessed by National Element State Element Version 2 Element Usage
Cardiac Arrest
No Yes Yes 1:M

Code List
Code 3004001 3004003 3004005 3004007 Description Not Witnessed Witnessed by Family Member Witnessed by Healthcare Provider Witnessed by Lay Person

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Page 428
eArrest.05
State National
eArrest.05 - CPR Care Provided Prior to EMS Arrival Definition Documentation of the CPR provided prior to EMS arrival National Element State Element Version 2 Element Usage
Cardiac Arrest
Yes Yes
No Yes Yes 1:1
Required
Recurrence

Code List

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Page 429
eArrest.06
State
eArrest.06 - Who Provided CPR Prior to EMS Arrival Definition Documentation of who performed CPR prior to this EMS unit's arrival. National Element State Element Version 2 Element Usage
Cardiac Arrest
No Yes
No No No 0:M
Optional
Recurrence

Code List
Code 3006001 3006003 3006005 3006007 3006009 Description Family Member First Responder (Fire, Law, EMS) Healthcare Professional (Non-EMS) Lay Person (Non-Family) Other EMS Professional (not part of dispatched response)

Associated with eArrest.05 (CPR Care Provided Prior to EMS Arrival) but only required if CPR was provided prior to EMS arrival. This element is a component of the Utstein Cardiac Arrest Criteria as identified in the American Heart Association journal "Resuscitation" from 2004 entitled "Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports". http://circ.ahajournals.org/cgi/content/full/110/21/3385
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Page 430
eArrest.07
State National
eArrest.07 - AED Use Prior to EMS Arrival Definition Documentation of AED use Prior to EMS Arrival National Element State Element Version 2 Element Usage
Cardiac Arrest
Yes Yes
No Yes Yes 1:1
Required
Recurrence

Code List
Code 3007001 3007003 3007005 Description No Yes, Applied without Defibrillation Yes, With Defibrillation

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Page 431
eArrest.08
State
eArrest.08 - Who Used AED Prior to EMS Arrival Definition Documentation of who used the AED prior to this EMS unit's arrival. National Element State Element Version 2 Element Usage
Cardiac Arrest
No Yes
No No No 0:M
Optional
Recurrence

Code List
Code 3008001 3008003 3008005 3008007 3008009 Description Family Member First Responder (Fire, Law, EMS) Healthcare Professional (Non-EMS) Lay Person (Non-Family) Other EMS Professional (not part of dispatched response)

Associated with eArrest.07 (AED Use Prior to EMS Arrival). This element is a component of the Utstein Cardiac Arrest Criteria as identified in the American Heart Association journal "Resuscitation" from 2004 entitled "Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports". http://circ.ahajournals.org/cgi/content/full/110/21/3385
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Page 432
eArrest.09
State National
eArrest.09 - Type of CPR Provided Definition Documentation of the type/technique of CPR used by EMS. National Element State Element Version 2 Element Usage
Cardiac Arrest
Yes Yes
No Yes Yes 1:M
Required
Recurrence

Code List
Code 3009001 3009003 3009005 3009007 3009009 3009011 3009013 3009015 3009017 3009019 Description Compressions-Continuous Compressions-External Band Type Device Compressions-External Plunger Type Device Compressions-External Thumper Type Device Compressions-Intermittent with Ventilation Compressions-Other Device (Not Listed) Ventilation-Bag Valve Mask Ventilation-Impedance Threshold Device Ventilation-Mouth to Mouth Ventilation-Pocket Mask

Added to capture special CPR techniques.
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Page 433
eArrest.10
State National
eArrest.10 - Therapeutic Hypothermia Initiated Definition Documentation of EMS initiation of Therapeutic Hypothermia. National Element State Element Version 2 Element Usage
Cardiac Arrest
Yes Yes
No Yes Yes 1:1
Required
Recurrence

Code List
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Page 434
eArrest.11
State National
eArrest.11 - First Monitored Arrest Rhythm of the Patient Definition Documentation of what the first monitored arrest rhythm which was noted National Element State Element Version 2 Element Usage
Cardiac Arrest
No Yes Yes 1:1

Code List
Code 3011001 3011003 3011005 3011007 3011009 3011011 3011013 Description Asystole Bradycardia DEPRECATED PEA Unknown AED Non-Shockable Rhythm Unknown AED Shockable Rhythm Ventricular Fibrillation Ventricular Tachycardia-Pulseless

Added term "Arrest" to title to clarify this is the arrest rhythm Values "Other" and "Normal Sinus Rhythm" removed since they are not Cardiac Arrest Rhythms. Value "Ventricular Tachycardia" has been changed to "Ventricular Tachycardia-Pulseless". This element is a component of the Utstein Cardiac Arrest Criteria as identified in the American Heart Association journal "Resuscitation" from 2004 entitled "Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports". http://circ.ahajournals.org/cgi/content/full/110/21/3385
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Page 435
eArrest.12
State National
eArrest.12 - Any Return of Spontaneous Circulation Definition Indication whether or not there was any return of spontaneous circulation. National Element State Element Version 2 Element Usage
Cardiac Arrest
No Yes Yes 1:M

Code List
Code 3012001 3012003 3012005 3012007 Description No Yes, At Arrival at the ED Yes, Prior to Arrival at the ED Yes, Sustained for 20 consecutive minutes

This element is a component of the Utstein Cardiac Arrest Criteria as identified in the American Heart Association journal "Resuscitation" from 2004 entitled "Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports". http://circ.ahajournals.org/cgi/content/full/110/21/3385 This element needs to be documented when the patient has been in cardiac arrest and transported to a healthcare facility to show the change in patient condition, if any. Any ROSC is defined as any brief (approximately >30 seconds) restoration of spontaneous circulation that provides evidence of more than an occasional gasp, occasional fleeting palpable pulse, or arterial waveform.
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Page 436
eArrest.13
eArrest.13 - Neurological Outcome at Hospital Discharge Definition The level of cerebral performance of the patient at the time of discharge from the Hospital National Element State Element Version 2 Element Usage
Cardiac Arrest
No No No 0:1

Code 3013001 3013003 3013005 3013007 Description CPC 1 Good Cerebral Performance CPC 2 Moderate Cerebral Disability CPC 3 Severe Cerebral Disability CPC 4 Coma or Vegetative State

1 = Good Cerebral Performance: Conscious, Alert, able to work and lead a normal life. 2 = Moderate Cerebral Disability: Conscious and able to function independently (dress, travel, prepare food) may have hemiplegia, seizures, or permanent memory or mental changes. 3 = Severe Cerebral Disability: Conscious, dependent on others for daily support, functions only in an institution or at home with exceptional family effort. 4 = Coma or vegetative state: any degree of coma without the presence of all brain death criteria. Unawareness, even if appears awake (vegetative state) without interaction with environment; may have spontaneous eye opening and sleep/awake cycles. Cerebral unresponsiveness. This element is a component of the Utstein Cardiac Arrest Criteria as identified in the American Heart Association journal "Resuscitation" from 2004 entitled "Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports". http://circ.ahajournals.org/cgi/content/full/110/21/3385
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Page 437
eArrest.14
State National
eArrest.14 - Date/Time of Cardiac Arrest Definition The date/time of the cardiac arrest (if not known, please estimate). National Element State Element Version 2 Element Usage
Cardiac Arrest
No Yes Yes 1:1

Constraints
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

This element is a component of the Utstein Cardiac Arrest Criteria as identified in the American Heart Association journal "Resuscitation" from 2004 entitled "Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports". http://circ.ahajournals.org/cgi/content/full/110/21/3385 Changed from estimated time prior to EMS arrival to date/time of cardiac arrest. DateTime consists of finite-length characters of the form: yyyy '-' mm '-' dd 'T' hh ':' mm ':' ss ('.' s+)? (zzzzzz) yyyy '-' mm dd T hh ':' mm ss '.' s+ a four-digit numeral that represents the year separators between parts of the date portion a two-digit numeral that represents the month a two-digit numeral that represents the day separator that indicates time-of-day follows a two-digit numeral that represents the hour a separator between parts of the time-of-day portion a two-digit numeral that represents the minute a two-integer-digit numeral that represents the whole seconds (not required) represents the fractional seconds
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eArrest.15
State
eArrest.15 - Date/Time Resuscitation Discontinued Definition The date/time the CPR was discontinued (or could be time of death) National Element State Element Version 2 Element Usage
Cardiac Arrest
No Yes Yes 0:1

Constraints
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

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eArrest.16
State National
eArrest.16 - Reason CPR/Resuscitation Discontinued Definition The reason that CPR or the resuscitation efforts were discontinued. National Element State Element Version 2 Element Usage
Cardiac Arrest
No Yes Yes 1:1

Code List
Code 3016001 3016003 3016005 3016007 3016009 3016011 Description DNR Medical Control Order Obvious Signs of Death Physically Unable to Perform Protocol/Policy Requirements Completed Return of Spontaneous Circulation (pulse or BP noted)

Added Resuscitation to Title to allow better documentation of disposition.
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eArrest.17
State National
eArrest.17 - Cardiac Rhythm on Arrival at Destination Definition The patient's cardiac rhythm upon delivery or transfer to the destination National Element State Element Version 2 Element Usage
Cardiac Arrest
No Yes Yes 1:M

Code List
Code 9901001 9901003 9901005 9901007 9901009 9901011 9901013 9901015 9901017 9901019 9901021 9901023 9901025 9901027 9901029 9901031 9901033 9901035 9901037 9901039 9901041 9901043 9901045 9901047 9901049 9901051 9901053 9901055 9901057 9901059 9901061 9901063 9901065 9901067 9901069 9901071 Description Agonal/Idioventricular Asystole Artifact Atrial Fibrillation Atrial Flutter AV Block-1st Degree AV Block-2nd Degree-Type 1 AV Block-2nd Degree-Type 2 AV Block-3rd Degree Junctional Left Bundle Branch Block Non-STEMI Anterior Ischemia Non-STEMI Inferior Ischemia Non-STEMI Lateral Ischemia Non-STEMI Posterior Ischemia Other (Not Listed) Paced Rhythm PEA Premature Atrial Contractions Premature Ventricular Contractions Right Bundle Branch Block Sinus Arrhythmia Sinus Bradycardia Sinus Rhythm Sinus Tachycardia STEMI Anterior Ischemia STEMI Inferior Ischemia STEMI Lateral Ischemia STEMI Posterior Ischemia Supraventricular Tachycardia Torsades De Points Unknown AED Non-Shockable Rhythm Unknown AED Shockable Rhythm Ventricular Fibrillation Ventricular Tachycardia (With Pulse) Ventricular Tachycardia (Pulseless)

This element needs to be documented when the patient has been in cardiac or respiratory arrest and transported to a
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healthcare facility to show the change in patient condition, if any. The cardiac rhythm list has been updated to be the same for eVitals.03 (Cardiac Rhythm Electrocardiography (ECG)). They are using the common type: CardiacRhythm. ST segment changes consistent (or not consistent) with STEMI criteria should be documented as Ischemia in the appropriate location
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eArrest.18
State National
eArrest.18 - End of EMS Cardiac Arrest Event Definition The patient's outcome at the end of the EMS event. National Element State Element Version 2 Element Usage
Cardiac Arrest
Yes Yes
No Yes Yes 1:1
Required
Recurrence

Code List
Code 3018001 3018003 3018005 3018007 3018009 3018011 Description Expired in ED Expired in the Field Ongoing Resuscitation in ED ROSC in the Field ROSC in the ED Ongoing Resuscitation by Other EMS


Added to better identify the outcome of EMS cardiac arrest patients.
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Page 443
eHistory
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Legend
S State
D Deprecated
eHistory
1:M 0:M
eHistory.01 - Barriers to Patient Care eHistory.PractitionerGroup

0:1 0:1 0:1
R C
N, L C
eHistory.02 - Last Name of Patient's Practitioner eHistory.03 - First Name of Patient's Practitioner eHistory.04 - Middle Name/Initial of Patient's Practitioner
S S O S O
O O O E E C E C C O O C S O O O O N O O S R N, L, P C E N, L, P N, L, P C N, L C N, L, P C
0:M 0:M 0:M 0:M 0:M 0:M
eHistory.05 - Advance Directives eHistory.06 - Medication Allergies eHistory.07 - Environmental/Food Allergies eHistory.08 - Medical/Surgical History eHistory.09 - Medical History Obtained From eHistory.ImmunizationsGroup
0:1 0:1
eHistory.10 - The Patient's Type of Immunization eHistory.11 - Immunization Date
0:M
eHistory.CurrentMedsGroup
0:1 0:1 0:1 0:1
eHistory.12 - Current Medications eHistory.13 - Current Medication Dose eHistory.14 - Current Medication Dosage Unit eHistory.15 - Current Medication Administration Route
0:1 1:M 0:1 0:1
eHistory.16 - Presence of Emergency Information Form eHistory.17 - Alcohol/Drug Use Indicators eHistory.18 - Pregnancy eHistory.19 - Last Oral Intake
L, P
eHistory
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eHistory.01
State National
eHistory.01 - Barriers to Patient Care Definition Indication of whether or not there were any patient specific barriers to serving the patient at the scene National Element State Element Version 2 Element Usage Attributes
No Yes Yes 1:M
Code List
Code 3101001 3101003 3101005 3101007 3101009 3101011 3101013 3101015 3101017 3101019 3101021 3101023 3101025 3101027 3101029 Description Cultural, Custom, Religious Developmentally Impaired Hearing Impaired Language None Noted Obesity Physical Barrier (Unable to Access Patient) Physically Impaired Physically Restrained Psychologically Impaired Sight Impaired Speech Impaired Unattended or Unsupervised (including minors) Unconscious Uncooperative

Added Obesity, Sight Impaired, Psychologically Impaired
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eHistory.02
eHistory.02 - Last Name of Patient's Practitioner Definition The last name of the patient's practitioner National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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eHistory.03
eHistory.03 - First Name of Patient's Practitioner Definition The first name of the patient's practitioner National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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eHistory.04
eHistory.04 - Middle Name/Initial of Patient's Practitioner Definition The middle name or initial of the patient's practitioner. National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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Page 449
eHistory.05
State
eHistory.05 - Advance Directives Definition The presence of a valid DNR form, living will, or document directing end of life or healthcare treatment decisions. National Element State Element Version 2 Element Usage

Pediatric STEMI

Stroke Trauma
No Yes Yes 0:M

Code List
Code 3105001 3105003 3105005 3105007 3105009 3105011 Description Family/Guardian request DNR (but no documentation) Living Will None Other (Not Listed) Other Healthcare Advanced Directive Form State EMS DNR or Medical Order Form

Advanced Directive and Do Not Resuscitate are both included in this data element.
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eHistory.06
State
eHistory.06 - Medication Allergies Definition The patient's medication allergies National Element State Element Version 2 Element Usage Attributes
NOT Values (NV) 7701001 - Not Applicable Pertinent Negatives (PN) 8801013 - No Known Drug Allergy CorrelationID Data Type: string CodeType 9924001 - ICD10 7701003 - Not Recorded 8801019 - Refused 7701005 - Not Reporting 8801023 - Unable to Complete maxLength: 255
Yes Yes Yes 0:M
minLength: 0 9924003 - RxNorm
Constraints
Pattern (Z88\.[0-9])|([a-zA-Z0-9]{2,7})

The list of medication allergies is based on RxNorm (RXCUI) Codes. In addition, a specific list of ICD-10 CM codes can be used for medication groups. Reference the NEMSIS Suggested Lists at: http://nemsis.org/v3/resources.html Code list is represented in two separate UMLS datasets: 1) ICD-10 Codes. 2) RxNorm Website - http://uts.nlm.nih.gov Product - UMLS Metathesaurus Website - http://www.nlm.nih.gov/research/umls/rxnorm/docs/rxnormfiles.html Product - RxNorm Full Monthly Release
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eHistory.07
eHistory.07 - Environmental/Food Allergies Definition The patient's known allergies to food or environmental agents. National Element State Element Version 2 Element Usage Attributes
No No No 0:M
Constraints

Data Element Comment Section: Code list is represented in SNOMEDCT. Reference the NEMSIS Suggested Lists at: http://nemsis.org/v3/resources.html SNOMEDCT Website: http://www.nlm.nih.gov/research/umls/Snomed/snomed_main.html Product: Product - UMLS Metathesaurus
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Page 452
eHistory.08
State
eHistory.08 - Medical/Surgical History Definition The patient's pre-existing medical and surgery history of the patient National Element State Element Version 2 Element Usage Attributes
NOT Values (NV) 7701001 - Not Applicable Pertinent Negatives (PN) 8801015 - None Reported 8801021 - Unresponsive CorrelationID Data Type: string 7701003 - Not Recorded 8801019 - Refused 8801023 - Unable to Complete
Yes Yes Yes 0:M
minLength: 0
maxLength: 255
Constraints
Pattern ([A-QSTZ][0-9]{2})((\.[0-9A-Z]{1,3})?)

Code list is represented by ICD-10-CM. Reference the NEMSIS Suggested Lists at: http://nemsis.org/v3/resources.html ICD-10-CM Website - http://uts.nlm.nih.gov Product - UMLS Metathesaurus
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Page 453
eHistory.09
eHistory.09 - Medical History Obtained From Definition Type of person medical history obtained from National Element State Element Version 2 Element Usage Attributes
No No No 0:M
Code List
Code 3109001 3109003 3109005 3109007 Description Bystander/Other Family Health Care Personnel Patient
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Page 454
eHistory.10
eHistory.10 - The Patient's Type of Immunization Definition The immunization type of the patient. National Element State Element Version 2 Element Usage Code List
Code 9910001 9910003 9910005 9910007 9910009 9910011 9910013 9910015 9910017 9910019 9910021 9910023 9910025 9910027 9910029 9910031 9910033 9910035 9910037 9910039 9910041 9910043 9910045 9910047 9910049 9910051 Description Anthrax Cholera DPT (Diphtheria, Pertussis, Tetanus) Hemophilus Influenza B Hepatitis A Hepatitis B Human Papilloma Virus (HPV) Influenza-H1N1 Influenza-Other Influenza-Seasonal (In past 12 months) Lyme Disease Meningococcus MMR (Measles, Mumps, Rubella) Other-Not Listed Plague Pneumococcal (Pneumonia) Polio Rabies Rotavirus Shingles Small Pox Tetanus Tuberculosis Typhoid Varicella (Chickenpox) Yellow Fever
No No No 0:1
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eHistory.11
eHistory.11 - Immunization Date Definition The year associated with each immunization type National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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Page 456
eHistory.12
State
eHistory.12 - Current Medications Definition The medications the patient currently takes National Element State Element Version 2 Element Usage Attributes
NOT Values (NV) 7701001 - Not Applicable Pertinent Negatives (PN) 8801015 - None Reported 8801023 - Unable to Complete 7701003 - Not Recorded 8801019 - Refused 7701005 - Not Reporting 8801021 - Unresponsive
Yes Yes Yes 0:1
Constraints

List of medications based on RxNorm (RXCUI) code. Reference the NEMSIS Suggested Lists at: http://nemsis.org/v3/resources.html RxNorm Website - http://uts.nlm.nih.gov Product - UMLS Metathesaurus Website - http://www.nlm.nih.gov/research/umls/rxnorm/docs/rxnormfiles.html Product - RxNorm Full Monthly Release
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eHistory.13
eHistory.13 - Current Medication Dose Definition The numeric dose or amount of the patient's current medication National Element State Element Version 2 Element Usage Constraints
No No No 0:1

Associated with eHistory.12 (Current Medications)
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eHistory.14
eHistory.14 - Current Medication Dosage Unit Definition The dosage unit of the patient's current medication National Element State Element Version 2 Element Usage Code List
Code 3114001 3114003 3114005 3114007 3114009 3114011 3114013 3114015 3114017 3114019 3114021 3114023 3114025 3114027 3114029 3114031 3114033 3114035 3114037 3114039 3114041 3114043 3114045 Description cm gms gtts (drops) inches iu kvo (keep vein open) l/min (fluid administration) liters LPM (gas administration) mcg mcg/kg/min mcg/min meq metered dose mg mg/kg mg/kg/min mg/min ml ml/hr other (Not Listed) puffs units/hr
No No No 0:1
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eHistory.15
eHistory.15 - Current Medication Administration Route Definition The administration route (po, SQ, etc.) of the patient's current medication National Element State Element Version 2 Element Usage Code List
Code 9927001 9927003 9927005 9927007 9927009 9927011 9927013 9927015 9927017 9927019 9927021 9927023 9927025 9927027 9927029 9927031 9927033 9927035 9927037 9927039 9927041 9927043 9927045 9927047 9927049 9927051 9927053 9927055 9927057 9927059 Description Blow-By Buccal Endotracheal Tube (ET) Gastrostomy Tube Inhalation Intraarterial Intradermal Intramuscular (IM) Intranasal Intraocular Intraosseous (IO) Intravenous (IV) Nasal Cannula Nasogastric Nasotracheal Tube Non-Rebreather Mask Ophthalmic Oral Other/miscellaneous Otic Re-breather mask Rectal Subcutaneous Sublingual Topical Tracheostomy Transdermal Urethral Ventimask Wound
No No No 0:1
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eHistory.16
eHistory.16 - Presence of Emergency Information Form Definition Indication of the presence of the Emergency Information Form associated with patient's with special healthcare needs. National Element State Element Version 2 Element Usage Code List
No No No 0:1
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Page 461
eHistory.17
State National
eHistory.17 - Alcohol/Drug Use Indicators Definition Indicators for the potential use of alcohol or drugs by the patient related to the patient's current illness or injury. National Element State Element Version 2 Element Usage
Trauma
Yes Yes Yes 1:M

NOT Values (NV) 7701001 - Not Applicable Pertinent Negatives (PN) 8801015 - None Reported CorrelationID Data Type: string 7701003 - Not Recorded 8801019 - Refused minLength: 0 8801023 - Unable to Complete maxLength: 255
Code List
Code 3117001 3117003 3117005 3117007 3117009 3117011 Description Alcohol Containers/Paraphernalia at Scene Drug Paraphernalia at Scene Patient Admits to Alcohol Use Patient Admits to Drug Use Positive Level known from Law Enforcement or Hospital Record Smell of Alcohol on Breath
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eHistory.18
eHistory.18 - Pregnancy Definition Indication of the possibility by the patient's history of current pregnancy. National Element State Element Version 2 Element Usage Attributes
Pertinent Negatives (PN) 8801019 - Refused 8801023 - Unable to Complete
Yes No Yes 0:1
Code List
Code 3118001 3118003 3118005 3118007 3118009 3118011 Description No Possible, Unconfirmed Yes, Confirmed 12 to 20 Weeks Yes, Confirmed Greater Than 20 Weeks Yes, Confirmed Less Than 12 Weeks Yes, Weeks Unknown
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eHistory.19
eHistory.19 - Last Oral Intake Definition Date and Time of last oral intake. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}


Added to better document last oral intake.
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eNarrative
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Legend
S State
D Deprecated
eNarrative
0:1
eNarrative.01 - Patient Care Report Narrative
N, L
eNarrative
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eNarrative.01
State
eNarrative.01 - Patient Care Report Narrative Definition The narrative of the patient care report (PCR). National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Constraints
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eVitals
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Legend
S State
D Deprecated
eVitals
1:M
eVitals.VitalGroup
1:1 1:1 1:1
C N N S S R R N, L N, L C N N N S S S R R R N, L, P C N, L N, L C
eVitals.01 - Date/Time Vital Signs Taken eVitals.02 - Obtained Prior to this Unit's EMS Care eVitals.CardiacRhythmGroup
1:M 1:1 1:M
eVitals.03 - Cardiac Rhythm / Electrocardiography (ECG) eVitals.04 - ECG Type eVitals.05 - Method of ECG Interpretation
1:1
eVitals.BloodPressureGroup
1:1 0:1 1:1 0:1
eVitals.06 - SBP (Systolic Blood Pressure) eVitals.07 - DBP (Diastolic Blood Pressure) eVitals.08 - Method of Blood Pressure Measurement eVitals.09 - Mean Arterial Pressure
N S N O
S E S
N, L, P
N, L, P R N, L
1:1
eVitals.HeartRateGroup
1:1 0:1
eVitals.10 - Heart Rate eVitals.11 - Method of Heart Rate Measurement

N O N O N S N S E S S S
N O R
N, L, P
1:1 0:1 1:1 0:1 1:1 0:1 1:1 1:1
eVitals.12 - Pulse Oximetry eVitals.13 - Pulse Rhythm eVitals.14 - Respiratory Rate eVitals.15 - Respiratory Effort eVitals.16 - Carbon Dioxide (CO2) eVitals.17 - Carbon Monoxide (CO) eVitals.18 - Blood Glucose Level eVitals.GlasgowScoreGroup
1:1 1:1 1:1 1:M 0:1
N, L, P
N, L, P
N, L, P
N, L, P R N, L, P
eVitals.19 - Glasgow Coma Score-Eye eVitals.20 - Glasgow Coma Score-Verbal eVitals.21 - Glasgow Coma Score-Motor eVitals.22 - Glasgow Coma Score-Qualifier eVitals.23 - Total Glasgow Coma Score
N N N N S
S S S S E
R R R R
N, L, P N, L, P N, L, P N, L C
N, L, P
0:1
eVitals.TemperatureGroup
0:1 0:1
eVitals.24 - Temperature eVitals.25 - Temperature Method

N S
S O R
N, L, P
1:1
eVitals.26 - Level of Responsiveness (AVPU)
N, L
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1:1
eVitals.PainScaleGroup
1:1 0:1
eVitals.27 - Pain Scale Score eVitals.28 - Pain Scale Type
N S
S E
N, L, P
N, L
1:1
eVitals.StrokeScaleGroup
1:1 1:1
eVitals.29 - Stroke Scale Score eVitals.30 - Stroke Scale Type

N O O S
N N R
S S
R R
N, L, P N, L
1:1 0:1 0:1
eVitals.31 - Reperfusion Checklist eVitals.32 - APGAR eVitals.33 - Revised Trauma Score
N, L, P
L, P L, P
eVitals
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eVitals.01
State National
eVitals.01 - Date/Time Vital Signs Taken Definition The date/time vital signs were taken on the patient. National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
No Yes Yes 1:1

Constraints
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

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eVitals.02
State National
eVitals.02 - Obtained Prior to this Unit's EMS Care Definition Indicates that the information which is documented was obtained prior to the documenting EMS units care. National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
No Yes Yes 1:1

Code List

This is the NEMSIS Version 3 method to document prior aid.
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eVitals.03
State National
eVitals.03 - Cardiac Rhythm / Electrocardiography (ECG) Definition The cardiac rhythm / ECG and other electrocardiography findings of the patient as interpreted by EMS personnel. National Element State Element Version 2 Element Usage
Cardiac Arrest STEMI
Yes Yes Yes 1:M

NOT Values (NV) 7701001 - Not Applicable Pertinent Negatives (PN) 8801019 - Refused CorrelationID Data Type: string 7701003 - Not Recorded 8801023 - Unable to Complete minLength: 0 maxLength: 255
Code List
Code 9901001 9901003 9901005 9901007 9901009 9901011 9901013 9901015 9901017 9901019 9901021 9901023 9901025 9901027 9901029 9901031 9901033 9901035 9901037 9901039 9901041 9901043 9901045 9901047 9901049 9901051 9901053 9901055 9901057 9901059 9901061 9901063 9901065 9901067 9901069 9901071 Description Agonal/Idioventricular Asystole Artifact Atrial Fibrillation Atrial Flutter AV Block-1st Degree AV Block-2nd Degree-Type 1 AV Block-2nd Degree-Type 2 AV Block-3rd Degree Junctional Left Bundle Branch Block Non-STEMI Anterior Ischemia Non-STEMI Inferior Ischemia Non-STEMI Lateral Ischemia Non-STEMI Posterior Ischemia Other (Not Listed) Paced Rhythm PEA Premature Atrial Contractions Premature Ventricular Contractions Right Bundle Branch Block Sinus Arrhythmia Sinus Bradycardia Sinus Rhythm Sinus Tachycardia STEMI Anterior Ischemia STEMI Inferior Ischemia STEMI Lateral Ischemia STEMI Posterior Ischemia Supraventricular Tachycardia Torsades De Points Unknown AED Non-Shockable Rhythm Unknown AED Shockable Rhythm Ventricular Fibrillation Ventricular Tachycardia (With Pulse) Ventricular Tachycardia (Pulseless)
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Page 474
eVitals.04
State National
eVitals.04 - ECG Type Definition The type of ECG associated with the cardiac rhythm. National Element State Element Version 2 Element Usage
STEMI
Yes Yes
No Yes Yes 1:1
Required
Recurrence

Code List
Code 3304001 3304003 3304005 3304007 3304009 3304011 3304013 3304015 Description 3 Lead 4 Lead 5 Lead 12 Lead-Left Sided (Normal) 12 Lead-Right Sided 15 Lead 18 Lead Other (AED, Not Listed)

Added to better document ECG results.
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Page 475
eVitals.05
State National
eVitals.05 - Method of ECG Interpretation Definition The method of ECG interpretation. National Element State Element Version 2 Element Usage
STEMI
Yes Yes
No Yes Yes 1:M
Required
Recurrence

Code List
Code 3305001 3305003 3305005 3305007 Description Computer Interpretation Manual Interpretation Transmission with No Interpretation Transmission with Remote Interpretation

"Transmission with no interpretation" may be used by EMS Agency Personnel that are not trained to interpret cardiac rhythms.

Added to better document ECG results.
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Page 476
eVitals.06
State National
eVitals.06 - SBP (Systolic Blood Pressure) Definition The patient's systolic blood pressure. National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
Yes Yes Yes 1:1

NOT Values (NV) 7701001 - Not Applicable Pertinent Negatives (PN) 8801005 - Exam Finding Not Present 7701003 - Not Recorded 8801019 - Refused 8801023 - Unable to Complete
Constraints

Required for ACS-Field Triage and other patient scoring systems.
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Page 477
eVitals.07
State
eVitals.07 - DBP (Diastolic Blood Pressure) Definition The patient's diastolic blood pressure. National Element State Element Version 2 Element Usage Attributes
NOT Values (NV) 7701001 - Not Applicable Pertinent Negatives (PN) 8801005 - Exam Finding Not Present 7701003 - Not Recorded 8801019 - Refused 7701005 - Not Reporting 8801023 - Unable to Complete
Yes Yes Yes 0:1
Constraints
Pattern [5][0][0]|[1-4][0-9][0-9]|[0]|[1-9][0-9]|P|p

Diastolic blood pressure pattern allows for the following values: 1) A number 0 through 500 2) P 3) p
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Page 478
eVitals.08
State National
eVitals.08 - Method of Blood Pressure Measurement Definition Indication of method of blood pressure measurement. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 1:1
Code List
Code 3308001 3308003 3308005 3308007 3308009 3308011 Description Arterial Line Doppler Cuff-Automated Cuff-Manual Auscultated Cuff-Manual Palpated Only Venous Line
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Page 479
eVitals.09
eVitals.09 - Mean Arterial Pressure Definition The patient's mean arterial pressure. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Added for additional patient monitoring capability.
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Page 480
eVitals.10
State National
eVitals.10 - Heart Rate Definition The patient's heart rate expressed as a number per minute. National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
Yes Yes Yes 1:1

Constraints

Pulse Rate and Electronic Monitor Rate have been merged with an additional data element for Method of Heart Rate Measurement.
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Page 481
eVitals.11
eVitals.11 - Method of Heart Rate Measurement Definition The method in which the Heart Rate was measured. Values include auscultated, palpated, electronic monitor). National Element State Element Version 2 Element Usage Code List
Code 3311001 3311003 3311005 3311007 3311009 3311011 Description Auscultated Doppler Electronic Monitor - Cardiac Electronic Monitor - Pulse Oximeter Electronic Monitor (Other) Palpated
No No
No No No 0:1
Optional
Recurrence

This data element was added when Pulse Rate and Electronic Monitor Rate were merged as EVitals.10.

This data element was added when Pulse Rate and Electronic Monitor Rate were merged as EVitals.10.
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Page 482
eVitals.12
State National
eVitals.12 - Pulse Oximetry Definition The patient's oxygen saturation. National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
Yes Yes Yes 1:1

Constraints
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Page 483
eVitals.13
eVitals.13 - Pulse Rhythm Definition The clinical rhythm of the patient's pulse. National Element State Element Version 2 Element Usage Code List
Code 3313001 3313003 3313005 Description Irregularly Irregular Regular Regularly Irregular
No No No 0:1
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Page 484
eVitals.14
State National
eVitals.14 - Respiratory Rate Definition The patient's respiratory rate expressed as a number per minute. National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
Yes Yes Yes 1:1

Constraints
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Page 485
eVitals.15
eVitals.15 - Respiratory Effort Definition The patient's respiratory effort. National Element State Element Version 2 Element Usage Code List
Code 3315001 3315003 3315005 3315007 3315009 3315011 3315013 Description Apneic Labored Mechanically Assisted (BVM, CPAP,etc) Normal Rapid Shallow Weak/Agonal
No No No 0:1
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Page 486
eVitals.16
State National
eVitals.16 - Carbon Dioxide (CO2) Definition The numeric value of the patient's end-tidal CO2 level. National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
Yes Yes Yes 1:1

NOT Values (NV) 7701001 - Not Applicable Pertinent Negatives (PN) 8801019 - Refused 7701003 - Not Recorded 8801023 - Unable to Complete
Constraints

Generally the numeric CO2 level is measured in millimeters of mercury (mmHg). End-tidal is the same as exhaled.
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Page 487
eVitals.17
State
eVitals.17 - Carbon Monoxide (CO) Definition The patient's carbon monoxide level measured in %COHb. National Element State Element Version 2 Element Usage Attributes
No Yes
Yes Yes Yes 0:1
Recommended
Recurrence
Constraints

Added to allow use of a new patient monitoring device
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Page 488
eVitals.18
State National
eVitals.18 - Blood Glucose Level Definition The patient's blood glucose level. National Element State Element Version 2 Element Usage
Pediatric Stroke
Yes Yes Yes 1:1

Constraints
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Page 489
eVitals.19
State National
eVitals.19 - Glasgow Coma Score-Eye Definition The patient's Glasgow Coma Score Eye opening. National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
Yes Yes Yes 1:1

Code List
Code 1 2 3 4 Description No eye movement when assessed (All Age Groups) Opens Eyes to painful stimulation (All Age Groups) Opens Eyes to verbal stimulation (All Age Groups) Opens Eyes spontaneously (All Age Groups)

Definitions now based on the National Trauma Data Standard (NTDS).
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Page 490
eVitals.20
State National
eVitals.20 - Glasgow Coma Score-Verbal Definition The patient's Glasgow Coma Score Verbal. National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
Yes Yes Yes 1:1

Code List
Code 1 2 3 4 5 Description No verbal/vocal response (All Age Groups) Incomprehensible sounds (>2 Years); Inconsolable, agitated Inappropriate words (>2 Years); Inconsistently consolable, moaning Confused (>2 Years); Cries but is consolable, inappropriate interactions Oriented (>2 Years); Smiles, oriented to sounds, follows objects, interacts

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Page 491
eVitals.21
State National
eVitals.21 - Glasgow Coma Score-Motor Definition The patient's Glasgow Coma Score Motor National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
Yes Yes Yes 1:1

Code List
Code 1 2 3 4 5 6 Description No Motor Response (All Age Groups) Extension to pain (All Age Groups) Flexion to pain (All Age Groups) Withdrawal from pain (All Age Groups) Localizing pain (All Age Groups) Obeys commands (>2Years); Appropriate response to stimulation

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Page 492
eVitals.22
State National
eVitals.22 - Glasgow Coma Score-Qualifier Definition Documentation of factors which make the GCS score more meaningful. National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
No Yes Yes 1:M

Code List
Code 3322001 3322003 3322005 3322007 3322009 Description Eye Obstruction Prevents Eye Assessment Initial GCS has legitimate values without interventions such as intubation and sedation Patient Chemically Paralyzed Patient Chemically Sedated Patient Intubated

www.NEMSIS.org
Page 493
eVitals.23
State
eVitals.23 - Total Glasgow Coma Score Definition The patient's total Glasgow Coma Score. National Element State Element Version 2 Element Usage

Pediatric STEMI

Stroke Trauma
Yes Yes Yes 0:1

Constraints

Can be documented or calculated from EVitals.19 (GCS-Eye), EVitals.20 (GCS-Verbal), and EVitals.21 (GCS-Motor).
www.NEMSIS.org
Page 494
eVitals.24
State
eVitals.24 - Temperature Definition The patient's body temperature in degrees Celsius/centigrade. National Element State Element Version 2 Element Usage
Pediatric
Yes Yes Yes 0:1

Constraints
Data Type decimal totalDigits 3 fractionDigits 1 minInclusive 0 maxInclusive 50
www.NEMSIS.org
Page 495
eVitals.25
eVitals.25 - Temperature Method Definition The method used to obtain the patient's body temperature. National Element State Element Version 2 Element Usage Code List
Code 3325001 3325003 3325005 3325007 3325009 3325011 3325013 3325015 3325017 Description Axillary Central (Venous or Arterial) Esophageal Oral Rectal Temporal Artery Tympanic Urinary Catheter Skin Probe
No No No 0:1
www.NEMSIS.org
Page 496
eVitals.26
State National
eVitals.26 - Level of Responsiveness (AVPU) Definition The patient's highest level of responsiveness. National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
No Yes Yes 1:1

Code List
Code 3326001 3326003 3326005 3326007 Description Alert Verbal Painful Unresponsive

Definition changed to indicate highest level of responsiveness.
www.NEMSIS.org
Page 497
eVitals.27
State National
eVitals.27 - Pain Scale Score Definition The patient's indication of pain from a scale of 0-10. National Element State Element Version 2 Element Usage
Pediatric STEMI Trauma
Yes Yes Yes 1:1

Constraints

The Pain Score can be obtained from several pain measurement tools or pain scale types (eVitals.28). The pain scale type used should have a numeric value associated with each diagram as appropriate. If the pain scale type utilizes multiple indicators/categories the total should be calculated and entered for the pain score associated with the patient assessment.
www.NEMSIS.org
Page 498
eVitals.28
State
eVitals.28 - Pain Scale Type Definition The type of pain scale used. National Element State Element Version 2 Element Usage Attributes
No Yes
No Yes Yes 0:1
Recommended
Recurrence
Code List
Code 3328001 3328003 3328005 3328007 Description FLACC (Face, Legs, Activity, Cry, Consolability) Numeric (0-10) Other (Not Listed) Wong-Baker (FACES)

Added to better document the patient's pain level.
www.NEMSIS.org
Page 499
eVitals.29
State National
eVitals.29 - Stroke Scale Score Definition The findings or results of the Stroke Scale Type (eVitals.30) used to assess the patient exhibiting stroke-like symptoms. National Element State Element Version 2 Element Usage
Stroke
Yes Yes Yes 1:1

Code List
Code 3329001 3329003 3329005 Description Negative Non-Conclusive Positive
www.NEMSIS.org
Page 500
eVitals.30
State National
eVitals.30 - Stroke Scale Type Definition The type of stroke pain scale used. National Element State Element Version 2 Element Usage
Stroke
Yes Yes
No Yes Yes 1:1
Required
Recurrence

Code List
Code 3330001 3330003 3330005 3330007 3330009 3330011 3330013 Description Cincinnati Los Angeles Massachusetts Miami Emergency Neurologic Deficit (MEND) NIH Other Stroke Scale Type F.A.S.T. Exam

Added to include additional detail on the stroke scale used.
www.NEMSIS.org
Page 501
eVitals.31
State National
eVitals.31 - Reperfusion Checklist Definition The results of the patient's Reperfusion Checklist for potential Thrombolysis use. National Element State Element Version 2 Element Usage
STEMI Stroke
Yes Yes Yes 1:1

Code List
Code 3331001 3331003 3331005 Description Definite Contraindications to Thrombolytic Use No Contraindications to Thrombolytic Use Possible Contraindications to Thrombolytic Use

Name changed from Thrombolytic Screen
www.NEMSIS.org
Page 502
eVitals.32
eVitals.32 - APGAR Definition The patient's total APGAR score (0-10). National Element State Element Version 2 Element Usage Attributes
Pertinent Negatives (PN) 8801023 - Unable to Complete
Yes No Yes 0:1
Constraints

Recommended to be taken at 1 and 5 minutes after the infants birth
www.NEMSIS.org
Page 503
eVitals.33
eVitals.33 - Revised Trauma Score Definition The patient's Revised Trauma Score. National Element State Element Version 2 Element Usage
Trauma
Yes No Yes 0:1

Pertinent Negatives (PN) 8801019 - Refused 8801023 - Unable to Complete
Constraints
www.NEMSIS.org
Page 504
eLabs
www.NEMSIS.org
Page 505
Legend
S State
D Deprecated
eLabs
0:M
eLabs.LabGroup
0:1 0:1 0:M
C O O C O O C O O C O O
eLabs.01 - Date/Time of Laboratory or Imaging Result eLabs.02 - Study/Result Prior to this Unit's EMS Care eLabs.LabResultGroup
0:1 0:1
eLabs.03 - Laboratory Result Type eLabs.04 - Laboratory Result
0:M
eLabs.LabImageGroup
0:1 0:1 0:M
eLabs.05 - Imaging Study Type eLabs.06 - Imaging Study Results eLabs.WaveformGraphicGroup

0:1 0:1
eLabs.07 - Imaging Study File or Waveform Graphic Type eLabs.08 - Imaging Study File or Waveform Graphic
eLabs
www.NEMSIS.org
Page 506
eLabs.01
eLabs.01 - Date/Time of Laboratory or Imaging Result Definition The data and time for the specific laboratory result National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}


Added to better document patient care.
www.NEMSIS.org
Page 507
eLabs.02
eLabs.02 - Study/Result Prior to this Unit's EMS Care Definition Indicates that the laboratory result occurred prior to this EMS units care. National Element State Element Version 2 Element Usage Code List
No No
No No No 0:1
Optional
Recurrence

Added to better document EMS care.
www.NEMSIS.org
Page 508
eLabs.03
eLabs.03 - Laboratory Result Type Definition The type of the laboratory value. National Element State Element Version 2 Element Usage Code List
Code 3403001 3403003 3403005 3403007 3403009 3403013 3403015 3403017 3403019 3403021 3403023 3403025 3403027 3403029 3403033 3403035 3403037 3403039 3403041 3403043 3403045 3403047 3403049 3403051 3403053 3403055 3403057 3403059 3403061 3403063 3403065 3403067 3403071 3403073 3403075 3403077 3403079 3403081 3403083 3403085 3403087 3403089 3403091 3403093 3403095 3403097 3403099 3403101 3403103 3403105 3403107 Description Alanine Transaminase Alcohol-Blood Alcohol-Breath Alkaline Phosphatase Amylase Aspartate Transaminase B-Type Natriuretic Peptide (BNP) Base Excess Bilirubin-Direct Bilirubin-Total BUN Calcium-Ionized Calcium-Serum Carbon Dioxide-Partial Pressure Chloride Creatine Kinase Creatine Kinase-MB Creatinine Gamma Glutamyl Transpeptidase Glucose Hematocrit Hemoglobin Human Chorionic Gonadotropin-Serum Human Chorionic Gonadotropin-Urine International Normalized Ratio (INR) Lactate Dehydrogenase Lactate-Arterial Lactate-Venous Lipase Magnesium Oxygen-Partial Pressure Partial Thromboplastin Time pH-ABG pH-Venous Platelets Potassium Prothrombin Time Red Blood Cells Sodium Troponin White Blood Cells Ammonia Bicarbonate (HCO3) Carboxyhemoglobin CO2, Total (Bicarbonate) CRP (C-Reactive Protein) Dilantin Leukocytes Nitrates Phenobarbital Protein
No No
No No No 0:1
Optional
Recurrence
www.NEMSIS.org
Page 509
3403109 3403111 3403113
Salicylate Specific Gravity Tylenol

Added to provide for the documentation of laboratory results obtained prior to or during and EMS patient encounter.
www.NEMSIS.org
Page 510
eLabs.04
eLabs.04 - Laboratory Result Definition The value or result of the laboratory test (Units may vary). National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Added to better document EMS care.
www.NEMSIS.org
Page 511
eLabs.05
eLabs.05 - Imaging Study Type Definition The type of x-ray or imaging study. National Element State Element Version 2 Element Usage Code List
Code 3405001 3405003 3405005 3405007 3405009 3405011 3405013 Description CAT Scan Magnetic Resonance Imaging (MRI) Other (Not Listed) PET Scan Ultrasound X-ray Angiography
No No
No No No 0:1
Optional
Recurrence

Added to better describe the EMS patient care.
www.NEMSIS.org
Page 512
eLabs.06
eLabs.06 - Imaging Study Results Definition The description or interpretation of the results of the imaging study. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Added to better describe the EMS Patient Care
www.NEMSIS.org
Page 513
eLabs.07
eLabs.07 - Imaging Study File or Waveform Graphic Type Definition The description of the image study file or waveform graphic stored in Imaging Study File or Waveform Graphic (eLabs.08). National Element State Element Version 2 Element Usage
No No
No No No 0:1
Optional
Recurrence


The description is defined as the extension of the file type. Examples of file name extensions include "doc", "jpeg", "tiff", etc. For a list of additional extensions reference the following website(s): 3D Image formats: http://www.fileinfo.com/filetypes/3d_image Raster Image formats: http://www.fileinfo.com/filetypes/raster_image Vector Image formats: http://www.fileinfo.com/filetypes/vector_image Video formats: http://www.fileinfo.com/filetypes/video Audio formats: http://www.fileinfo.com/filetypes/audio Comparison of formats: Image: http://en.wikipedia.org/wiki/Comparison_of_image_file_formats Audio: http://en.wikipedia.org/wiki/Audio_file_format Container: http://en.wikipedia.org/wiki/Comparison_of_container_formats A general list of image formats: http://en.wikipedia.org/wiki/Image_file_formats Mime Types: http://en.wikipedia.org/wiki/Internet_media_type
www.NEMSIS.org
Page 514
eLabs.08
eLabs.08 - Imaging Study File or Waveform Graphic Definition The imaging study file. National Element State Element Version 2 Element Usage
No No
No No No 0:1
Optional
Recurrence

Data Type base64Binary

Added to allow the imaging file to be uploaded and better document patient care.
www.NEMSIS.org
Page 515
eExam
www.NEMSIS.org
Page 516
Legend
S State
D Deprecated
eExam
0:1 0:1 0:M
eExam.01 - Estimated Body Weight in Kilograms eExam.02 - Length Based Tape Measure eExam.AssessmentGroup
0:1 0:M 0:M 0:M 0:M 0:M 0:M 0:M
S S
E E
N, L, P N, L, P C
eExam.03 - Date/Time of Assessment eExam.04 - Skin Assessment eExam.05 - Head Assessment eExam.06 - Face Assessment eExam.07 - Neck Assessment eExam.08 - Chest/Lungs Assessment eExam.09 - Heart Assessment eExam.AbdomenGroup
0:1 0:M
O O O O O O O P C P C P C P C P C P C C O O O P C C O O P C C O O P C C O O O O P C P C P C P C
eExam.10 - Abdominal Assessment Finding Location eExam.11 - Abdomen Assessment
0:M 0:M
eExam.12 - Pelvis/Genitourinary Assessment eExam.SpineGroup

0:1 0:M
eExam.13 - Back and Spine Assessment Finding Location eExam.14 - Back and Spine Assessment
0:M
eExam.ExtremityGroup
0:1 0:M
eExam.15 - Extremity Assessment Finding Location eExam.16 - Extremities Assessment
0:M
eExam.EyeGroup
0:1 0:M
eExam.17 - Eye Assessment Finding Location eExam.18 - Eye Assessment
0:M 0:M
eExam.19 - Mental Status Assessment eExam.20 - Neurological Assessment
eExam
www.NEMSIS.org
Page 517
eExam.01
State
eExam.01 - Estimated Body Weight in Kilograms Definition The patient's body weight in kilograms either measured or estimated National Element State Element Version 2 Element Usage
Pediatric
Yes Yes Yes 0:1

NOT Values (NV) 7701001 - Not Applicable Pertinent Negatives (PN) 8801023 - Unable to Complete 7701003 - Not Recorded 7701005 - Not Reporting
Constraints
Data Type decimal totalDigits 4 fractionDigits 1 minInclusive 0.1 maxInclusive 999.9
www.NEMSIS.org
Page 518
eExam.02
State
eExam.02 - Length Based Tape Measure Definition The length-based color as taken from the tape. National Element State Element Version 2 Element Usage
Pediatric
Yes Yes Yes 0:1

Code List
Code 3502001 3502003 3502005 3502007 3502009 3502011 3502013 3502015 3502017 Description Blue Green Grey Orange Pink Purple Red White Yellow
www.NEMSIS.org
Page 519
eExam.03
eExam.03 - Date/Time of Assessment Definition The date/time of the assessment National Element State Element Version 2 Element Usage
Airway Stroke Cardiac Arrest
No No No 0:1

Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

www.NEMSIS.org
Page 520
eExam.04
eExam.04 - Skin Assessment Definition The assessment findings associated with the patient's skin. National Element State Element Version 2 Element Usage Attributes
Pertinent Negatives (PN) 8801005 - Exam Finding Not Present CorrelationID Data Type: string minLength: 0 maxLength: 255
Yes No No 0:M
Code List
Code 3504001 3504003 3504005 3504007 3504009 3504011 3504013 3504015 3504017 3504019 3504021 3504023 3504025 3504027 3504029 3504031 3504033 Description Clammy Cold Cyanotic Diaphoretic Dry Flushed Hot Jaundiced Lividity Mottled Normal Not Done Pale Poor Turgor Red (Erythematous) Tenting Warm

Element eExam.04 - Skin Assessment represents Version 2.2.1 elements E15_01 NHTSA Injury Matrix External/Skin and E16_04 Skin Assessment. The element value choices have been combined and expanded.
www.NEMSIS.org
Page 521
eExam.05
eExam.05 - Head Assessment Definition The assessment findings associated with the patient's head. National Element State Element Version 2 Element Usage Attributes
Yes No No 0:M
Code List
Code 3505001 3505003 3505005 3505007 3505009 3505011 3505013 3505015 3505017 3505019 3505021 3505023 3505025 3505027 3505029 3505031 3505033 3505035 3505037 3505039 3505045 3505047 3505049 3505051 3505053 Description Abrasion Avulsion Bleeding Controlled Bleeding Uncontrolled Burn-Blistering Burn-Charring Burn-Redness Burn-White/Waxy Decapitation Deformity Drainage Foreign Body Gunshot Wound-Entry Gunshot Wound-Exit Laceration Mass/Lesion Normal Not Done Pain Puncture/Stab Wound Gunshot Wound-Unknown if Entry or Exit Crush Injury Swelling Contusion Tenderness

Element eExam.05 - Head Assessment represents Version 2.2.1 elements E15_02 NHTSA Injury Matrix Head and E16_05 Head/Face Assessment. The element value choices have been combined and expanded.
www.NEMSIS.org
Page 522
eExam.06
eExam.06 - Face Assessment Definition The assessment findings associated with the patient's face. National Element State Element Version 2 Element Usage Attributes
No No
Yes No No 0:M
Optional
Recurrence
Code List
Code 3506001 3506003 3506005 3506007 3506009 3506011 3506013 3506015 3506017 3506019 3506021 3506023 3506025 3506027 3506029 3506031 3506033 3506035 3506037 3506039 3506041 3506047 3506049 3506051 3506053 3506055 Description Abrasion Asymmetric Smile or Droop Avulsion Bleeding Controlled Bleeding Uncontrolled Burn-Blistering Burn-Charring Burn-Redness Burn-White/Waxy Decapitation Deformity Drainage Foreign Body Gunshot Wound-Entry Gunshot Wound-Exit Laceration Mass/Lesion Normal Not Done Pain Puncture/Stab Wound Gunshot Wound-Unknown if Entry or Exit Crush Injury Tenderness Swelling Contusion

Element eExam.06 - Face Assessment represents Version 2.2.1 element E15_03 NHTSA Injury Matrix Face The element value choices have been expanded.
www.NEMSIS.org
Page 523
eExam.07
eExam.07 - Neck Assessment Definition The assessment findings associated with the patient's neck. National Element State Element Version 2 Element Usage Attributes
Yes No No 0:M
Code List
Code 3507001 3507003 3507005 3507007 3507009 3507011 3507013 3507015 3507017 3507019 3507021 3507023 3507025 3507027 3507029 3507031 3507033 3507035 3507037 3507039 3507045 3507047 3507049 3507051 3507053 3507055 3507057 3507059 Description Abrasion Avulsion Bleeding Controlled Bleeding Uncontrolled Burn-Blistering Burn-Charring Burn-Redness Burn-White/Waxy Decapitation Foreign Body Gunshot Wound-Entry Gunshot Wound-Exit JVD Laceration Normal Not Done Pain Puncture/Stab Wound Stridor Subcutaneous Air Tracheal Deviation-Left Tracheal Deviation-Right Gunshot Wound-Unknown if Entry or Exit Crush Injury Swelling Contusion Deformity Tenderness

Element eExam.07 - Neck Assessment represents Version 2.2.1 elements E15_04 NHTSA Injury Matrix Neck and E16_06 Neck Assessment. The element value choices have been combined and expanded.
www.NEMSIS.org
Page 524
eExam.08
eExam.08 - Chest/Lungs Assessment Definition The assessment findings associated with the patient's chest/lungs. National Element State Element Version 2 Element Usage
Airway Pediatric
Yes No No 0:M

Code List
Code 3508001 3508003 3508005 3508007 3508009 3508011 3508013 3508015 3508017 3508019 3508021 3508023 3508025 3508027 3508029 3508031 3508033 3508035 3508037 3508039 3508041 3508043 3508045 3508047 3508049 3508051 3508053 3508055 3508057 3508059 3508061 3508063 3508065 3508067 3508069 3508071 3508073 3508075 3508077 3508079 3508085 3508087 Description Abrasion Avulsion Accessory Muscles Used with Breathing Bleeding Controlled Bleeding Uncontrolled Breath Sounds-Absent-Left Breath Sounds-Absent-Right Breath Sounds-Decreased Left Breath Sounds-Decreased Right Breath Sounds-Equal Breath Sounds-Normal-Left Breath Sounds-Normal-Right Burn-Blistering Burn-Charring Burn-Redness Burn-White/Waxy Crush Injury Deformity Flail Segment-Left Flail Segment-Right Foreign Body Gunshot Wound-Entry Gunshot Wound-Exit Increased Respiratory Effort Implanted Device Laceration Normal Not Done Pain Pain with Inspiration/expiration-Left Pain with Inspiration/expiration-Right Puncture/Stab Wound Rales-Left Rales-Right Retraction Rhonchi-Left Rhonchi-Right Rhonchi/Wheezing Stridor-Left Stridor-Right Tenderness-Left Tenderness-Right
www.NEMSIS.org
Page 525
3508089 3508091 3508093 3508095 3508097 3508099 3508101 3508103
Wheezing-Expiratory - Left Wheezing-Expiratory - Right Wheezing-Inspiratory - Left Wheezing-Inspiratory - Right Gunshot Wound-Unknown if Entry or Exit Swelling Contusion Tenderness

Element eExam.08 - Chest/Lungs Assessment represents Version 2.2.1 element E16_07 Chest/Lungs Assessment. The element value choices have been expanded.
www.NEMSIS.org
Page 526
eExam.09
eExam.09 - Heart Assessment Definition The assessment findings associated with the patient's heart. National Element State Element Version 2 Element Usage Attributes
Yes No No 0:M
Code List
Code 3509001 3509003 3509005 3509007 3509009 3509011 3509013 3509015 3509017 3509019 3509021 Description Clicks Heart Sounds Decreased Murmur-Diastolic Murmur-Systolic Normal Not Done Rubs S1 S2 S3 S4

Element eExam.09 - Heart Assessment represents Version 2.2.1 element E16_08 Heart Assessment. The element value choices have been expanded.
www.NEMSIS.org
Page 527
eExam.10
eExam.10 - Abdominal Assessment Finding Location Definition The location of the patient's abdomen assessment findings. National Element State Element Version 2 Element Usage Code List
Code 3510001 3510003 3510005 3510007 3510009 3510011 Description Generalized Left Lower Quadrant Left Upper Quadrant Periumbilical Right Lower Quadrant Right Upper Quadrant
No No
No No No 0:1
Optional
Recurrence

"Element eExam.10 - Abdominal Assessment Finding Location represents Version 2.2.1 elements E15_06 NHTSA Injury Matrix Abdomen AND E16_09 Abdomen Left Upper Assessment, E16_10 Abdomen Left Lower Assessment,E16_11 Abdomen Right Upper Assessment, and E16_12 Abdomen Right Lower Assessment. The element value choices have been combined and expanded."
www.NEMSIS.org
Page 528
eExam.11
eExam.11 - Abdomen Assessment Definition The assessment findings associated with the patient's abdomen. National Element State Element Version 2 Element Usage Attributes
Yes No No 0:M
Code List
Code 3511001 3511003 3511005 3511007 3511009 3511011 3511013 3511015 3511017 3511019 3511021 3511023 3511025 3511027 3511029 3511031 3511033 3511035 3511037 3511039 3511041 3511043 3511045 3511051 3511053 3511055 3511057 3511059 3511061 Description Abrasion Avulsion Bleeding Controlled Bleeding Uncontrolled Bowel Sounds-Absent Bowel Sounds-Present Burn-Blistering Burn-Charring Burn-Redness Burn-White/Waxy Distention Foreign Body Guarding Gunshot Wound-Entry Gunshot Wound-Exit Laceration Mass/Lesion Mass-Pulsating Normal Not Done Pain Pregnant-Palpable Uterus Puncture/Stab Wound Tenderness Gunshot Wound-Unknown if Entry or Exit Crush Injury Swelling Contusion Deformity

"Element eExam.11 - Abdomen Assessment represents Version 2.2.1 elements E15_06 NHTSA Injury Matrix Abdomen AND E16_09 Abdomen Left Upper Assessment, E16_10 Abdomen Left Lower Assessment,E16_11 Abdomen Right Upper Assessment, and E16_12 Abdomen Right Lower Assessment. The element value choices have been combined and expanded."
www.NEMSIS.org
Page 529
eExam.12
eExam.12 - Pelvis/Genitourinary Assessment Definition The assessment findings associated with the patient's pelvis/genitourinary. National Element State Element Version 2 Element Usage Attributes
Yes No No 0:M
Code List
Code 3512001 3512003 3512005 3512007 3512009 3512011 3512013 3512015 3512017 3512019 3512021 3512023 3512025 3512027 3512029 3512031 3512033 3512035 3512037 3512039 3512041 3512043 3512045 3512047 3512049 3512051 3512057 3512059 3512061 3512063 3512065 Description Abrasion Avulsion Bleeding Controlled Bleeding Uncontrolled Bleeding-Rectal Bleeding-Urethral Bleeding-Vaginal Burn-Blistering Burn-Charring Burn-Redness Burn-White/Waxy Deformity Foreign Body Genital Injury Gunshot Wound-Entry Gunshot Wound-Exit Laceration Mass/Lesion Normal Not Done Pain Pelvic Fracture Pelvic Instability Penile Priapism/Erection Pregnant-Crowning Puncture/Stab Wound Tenderness Gunshot Wound-Unknown if Entry or Exit Crush Injury Swelling Contusion

Element eExam.12 - Pelvis/Genitourinary Assessment represents Version 2.2.1 elements E15_09 NHTSA Injury Matrix Pelvis and E16_13 GU Assessment. The element value choices have been combined and expanded.
www.NEMSIS.org
Page 530
eExam.13
eExam.13 - Back and Spine Assessment Finding Location Definition The location of the patient's back and spine assessment findings. National Element State Element Version 2 Element Usage Code List
Code 3513001 3513003 3513005 3513007 3513009 3513011 3513013 3513015 3513017 3513019 3513021 3513023 3513025 3513027 Description Back-General Cervical-Left Cervical-Midline Cervical-Right Lumbar-Left Lumbar-Midline Lumbar-Right Thoracic-Left Thoracic-Midline Thoracic-Right Sacral-Left Sacral-Midline Sacral-Right Crush Injury
No No
No No No 0:1
Optional
Recurrence

Element eExam.14 - Back and Spine Assessment represents Version 2.2.1 NHTSA Injury Matrix elements E15_07 Spine and E15_05 Thorax AND AND E16_14 Back Cervical Assessment, E16_15 Back Thoracic Assessment, and E16_16 Back Lumbar/Sacral Assessment. The element value choices have been combined and expanded.
www.NEMSIS.org
Page 531
eExam.14
eExam.14 - Back and Spine Assessment Definition The assessment findings associated with the patient's spine (Cervical, Thoracic, Lumbar, and Sacral) and back exam. National Element State Element Version 2 Element Usage Attributes
Yes No No 0:M
Code List
Code 3514001 3514003 3514005 3514007 3514009 3514011 3514013 3514015 3514017 3514019 3514021 3514023 3514025 3514027 3514029 3514031 3514033 3514035 3514041 3514043 3514045 3514047 3514049 3514051 3514053 3514055 Description Abrasion Avulsion Bleeding Controlled Bleeding Uncontrolled Burn-Blistering Burn-Charring Burn-Redness Burn-White/Waxy Deformity Foreign Body Gunshot Wound-Entry Gunshot Wound-Exit Laceration Normal Not Done Pain Pain with Range of Motion Puncture/Stab Wound Tenderness Costovertebral Angle Tenderness Midline Spinous Process Tenderness Paraspinous Gunshot Wound-Unknown if Entry or Exit Crush Injury Swelling Contusion Tenderness

Element eExam.14 - Back and Spine Assessment represents Version 2.2.1 NHTSA Injury Matrix elements E15_07 Spine and E15_05 Thorax AND E16_14 Back Cervical Assessment, E16_15 Back Thoracic Assessment, and E16_16 Back Lumbar/Sacral Assessment. The element value choices have been combined and expanded.
www.NEMSIS.org
Page 532
eExam.15
eExam.15 - Extremity Assessment Finding Location Definition The location of the patient's extremity assessment findings. National Element State Element Version 2 Element Usage Code List
Code 3515001 3515003 3515005 3515007 3515009 3515011 3515013 3515015 3515017 3515019 3515021 3515023 3515025 3515027 3515029 3515031 3515033 3515035 3515037 3515039 3515041 3515043 3515045 3515047 3515049 3515051 3515053 3515055 3515057 3515059 3515061 3515063 3515065 3515067 3515069 3515071 3515073 3515075 3515077 3515079 3515081 3515083 3515085 3515087 3515089 3515091 3515093 3515095 Description Ankle-Left Ankle-Right Arm-Upper-Left Arm-Upper-Right Elbow-Left Elbow-Right Finger-2nd (Index)-Left Finger-2nd (Index)-Right Finger-3rd (Middle)-Left Finger-3rd (Middle)-Right Finger-4th (Ring)-Left Finger-4th (Ring)-Right Finger-5th (Smallest)-Left Finger-5th (Smallest)-Right Foot-Dorsal-Left Foot-Dorsal-Right Foot-Plantar-Left Foot-Plantar-Right Forearm-Left Forearm-Right Hand-Dorsal-Left Hand-Dorsal-Right Hand-Palm-Left Hand-Palm-Right Hip-Left Hip-Right Knee-Left Knee-Right Leg-Lower-Left Leg-Lower-Right Leg-Upper-Left Leg-Upper-Right Shoulder-Left Shoulder-Right Thumb-Left Thumb-Right Toe-1st (Big)-Left Toe-1st (Big)-Right Toe-2nd-Left Toe-2nd-Right Toe-3rd-Left Toe-3rd-Right Toe-4th-Left Toe-4th-Right Toe-5th (Smallest)-Left Toe-5th (Smallest)-Right Wrist-Left Wrist-Right
No No
No No No 0:1
Optional
Recurrence

Element eExam.16 - Extremities Assessment represents Version 2.2.1 NHTSA Injury Matrix elements E15_08 Upper
www.NEMSIS.org
Page 533
Extremities and E15_10 Lower Extremities AND E16_17 Extremities-Right Upper Assessment, E16_18 Extremities-Right Lower Assessment, E16_19 Extremities-Left Upper Assessment, and E16_20 Extremities-Left Lower Assessment. The element value choices have been combined and expanded.
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Page 534
eExam.16
eExam.16 - Extremities Assessment Definition The assessment findings associated with the patient's extremities. National Element State Element Version 2 Element Usage Attributes
Yes No No 0:M
Code List
Code 3516001 3516003 3516005 3516007 3516009 3516011 3516013 3516015 3516017 3516019 3516021 3516023 3516025 3516027 3516029 3516031 3516033 3516035 3516037 3516039 3516041 3516043 3516045 3516047 3516049 3516051 3516053 3516055 3516057 3516059 3516061 3516063 3516065 3516067 3516069 3516075 3516077 3516079 3516081 Description Abrasion Amputation-Acute Amputation-Previous Avulsion Bleeding Controlled Bleeding Uncontrolled Burn-Blistering Burn-Charring Burn-Redness Burn-White/Waxy Clubbing (of fingers) Crush Injury Deformity Dislocation Edema Foreign Body Fracture-Closed Fracture-Open Gunshot Wound-Entry Gunshot Wound-Exit Laceration Motor Function-Abnormal/Weakness Motor Function-Absent Motor Function-Normal Normal Not Done Pain Paralysis Pulse-Abnormal Pulse-Absent Pulse-Normal Puncture/Stab Wound Sensation-Abnormal Sensation-Absent Sensation-Normal Tenderness Gunshot Wound-Unknown if Entry or Exit Swelling Contusion

Element eExam.16 - Extremities Assessment represents Version 2.2.1 NHTSA Injury Matrix elements E15_08 Upper Extremities and E15_10 Lower Extremities AND E16_17 Extremities-Right Upper Assessment, E16_18 Extremities-Right Lower Assessment, E16_19 Extremities-Left Upper Assessment, and E16_20 Extremities-Left Lower Assessment. The
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element value choices have been combined and expanded.
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eExam.17
eExam.17 - Eye Assessment Finding Location Definition The location of the patient's eye assessment findings. National Element State Element Version 2 Element Usage Code List
Code 3517001 3517003 3517005 Description Bilateral Left Right
No No
No No No 0:1
Optional
Recurrence

Element eExam.17 - Eye Assessment Finding Location represents Version 2.2.1 elements E16_21 Eyes-Left Assessment and E16_22 Eyes-Right Assessment. The eye location value choices have been expanded.
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eExam.18
eExam.18 - Eye Assessment Definition The assessment findings of the patient's eye examination. National Element State Element Version 2 Element Usage Attributes
Yes No No 0:M
Code List
Code 3518001 3518003 3518005 3518007 3518009 3518011 3518013 3518015 3518017 3518019 3518021 3518023 3518025 3518027 3518029 3518031 3518033 3518035 3518037 3518039 3518041 3518043 3518045 3518047 3518049 3518051 3518053 3518055 3518057 3518059 Description 1-mm 2-mm 3-mm 4-mm 5-mm 6-mm 7-mm 8-mm or > Blind Cataract Present Clouded Deformity Dysconjugate Gaze Foreign Body Glaucoma Present Hyphema Jaundiced Sclera Missing Non-Reactive Not Done Non-Reactive Prosthetic Nystagmus Noted Open Globe PERRL Pupil-Irregular/Teardrop Reactive Sluggish Swelling Contusion Puncture/Stab Wound

Element eExam.18 - Eye Assessment represents Version 2.2.1 elements E16_21 Eyes-Left Assessment and E16_22 Eyes-Right Assessment. The eye assessment value choices have been combined and expanded.
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eExam.19
eExam.19 - Mental Status Assessment Definition The assessment findings of the patient's mental status examination. National Element State Element Version 2 Element Usage
Cardiac Arrest Stroke
Yes No No 0:M

Code List
Code 3519001 3519003 3519005 3519007 3519009 3519011 3519013 3519015 3519017 3519019 3519021 Description Combative Confused Hallucinations Normal Baseline for Patient Not Done Oriented-Person Oriented-Place Oriented-Event Oriented-Time Pharmacologically Sedated/Paralyzed Unresponsive

Element eExam.19 - Mental Status Assessment represents Version 2.2.1 element E16_23 Mental Status Assessment. The element value choices have been expanded.
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eExam.20
eExam.20 - Neurological Assessment Definition The assessment findings of the patient's neurological examination. National Element State Element Version 2 Element Usage
Cardiac Arrest Stroke
Yes No No 0:M

Code List
Code 3520001 3520003 3520005 3520007 3520009 3520011 3520013 3520015 3520017 3520019 3520021 3520023 3520025 3520027 3520029 3520031 3520033 3520035 3520037 3520039 3520041 3520043 3520045 3520047 3520049 Description Aphagia Aphasia Cerebellar Function-Abnormal Cerebellar Function-Normal Decerebrate Posturing Decorticate Posturing Gait-Abnormal Gait-Normal Hemiplegia-Left Hemiplegia-Right Normal Baseline for Patient Not Done Seizures Speech Normal Speech Slurring Strength-Asymmetric Strength-Normal Strength-Symmetric Tremors Weakness-Facial Droop-Left Weakness-Facial Droop-Right Weakness-Left Sided Weakness-Right Sided Reported Stroke Symptoms Resolved Prior to EMS Arrival Reported Stroke Symptoms Resolved in EMS Presence

Element eExam.20 - Neurological Assessment represents Version 2.2.1 element E16_24 Neurological Assessment. The element value choices have been expanded.
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eProtocols
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Legend
S State
D Deprecated
eProtocols
1:M
eProtocols.ProtocolGroup
1:1 1:1
C N N S S R R N, L N, L
eProtocols.01 - Protocols Used eProtocols.02 - Protocol Age Category
eProtocols
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eProtocols.01
State National
eProtocols.01 - Protocols Used Definition The protocol used by EMS personnel to direct the clinical care of the patient National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Code List
Code 9914001 9914003 9914005 9914007 9914009 9914011 9914013 9914015 9914017 9914019 9914021 9914023 9914025 9914027 9914029 9914031 9914033 9914035 9914037 9914039 9914041 9914043 9914045 9914047 9914049 9914051 9914053 9914055 9914057 9914059 9914061 9914063 9914065 9914067 9914069 9914071 9914073 9914075 9914077 9914079 9914081 9914083 Description Airway Airway-Failed Airway-Obstruction/Foreign Body Airway-Rapid Sequence Induction (RSI-Paralytic) Airway-Sedation Assisted (Non-Paralytic) Cardiac Arrest-Asystole Cardiac Arrest-Hypothermia-Therapeutic Cardiac Arrest-Pulseless Electrical Activity Cardiac Arrest-Ventricular Fibrillation/ Pulseless Ventricular Tachycardia Cardiac Arrest-Post Resuscitation Care Environmental-Altitude Sickness Environmental-Cold Exposure Environmental-Frostbite/Cold Injury Environmental-Heat Exposure/Exhaustion Environmental-Heat Stroke/Hyperthermia Environmental-Hypothermia Exposure-Airway/Inhalation Irritants Exposure-Biological/Infectious Exposure-Blistering Agents Exposure-Carbon Monoxide/Smoke Inhalation DEPRECATED Exposure-Chemicals to Eye Exposure-Cyanide Exposure-Explosive/ Blast Injury Exposure-Nerve Agents Exposure-Radiologic Agents General-Back Pain General-Behavioral/Patient Restraint General-Cardiac Arrest General-Dental Problems General-Epistaxis General-Fever General-Individualized Patient Protocol General-Indwelling Medical Devices/Equipment General-IV Access General-Medical Device Malfunction General-Pain Control General-Spinal Immobilization/Clearance General-Universal Patient Care/ Initial Patient Contact Injury-Amputation Injury-Bites and Envenomations-Land Injury-Bites and Envenomations-Marine Injury-Bleeding/ Hemorrhage Control
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9914085 9914087 9914089 9914091 9914093 9914095 9914097 9914099 9914101 9914103 9914105 9914107 9914109 9914111 9914113 9914115 9914117 9914119 9914121 9914123 9914125 9914127 9914129 9914131 9914133 9914135 9914137 9914139 9914141 9914143 9914145 9914147 9914149 9914151 9914153 9914155 9914157 9914159 9914161 9914163 9914165 9914167 9914169 9914171 9914173 9914175 9914177 9914179 9914181 9914183 9914185 9914187 9914189 9914191 9914193 9914195 9914197 9914199
Injury-Burns-Thermal Injury-Cardiac Arrest Injury-Crush Syndrome Injury-Diving Emergencies Injury-Drowning/Near Drowning Injury-Electrical Injuries Injury-Extremity Injury-Eye Injury-Head Injury-Impaled Object Injury-Multisystem Injury-Spinal Cord Medical-Abdominal Pain Medical-Allergic Reaction/Anaphylaxis Medical-Altered Mental Status Medical-Bradycardia Medical-Cardiac Chest Pain Medical-Diarrhea Medical-Hyperglycemia Medical-Hypertension Medical-Hypoglycemia/Diabetic Emergency Medical-Hypotension/Shock (Non-Trauma) Medical-Influenza-Like Illness/ Upper Respiratory Infection Medical-Nausea/Vomiting Medical-Newborn/ Neonatal Resuscitation Medical-Overdose/Poisoning/Toxic Ingestion Medical-Pulmonary Edema/CHF Medical-Respiratory Distress/Asthma/COPD/Croup/Reactive Airway Medical-Seizure Medical-ST-Elevation Myocardial Infarction (STEMI) Medical-Stroke/TIA Medical-Supraventricular Tachycardia (Including Atrial Fibrillation) Medical-Syncope Medical-Ventricular Tachycardia (With Pulse) Not Done OB/GYN-Childbirth/Labor/Delivery OB/GYN-Eclampsia OB/GYN-Gynecologic Emergencies OB/GYN-Pregnancy Related Emergencies OB/GYN-Post-partum Hemorrhage Other Exposure-Carbon Monoxide Cardiac Arrest-Do Not Resuscitate Cardiac Arrest-Special Resuscitation Orders Exposure-Smoke Inhalation General-Community Paramedicine / Mobile Integrated Healthcare General-Exception Protocol General-Extended Care Guidelines General-Interfacility Transfers General-Law Enforcement - Blood for Legal Purposes General-Law Enforcement - Assist with Law Enforcement Activity General-Neglect or Abuse Suspected General-Refusal of Care Injury-Mass/Multiple Casualties Injury-Thoracic Medical-Adrenal Insufficiency Medical-Apparent Life Threatening Event (ALTE) Medical-Tachycardia

Protocols are grouped into Airway, Environmental, Exposure, General, Injury, Medical, and OB/GYN. There is a new data element EProtocols.02 to indicate whether the protocol is Adult, Pediatric, or General (both). State and local entities can add additional protocols to the list but the additional protocols must map to these uniform codes. The protocol code list should be derived from dConfiguration.05 and/or dConfiguration.10
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eProtocols.02
State National
eProtocols.02 - Protocol Age Category Definition The age group the protocol is written to address National Element State Element Version 2 Element Usage
Yes Yes
No Yes Yes 1:1
Required
Response
Recurrence
STEMI Stroke Trauma

Code List
Code 3602001 3602003 3602005 Description Adult Only General Pediatric Only

Protocols are grouped into Airway, Environmental, Exposure, General, Injury, Medical, and OB/GYN. -There is a new data element to indicate whether the protocol is Adult, Pediatric, or General (both).

Added to better document protocol use.
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eMedications
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Legend
S State
D Deprecated
eMedications
1:M
eMedications.MedicationGroup
1:1 1:1 1:1 0:1 1:1
C N N N S S S S O R R R N, L N, L N, L, P
eMedications.01 - Date/Time Medication Administered eMedications.02 - Medication Administered Prior to this Unit's EMS Care eMedications.03 - Medication Given eMedications.04 - Medication Administered Route eMedications.DosageGroup
1:1 1:1
eMedications.05 - Medication Dosage eMedications.06 - Medication Dosage Units

N N S N O O S S E S
N N R R
S S
R R
N, L N, L
1:1 1:M 0:1 1:1 0:1 0:1
eMedications.07 - Response to Medication eMedications.08 - Medication Complication eMedications.09 - Medication Crew (Healthcare Professionals) ID eMedications.10 - Role/Type of Person Administering Medication eMedications.11 - Medication Authorization eMedications.12 - Medication Authorizing Physician
N, L N, L C
N, L R N, L
eMedications
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eMedications.01
State National
eMedications.01 - Date/Time Medication Administered Definition The date/time medication administered to the patient National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
No Yes Yes 1:1

Constraints
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

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eMedications.02
State National
eMedications.02 - Medication Administered Prior to this Unit's EMS Care Definition Indicates that the medication administration which is documented was administered prior to this EMS units care National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
No Yes Yes 1:1

Code List

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eMedications.03
State National
eMedications.03 - Medication Given Definition The medication given to the patient National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
Yes Yes Yes 1:1

NOT Values (NV) 7701001 - Not Applicable Pertinent Negatives (PN) 8801001 - Contraindication Noted 8801009 - Medication Already Taken 7701003 - Not Recorded 8801003 - Denied By Order 8801019 - Refused 8801007 - Medication Allergy 8801023 - Unable to Complete
Constraints

List of medications based on RxNorm (RXCUI) code. Reference the NEMSIS Suggested Lists at: http://nemsis.org/v3/resources.html RxNorm Website - http://uts.nlm.nih.gov Product - UMLS Metathesaurus Website - http://www.nlm.nih.gov/research/umls/rxnorm/docs/rxnormfiles.html Product - RxNorm Full Monthly Release
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eMedications.04
State
eMedications.04 - Medication Administered Route Definition The route medication was administered to the patient National Element State Element Version 2 Element Usage Code List
Code 9927001 9927003 9927005 9927007 9927009 9927011 9927013 9927015 9927017 9927019 9927021 9927023 9927025 9927027 9927029 9927031 9927033 9927035 9927037 9927039 9927041 9927043 9927045 9927047 9927049 9927051 9927053 9927055 9927057 9927059 Description Blow-By Buccal Endotracheal Tube (ET) Gastrostomy Tube Inhalation Intraarterial Intradermal Intramuscular (IM) Intranasal Intraocular Intraosseous (IO) Intravenous (IV) Nasal Cannula Nasogastric Nasotracheal Tube Non-Rebreather Mask Ophthalmic Oral Other/miscellaneous Otic Re-breather mask Rectal Subcutaneous Sublingual Topical Tracheostomy Transdermal Urethral Ventimask Wound
No No No 0:1

This medication route list represents a sub-group of values from the Data Elements for Emergency Department Systems (DEEDS), pertaining to prehospital care. DEEDS Version 1.0 was utilized for this list: http://www.cdc.gov/ncipc/pub-res/pdf/deeds.pdf. The list can be found on page 152 of 274 of the PDF document in Section 5, 5.13 Current Therapeutic Medication Route.
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eMedications.05
State National
eMedications.05 - Medication Dosage Definition The dose or amount of the medication given to the patient National Element State Element Version 2 Element Usage Attributes
No Yes Yes 1:1
Constraints
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eMedications.06
State National
eMedications.06 - Medication Dosage Units Definition The unit of medication dosage given to patient National Element State Element Version 2 Element Usage Attributes
No Yes Yes 1:1
Code List
Code 3706001 3706003 3706005 3706007 3706009 3706011 3706013 3706015 3706017 3706019 3706021 3706023 3706025 3706027 3706029 Description Grams Inches International Units Keep Vein Open (To Keep Open) Liters Liters Per Minute MDI Puffs Micrograms Micrograms per Kilogram per Minute Milliequivalents Milligrams Milligrams Per Kilogram Per Minute Milliliters Milliliters Per Hour Other
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eMedications.07
State National
eMedications.07 - Response to Medication Definition The patient's response to the medication National Element State Element Version 2 Element Usage Attributes
No Yes Yes 1:1
Code List
Code 9916001 9916003 9916005 Description Improved Unchanged Worse
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eMedications.08
State National
eMedications.08 - Medication Complication Definition Any complication (abnormal effect on the patient) associated with the administration of the medication to the patient by EMS National Element State Element Version 2 Element Usage Attributes
No Yes Yes 1:M
Code List
Code 3708001 3708003 3708005 3708007 3708009 3708011 3708013 3708015 3708017 3708019 3708021 3708023 3708025 3708027 3708029 3708031 3708033 3708035 3708037 3708039 3708041 3708043 3708045 Description Altered Mental Status Apnea Bleeding Bradycardia Bradypnea Diarrhea Extravasation Hypertension Hyperthermia Hypotension Hypothermia Hypoxia Injury Itching/Urticaria DEPRECATED Nausea None Other (Not Listed) Respiratory Distress Tachycardia Tachypnea Vomiting Itching Urticaria
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eMedications.09
State
eMedications.09 - Medication Crew (Healthcare Professionals) ID Definition The statewide assigned ID number of the EMS crew member giving the treatment to the patient National Element State Element Version 2 Element Usage

Pediatric STEMI

Stroke Trauma
No Yes Yes 0:1

Constraints

How should the state ID for an EMS professional be record when working on an event in 2 states. The ID used would typically be based on the EMS agency's state license specific to each EMS professional. Used for eProcedures.09 (Procedure Crew Members ID) as well.
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eMedications.10
State National
eMedications.10 - Role/Type of Person Administering Medication Definition The type (level) of EMS or Healthcare Professional Administering the Medication. For medications administered prior to EMS arrival, this may be a non-EMS healthcare professional. National Element State Element Version 2 Element Usage Attributes
Yes Yes
No Yes Yes 1:1
Required
Recurrence
Code List
Code 9905001 9905003 9905005 9905007 9905009 9905011 9905013 9905015 9905017 9905019 9905021 9905023 9905025 9905027 9905029 9905031 9905033 9905035 9905037 9905039 9905041 Description 2009 Advanced Emergency Medical Technician (AEMT) 2009 Emergency Medical Responder (EMR) 2009 Emergency Medical Technician (EMT) 2009 Paramedic EMT-Basic EMT-Intermediate EMT-Paramedic First Responder Nurse DEPRECATED Other Healthcare Professional Other Non-Healthcare Professional Patient/Lay Person Physician Respiratory Therapist Student Critical Care Paramedic Community Paramedicine Nurse Practitioner Physician Assistant Licensed Practical Nurse (LPN) Registered Nurse

Added to document the type of healthcare professional administering the medication. This could be auto-completed from the crew ID but is necessary to document medication administration prior to EMS arrival. State may maintain an enumerated list but must collapse to the National Standard. The category EMT-Intermediate includes EMS professionals with an "85" or "99" certification level.

Added to better document the type of healthcare professional who administered the medication.
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Page 557
eMedications.11
eMedications.11 - Medication Authorization Definition The type of treatment authorization obtained National Element State Element Version 2 Element Usage Code List
Code 9918001 9918003 9918005 9918007 Description On-Line (Remote Verbal Order) On-Scene Protocol (Standing Order) Written Orders (Patient Specific)
No No No 0:1
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eMedications.12
eMedications.12 - Medication Authorizing Physician Definition The name of the authorizing physician ordering the medication administration if the order was provided by any manner other than protocol (standing order) in EMedications.11 National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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Page 559
eProcedures
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Page 560
Legend
S State
D Deprecated
eProcedures
1:M
eProcedures.ProcedureGroup
1:1 1:1 1:1 0:1 1:1 1:1 1:M 1:1 0:1 1:1 0:1 0:1 0:1
C N N N O N N N N S N O O S E N, L S S S S E S R R R R N, L N, L N, L C N, L S S S R R R N, L N, L N, L, P
eProcedures.01 - Date/Time Procedure Performed eProcedures.02 - Procedure Performed Prior to this Unit's EMS Care eProcedures.03 - Procedure eProcedures.04 - Size of Procedure Equipment eProcedures.05 - Number of Procedure Attempts eProcedures.06 - Procedure Successful eProcedures.07 - Procedure Complication eProcedures.08 - Response to Procedure eProcedures.09 - Procedure Crew Members ID eProcedures.10 - Role/Type of Person Performing the Procedure eProcedures.11 - Procedure Authorization eProcedures.12 - Procedure Authorizing Physician eProcedures.13 - Vascular Access Location
N, L R N, L
eProcedures
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eProcedures.01
State National
eProcedures.01 - Date/Time Procedure Performed Definition The date/time the procedure was performed on the patient National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
No Yes Yes 1:1

Constraints
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

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eProcedures.02
State National
eProcedures.02 - Procedure Performed Prior to this Unit's EMS Care Definition Indicates that the procedure which was performed and documented was performed prior to this EMS units care. National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
No Yes Yes 1:1

Code List

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Page 563
eProcedures.03
State National
eProcedures.03 - Procedure Definition The procedure performed on the patient. National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
Yes Yes Yes 1:1

NOT Values (NV) 7701001 - Not Applicable Pertinent Negatives (PN) 8801001 - Contraindication Noted 8801023 - Unable to Complete 7701003 - Not Recorded 8801003 - Denied By Order 8801019 - Refused
Constraints

Procedures which are recorded as a Vital Sign do not have to be documented in the Procedure Section. Code list is represented in SNOMEDCT. Reference the NEMSIS Suggested Lists at: http://nemsis.org/v3/resources.html SNOMEDCT Website: http://www.nlm.nih.gov/research/umls/Snomed/snomed_main.html Product: Product - UMLS Metathesaurus
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eProcedures.04
eProcedures.04 - Size of Procedure Equipment Definition The size of the equipment used in the procedure on the patient National Element State Element Version 2 Element Usage Constraints
No No No 0:1

Need business logic to require detail of size appropriate for the procedure.
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Page 565
eProcedures.05
State National
eProcedures.05 - Number of Procedure Attempts Definition The number of attempts taken to complete a procedure or intervention regardless of success. National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
No Yes Yes 1:1

Constraints
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Page 566
eProcedures.06
State National
eProcedures.06 - Procedure Successful Definition Indicates that this procedure attempt which was performed on the patient was successful National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
No Yes Yes 1:1

Code List
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eProcedures.07
State National
eProcedures.07 - Procedure Complication Definition Any complication (abnormal effect on the patient) associated with the performance of the procedure on the patient National Element State Element Version 2 Element Usage
Airway Pediatric Trauma
No Yes Yes 1:M

Code List
Code 3907001 3907003 3907005 3907007 3907009 3907011 3907013 3907015 3907017 3907019 3907021 3907023 3907025 3907027 3907029 3907031 3907033 3907035 3907037 3907039 3907041 3907043 3907045 3907047 Description Altered Mental Status Apnea Bleeding Bradypnea Diarrhea Esophageal Intubation-immediately Esophageal Intubation-other Extravasation Hypertension Hyperthermia Hypotension Hypothermia Hypoxia Injury Itching/Urticaria Nausea None Other (Not Listed) Portacath Respiratory Distress Tachycardia Tachypnea Vomiting Bradycardia
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eProcedures.08
State National
eProcedures.08 - Response to Procedure Definition The patient's response to the procedure National Element State Element Version 2 Element Usage Attributes
No Yes Yes 1:1
Code List
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Page 569
eProcedures.09
State
eProcedures.09 - Procedure Crew Members ID Definition The statewide assigned ID number of the EMS crew member performing the procedure on the patient National Element State Element Version 2 Element Usage

Pediatric STEMI

Stroke Trauma
No Yes Yes 0:1

Constraints

For an incident that occurs in multiple states, the certification ID number the EMS agency would typically use is based on the EMS agency's state license specific to each EMS professional. If the incident needs to be reported to each state, then the EMS Agency Number for each state should be submitted as well as the certification ID numbers for each EMS professional on the unit.
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eProcedures.10
State National
eProcedures.10 - Role/Type of Person Performing the Procedure Definition The type (level) of EMS or Healthcare Professional performing the procedure. For procedures performed prior to EMS arrival, this may be a non-EMS healthcare professional. National Element State Element Version 2 Element Usage
Yes Yes
No Yes Yes 1:1
Required
STEMI
Recurrence
Stroke Trauma

Code List
Code 9905001 9905003 9905005 9905007 9905009 9905011 9905013 9905015 9905017 9905019 9905021 9905023 9905025 9905027 9905029 9905031 9905033 9905035 9905037 9905039 9905041 Description 2009 Advanced Emergency Medical Technician (AEMT) 2009 Emergency Medical Responder (EMR) 2009 Emergency Medical Technician (EMT) 2009 Paramedic EMT-Basic EMT-Intermediate EMT-Paramedic First Responder Nurse DEPRECATED Other Healthcare Professional Other Non-Healthcare Professional Patient/Lay Person Physician Respiratory Therapist Student Critical Care Paramedic Community Paramedicine Nurse Practitioner Physician Assistant Licensed Practical Nurse (LPN) Registered Nurse

Added to document the type of healthcare professional administering the medication. This could be auto-completed from the crew ID but is necessary to document medication administration prior to EMS arrival. State may maintain an enumerated list but must collapse to the National Standard. The category EMT-Intermediate includes EMS professionals with an "85" or "99" certification level.

Added to document the type of healthcare professional performing the procedure.
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eProcedures.11
eProcedures.11 - Procedure Authorization Definition The type of treatment authorization obtained National Element State Element Version 2 Element Usage Code List
Code 9918001 9918003 9918005 9918007 Description On-Line (Remote Verbal Order) On-Scene Protocol (Standing Order) Written Orders (Patient Specific)
No No No 0:1
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eProcedures.12
eProcedures.12 - Procedure Authorizing Physician Definition The name of the authorizing physician ordering the procedure, if the order was provided by any manner other than protocol (standing order) in eProcedures.11 National Element State Element Version 2 Element Usage Constraints
No No No 0:1
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Page 573
eProcedures.13
State
eProcedures.13 - Vascular Access Location Definition The location of the vascular access site attempt on the patient, if applicable. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Code List
Code 3913001 3913003 3913005 3913007 3913009 3913011 3913013 3913015 3913017 3913019 3913021 3913023 3913025 3913027 3913029 3913031 3913033 3913035 3913037 3913039 3913041 3913043 3913045 3913047 3913049 3913051 3913053 3913055 3913057 3913059 3913061 3913063 3913065 3913067 3913069 3913071 3913073 3913075 3913077 Description Antecubital-Left Antecubital-Right External Jugular-Left External Jugular-Right Femoral-Left IV Femoral-Right IV Foot-Right Foot-Left Forearm-Left Forearm-Right Hand-Left Hand-Right Internal Jugular-Left Internal Jugular-Right IO-Iliac Crest-Left IO-Iliac Crest-Right IO-Femoral-Left Distal IO-Femoral-Right Distal IO-Humeral-Left IO-Humeral-Right IO-Tibia-Left Distal IO-Sternum IO-Tibia-Right Distal IO-Tibia-Left Proximal IO-Tibia-Right Proximal Lower Extremity-Left Lower Extremity-Right Other Peripheral (Not Listed) Other Central (PICC, Portacath, Not Listed) Scalp Subclavian-Left Subclavian-Right Umbilical Venous Cutdown-Left Lower Extremity Venous Cutdown-Right Lower Extremity Upper Arm-Left Upper Arm-Right Radial-Left Radial-Right

This is now associated with the Date/Time of the procedure and therefore changed to single choice. This allows the location to be documented with each procedure and attempt. If the vascular access has been established prior to EMS, this should be documented as such.
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eAirway
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Legend
S State
D Deprecated
eAirway
0:1
eAirway.AirwayGroup
0:M 0:M
eAirway.01 - Indications for Invasive Airway eAirway.ConfirmationGroup

0:1 0:1 0:M 0:1 0:1 0:1 0:M 0:M
N, L C C S S S O S S S S E E E O N, L N, L N, L C C E E E N, L N, L N, L
eAirway.02 - Date/Time Airway Device Placement Confirmation eAirway.03 - Airway Device Being Confirmed eAirway.04 - Airway Device Placement Confirmed Method eAirway.05 - Tube Depth eAirway.06 - Type of Individual Confirming Airway Device Placement eAirway.07 - Crew Member ID eAirway.08 - Airway Complications Encountered eAirway.09 - Suspected Reasons for Failed Airway Procedure
O O
0:1 0:1
eAirway.10 - Date/Time Decision to Manage the Patient with an Invasive Airway eAirway.11 - Date/Time Invasive Airway Placement Attempts Abandoned
eAirway
www.NEMSIS.org
Page 576
eAirway.01
State
eAirway.01 - Indications for Invasive Airway Definition The clinical indication for performing invasive airway management. National Element State Element Version 2 Element Usage
Airway
No Yes
No Yes Yes 0:M
Recommended
Recurrence

Code List
Code 4001001 4001003 4001005 4001007 4001009 4001011 4001013 Description Adequate Airway Reflexes/Effort, Potential for Compromise Airway Reflex Compromised Apnea or Agonal Respirations Illness Involving Airway Injury Involving Airway Other (Not Listed) Ventilatory Effort Compromised

Added to better document airway management.
www.NEMSIS.org
Page 577
eAirway.02
State
eAirway.02 - Date/Time Airway Device Placement Confirmation Definition The date and time the airway device placement was confirmed. National Element State Element Version 2 Element Usage
Airway
No Yes
No Yes Yes 0:1
Recommended
Recurrence

Constraints
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

SAD=Supraglottic Airway Device DateTime consists of finite-length characters of the form: yyyy '-' mm '-' dd 'T' hh ':' mm ':' ss ('.' s+)? (zzzzzz) yyyy '-' mm dd T hh ':' mm ss '.' s+ a four-digit numeral that represents the year separators between parts of the date portion a two-digit numeral that represents the month a two-digit numeral that represents the day separator that indicates time-of-day follows a two-digit numeral that represents the hour a separator between parts of the time-of-day portion a two-digit numeral that represents the minute a two-integer-digit numeral that represents the whole seconds (not required) represents the fractional seconds

www.NEMSIS.org
Page 578
eAirway.03
State
eAirway.03 - Airway Device Being Confirmed Definition The airway device in which placement is being confirmed. National Element State Element Version 2 Element Usage
Airway
No Yes
No Yes Yes 0:1
Recommended
Recurrence

Code List
Code 4003001 4003003 4003005 4003007 4003009 4003011 4003013 4003015 Description Cricothyrotomy Tube Endotracheal Tube Other-Invasive Airway SAD-Combitube SAD-King SAD-LMA SAD-Other Tracheostomy Tube

Added to better document airway management. SAD means Supraglottic Airway Device.
www.NEMSIS.org
Page 579
eAirway.04
State
eAirway.04 - Airway Device Placement Confirmed Method Definition The method used to confirm the airway device placement. National Element State Element Version 2 Element Usage
Airway
No Yes
No Yes Yes 0:M
Recommended
Recurrence

Code List
Code 4004001 4004003 4004005 4004007 4004009 4004011 4004013 4004015 4004017 4004019 Description Auscultation Bulb/Syringe Aspiration Colorimetric ETCO2 Condensation in Tube Digital (Numeric) ETCO2 Direct Re-Visualization of Tube in Place Endotracheal Tube Whistle (BAAM, etc) Other (Not Listed) Visualization of Vocal Cords Waveform ETCO2

If the invasive airway is confirmed via multiple methods each method should be documented individually by time, method, and type of individual.

www.NEMSIS.org
Page 580
eAirway.05
eAirway.05 - Tube Depth Definition The measurement at the patient's teeth/lip of the tube depth in centimeters (cm) of the invasive airway placed. National Element State Element Version 2 Element Usage
Airway
No No
No No No 0:1
Optional
Recurrence


Tube Depth added to better document the initial placement of the airway device and subsequent assessments.
www.NEMSIS.org
Page 581
eAirway.06
State
eAirway.06 - Type of Individual Confirming Airway Device Placement Definition The type of individual who confirmed the airway device placement. National Element State Element Version 2 Element Usage
Airway
No Yes
No Yes Yes 0:1
Recommended
Recurrence

Code List
Code 4006001 4006003 4006005 4006007 4006009 Description Another Person on the Same Crew Other (Not Listed) Person Performing Intubation Receiving Air Medical/EMS Crew Receiving Hospital Team

www.NEMSIS.org
Page 582
eAirway.07
State
eAirway.07 - Crew Member ID Definition The crew member id during this EMS patient encounter at this date and time. National Element State Element Version 2 Element Usage
Airway
No Yes
No Yes Yes 0:1
Recommended
Recurrence

Constraints

www.NEMSIS.org
Page 583
eAirway.08
State
eAirway.08 - Airway Complications Encountered Definition The airway management complications encountered during the patient care episode. National Element State Element Version 2 Element Usage
Airway
No Yes
No Yes Yes 0:M
Recommended
Recurrence

Code List
Code 4008001 4008003 4008005 4008007 4008009 4008011 4008013 4008015 4008017 4008019 4008021 4008023 Description Adverse Event from Facilitating Drugs Bradycardia (<50) Cardiac Arrest Esophageal Intubation-Delayed Detection (After Tube Secured) Esophageal Intubation-Detected in Emergency Department Failed Intubation Effort Injury or Trauma to Patient from Airway Management Effort Other (Not Listed) Oxygen Desaturation (<90%) Patient Vomiting/Aspiration Tube Dislodged During Transport/Patient Care Tube Was Not in Correct Position when EMS Crew/Team Assumed Care of the Patient

www.NEMSIS.org
Page 584
eAirway.09
State
eAirway.09 - Suspected Reasons for Failed Airway Procedure Definition The reason(s) the airway was unable to be successfully managed. National Element State Element Version 2 Element Usage
Airway
No Yes
No No No 0:M
Optional
Recurrence

Code List
Code 4009001 4009003 4009005 4009007 4009009 4009011 4009013 4009015 4009017 4009019 Description Difficult Patient Airway Anatomy ETI Attempted, but Arrived At Destination Facility Before Accomplished Facial or Oral Trauma Inability to Expose Vocal Cords Inadequate Patient Relaxation/Presence of Protective Airway Reflexes Jaw Clenched (Trismus) Other (Not Listed) Poor Patient Access Secretions/Blood/Vomit Unable to Position or Access Patient

www.NEMSIS.org
Page 585
eAirway.10
eAirway.10 - Date/Time Decision to Manage the Patient with an Invasive Airway Definition The date and time the decision was made to manage the patient's airway with an invasive airway device. National Element State Element Version 2 Element Usage
Airway
No No
No No No 0:1
Optional
Recurrence

Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}


www.NEMSIS.org
Page 586
eAirway.11
eAirway.11 - Date/Time Invasive Airway Placement Attempts Abandoned Definition The date and time that the invasive airway attempts were abandoned for the patient. National Element State Element Version 2 Element Usage
Airway
No No
No No No 0:1
Optional
Recurrence

Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}


www.NEMSIS.org
Page 587
eDevice
www.NEMSIS.org
Page 588
Legend
S State
D Deprecated
eDevice
0:M
eDevice.DeviceGroup
0:1 0:1 0:M 0:1
C O O O C
eDevice.01 - Medical Device Serial Number eDevice.02 - Date/Time of Event (per Medical Device) eDevice.03 - Medical Device Event Type eDevice.WaveformGroup
0:1 0:1 0:1
eDevice.04 - Medical Device Waveform Graphic Type eDevice.05 - Medical Device Waveform Graphic eDevice.06 - Medical Device Mode (Manual, AED, Pacing, CO2, O2, etc)
O O C
O O O
0:M 0:1 0:1
eDevice.07 - Medical Device ECG Lead eDevice.08 - Medical Device ECG Interpretation eDevice.ShockGroup
0:1 0:1 0:1 0:1
eDevice.09 - Type of Shock eDevice.10 - Shock or Pacing Energy eDevice.11 - Total Number of Shocks Delivered eDevice.12 - Pacing Rate
O O O O
eDevice
www.NEMSIS.org
Page 589
eDevice.01
eDevice.01 - Medical Device Serial Number Definition The unique manufacturer's serial number associated with a medical device. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence
www.NEMSIS.org
Page 590
eDevice.02
eDevice.02 - Date/Time of Event (per Medical Device) Definition The time of the event recorded by the device's internal clock National Element State Element Version 2 Element Usage
No No No 0:1

Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}

www.NEMSIS.org
Page 591
eDevice.03
eDevice.03 - Medical Device Event Type Definition The type of event documented by the medical device. National Element State Element Version 2 Element Usage
No No No 0:M

Code List
Code 4103001 4103003 4103005 4103007 4103009 4103011 4103013 4103015 4103017 4103019 4103021 4103023 4103025 4103027 4103029 4103031 4103033 4103035 4103037 4103039 4103041 4103043 4103045 4103047 4103049 Description 12-Lead ECG Analysis (Button Pressed) CO2 Date Transmitted Defibrillation ECG-Monitor Heart Rate Invasive Pressure 1 Invasive Pressure 2 No Shock Advised Non-Invasive BP Other Pacing Electrical Capture Pacing Started Pacing Stopped Patient Connected Power On Pulse Oximetry Pulse Rate Respiratory Rate Shock Advised Sync Off Sync On Temperature 1 Temperature 2

Can be displayed in the Vital Signs or Procedure Sections.
www.NEMSIS.org
Page 592
eDevice.04
eDevice.04 - Medical Device Waveform Graphic Type Definition The description of the waveform file stored in Waveform Graphic (eDevice.05). National Element State Element Version 2 Element Usage
No No No 0:1


www.NEMSIS.org
Page 593
eDevice.05
eDevice.05 - Medical Device Waveform Graphic Definition The graphic waveform file. National Element State Element Version 2 Element Usage
No No No 0:1

www.NEMSIS.org
Page 594
eDevice.06
eDevice.06 - Medical Device Mode (Manual, AED, Pacing, CO2, O2, etc) Definition The mode of operation the device is operating in during the defibrillation, pacing, or rhythm analysis by the device (if appropriate for the event) National Element State Element Version 2 Element Usage Code List
Code 4106001 4106003 4106005 4106007 4106009 4106011 4106013 Description Advisory Automated Demand Manual Mid-Stream Sensing Side-Stream
No No No 0:1
www.NEMSIS.org
Page 595
eDevice.07
eDevice.07 - Medical Device ECG Lead Definition The lead or source which the medical device used to obtain the rhythm (if appropriate for the event) National Element State Element Version 2 Element Usage
No No No 0:M

Code List
Code 4107001 4107003 4107005 4107007 4107009 4107011 4107013 4107015 4107017 4107019 4107021 4107023 4107025 4107027 4107029 4107031 4107033 4107035 4107037 4107039 4107041 Description I II III AVR AVL AVF Paddle Pads V1 V2 V3 V3r V4 V4r V5 V5r V6 V6r V7 V8 V9

Can be displayed in the Vital Signs or Procedure Sections.
www.NEMSIS.org
Page 596
eDevice.08
eDevice.08 - Medical Device ECG Interpretation Definition The interpretation of the rhythm by the device (if appropriate for the event) National Element State Element Version 2 Element Usage
No No No 0:1


The rhythm interpretation text imported from the device.
www.NEMSIS.org
Page 597
eDevice.09
eDevice.09 - Type of Shock Definition The type of shock used by the device for the defibrillation (if appropriate for the event) National Element State Element Version 2 Element Usage
Cardiac Arrest
No No No 0:1

Code 4109001 4109003 Description Biphasic Monophasic
www.NEMSIS.org
Page 598
eDevice.10
eDevice.10 - Shock or Pacing Energy Definition The energy (in joules) used for the shock or pacing (if appropriate for the event) National Element State Element Version 2 Element Usage
Cardiac Arrest
No No No 0:1

Data Type decimal totalDigits 5 fractionDigits 1 minInclusive 1 maxInclusive 9000
www.NEMSIS.org
Page 599
eDevice.11
eDevice.11 - Total Number of Shocks Delivered Definition The number of times the patient was defibrillated, if the patient was defibrillated during the patient encounter. National Element State Element Version 2 Element Usage
Cardiac Arrest
No No No 0:1

www.NEMSIS.org
Page 600
eDevice.12
eDevice.12 - Pacing Rate Definition The rate the device was calibrated to pace during the event, if appropriate. National Element State Element Version 2 Element Usage Constraints
No No No 0:1
www.NEMSIS.org
Page 601
eDisposition
www.NEMSIS.org
Page 602
Legend
S State
D Deprecated
eDisposition
1:1
eDisposition.DestinationGroup
0:1 0:1 0:1 0:1 1:1 1:1 1:1 0:1 0:1 0:1
eDisposition.01 - Destination/Transferred To, Name eDisposition.02 - Destination/Transferred To, Code eDisposition.03 - Destination Street Address eDisposition.04 - Destination City eDisposition.05 - Destination State eDisposition.06 - Destination County eDisposition.07 - Destination ZIP Code eDisposition.08 - Destination Country eDisposition.09 - Destination GPS Location eDisposition.10 - Disposition Location US National Grid Coordinates
S N O O O N N N N N N N N
S S S S N N N O O O E S C C
E E O O S S S
N, L N, L
R R R
N, L N, L N, L
0:1 1:1 0:M 0:M 0:1 1:1 1:1 1:M 1:1 1:M 1:1 1:1 1:1 1:M
eDisposition.11 - Number of Patients Transported in this EMS Unit eDisposition.12 - Incident/Patient Disposition eDisposition.13 - How Patient Was Moved to Ambulance eDisposition.14 - Position of Patient During Transport eDisposition.15 - How Patient Was Transported From Ambulance eDisposition.16 - EMS Transport Method eDisposition.17 - Transport Mode from Scene eDisposition.18 - Additional Transport Mode Descriptors eDisposition.19 - Condition of Patient at Destination eDisposition.20 - Reason for Choosing Destination eDisposition.21 - Type of Destination eDisposition.22 - Hospital In-Patient Destination eDisposition.23 - Hospital Designation eDisposition.HospitalTeamActivationGroup
1:1 1:1
N, L M
S S S S S S S S
R R R R R R R R C
N, L N, L N, L C N, L N, L C N, L N, L N, L
eDisposition.24 - Destination Team Pre-Arrival Alert or Activation eDisposition.25 - Date/Time of Destination Prearrival Alert or Activation
O
N N C
S S
R R
N, L N, L
0:M
eDisposition.26 - Disposition Instructions Provided
eDisposition
www.NEMSIS.org
Page 603
eDisposition.01
State
eDisposition.01 - Destination/Transferred To, Name Definition The destination the patient was delivered or transferred to. National Element State Element Version 2 Element Usage

Pediatric STEMI

Stroke Trauma
No Yes Yes 0:1

Constraints

Recommended State data element since no national code for destination. May be populated from the list in dFacility.02 (Facility Name).
www.NEMSIS.org
Page 604
eDisposition.02
State
eDisposition.02 - Destination/Transferred To, Code Definition The code of the destination the patient was delivered or transferred to. National Element State Element Version 2 Element Usage

Pediatric STEMI

Stroke Trauma
No Yes Yes 0:1

Constraints

May be populated from list in dFacility.03 (Facility Location Code) or dFacility.05 (Facility National Provider Identifier) if a health care facility. NPI codes can be found on the NEMSIS SharePoint site.
www.NEMSIS.org
Page 605
eDisposition.03
State
eDisposition.03 - Destination Street Address Definition The street address of the destination the patient was delivered or transferred to. National Element State Element Version 2 Element Usage Attributes
No No No 0:1
Constraints

May be auto-populated if list created in dFacility.07 (Facility Street Address).
www.NEMSIS.org
Page 606
eDisposition.04
State
eDisposition.04 - Destination City Definition The city of the destination the patient was delivered or transferred to (physical address). National Element State Element Version 2 Element Usage Data Element Comment
No No No 0:1
www.NEMSIS.org
Page 607
eDisposition.05
State National
eDisposition.05 - Destination State Definition The state of the destination the patient was delivered or transferred to. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints

Based on the ANSI Code. May be auto-populated if list created in dFacility.09 (Facility State). GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
www.NEMSIS.org
Page 608
eDisposition.06
State National
eDisposition.06 - Destination County Definition The destination county in which the patient was delivered or transferred to. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints

May be auto-populated if list created in dFacility.11 (Facility County). Based on the ANSI Code Single Choice based on the County Name but stored as the ANSI code (combined 5 digit State and County codes) Should be required if there is a patient associated with the event. GNIS Codes Website: http://geonames.usgs.gov/domestic/download_data.htm
www.NEMSIS.org
Page 609
eDisposition.07
State National
eDisposition.07 - Destination ZIP Code Definition The destination ZIP code in which the patient was delivered or transferred to. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Constraints
Pattern [0-9]{5}|[0-9]{5}-[0-9]{4}|[0-9]{5}-[0-9]{5}|[A-Z][0-9][A-Z] [0-9][A-Z][0-9]

May be auto-populated if list created in dFacility.10 (Facility ZIP Code). ZIP Codes Product Website: https://www.zipcodedownload.com/Products/Product/Z5Commercial/Standard/Overview/ Product: USA - 5-digit ZIP Code Database, Commercial Edition
www.NEMSIS.org
Page 610
eDisposition.08
eDisposition.08 - Destination Country Definition The country of the destination. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

May be auto-populated if list created in dFacility.12 (Facility Country). ANSI Country Codes (ISO 3166) Website: http://www.iso.org/iso/country_codes/iso_3166_code_lists.htm

Added for improved international compatibility.
www.NEMSIS.org
Page 611
eDisposition.09
eDisposition.09 - Destination GPS Location Definition The destination GPS Coordinates to which the patient was delivered or transferred to. National Element State Element Version 2 Element Usage Constraints
Pattern (\+|-)?(90(\.[0]{1,6})?|([1-8][0-9]|[0-9])(\.[0-9]{1,6})?),(\+|-)?(180(\.[0]{1,6})?|(1[0-7][0-9]|[1-9][0-9]|[0-9])(\.[0-9]{1,6})?)
No No No 0:1

May be auto-populated if list created in dFacility.13 (Facility GPS Location). The pattern for GPS location is in the format "latitude,longitude" where: - latitude has a minimum of -90 and a maximum of 90 with up to 6 decimal places - longitude has a minimum of -180 and a maximum of 180 with up to 6 decimal places
www.NEMSIS.org
Page 612
eDisposition.10
eDisposition.10 - Disposition Location US National Grid Coordinates Definition The US National Grid Coordinates for the Disposition Location. This may be the Healthcare Facility US National Grid Coordinates. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Standard found at www.fgdc.gov/usng. Through programming this may be partially auto-populated if the list is created in dFacility.14 (Facility US National Grid Coordinates).
www.NEMSIS.org
Page 613
eDisposition.11
State
eDisposition.11 - Number of Patients Transported in this EMS Unit Definition The number of patients transported by this EMS crew and unit. National Element State Element Version 2 Element Usage Attributes
No Yes
No Yes Yes 0:1
Recommended
Recurrence
Constraints

Added to document multiple patients being transported with the same vehicle and crew.

Added to document multiple patients being transported with the same vehicle and crew.
www.NEMSIS.org
Page 614
eDisposition.12
State National
eDisposition.12 - Incident/Patient Disposition Definition Type of disposition treatment and/or transport of the patient by this EMS Unit. National Element State Element Version 2 Element Usage

Pediatric Response

STEMI Stroke Trauma
No No No 1:1

Code 4212001 4212003 4212005 4212007 4212009 4212011 4212013 4212015 4212017 4212019 4212021 4212023 4212025 4212027 4212029 4212031 4212033 4212035 4212037 4212039 4212041 4212043 Description Assist, Agency Assist, Public Assist, Unit Canceled (Prior to Arrival At Scene) Canceled on Scene (No Patient Contact) Canceled on Scene (No Patient Found) Patient Dead at Scene-No Resuscitation Attempted (With Transport) Patient Dead at Scene-No Resuscitation Attempted (Without Transport) Patient Dead at Scene-Resuscitation Attempted (With Transport) Patient Dead at Scene-Resuscitation Attempted (Without Transport) Patient Evaluated, No Treatment/Transport Required Patient Refused Evaluation/Care (With Transport) Patient Refused Evaluation/Care (Without Transport) Patient Treated, Released (AMA) Patient Treated, Released (per protocol) Patient Treated, Transferred Care to Another EMS Unit Patient Treated, Transported by this EMS Unit Patient Treated, Transported by Law Enforcement Patient Treated, Transported by Private Vehicle Standby-No Services or Support Provided Standby-Public Safety, Fire, or EMS Operational Support Provided Transport Non-Patient, Organs, etc.
www.NEMSIS.org
Page 615
eDisposition.13
eDisposition.13 - How Patient Was Moved to Ambulance Definition The method the patient was moved to the ambulance from the scene National Element State Element Version 2 Element Usage Attributes
No No No 0:M
Code List
Code 9909001 9909003 9909005 9909007 9909009 9909011 9909013 9909015 Description Assisted/Walk Backboard Chair Carried Other (Not Listed) Stairchair Stretcher Wheelchair
www.NEMSIS.org
Page 616
eDisposition.14
eDisposition.14 - Position of Patient During Transport Definition The position of the patient during transport from the scene National Element State Element Version 2 Element Usage Attributes
No No No 0:M
Code List
Code 4214001 4214003 4214005 4214007 4214009 4214011 4214013 4214015 4214017 4214019 Description Car Seat Fowlers (Semi-Upright Sitting) Lateral Left Lateral Right Other (Not Listed) Prone Semi-Fowlers Sitting Supine Trendelenburg
www.NEMSIS.org
Page 617
eDisposition.15
eDisposition.15 - How Patient Was Transported From Ambulance Definition The method the patient was moved from the ambulance to the destination National Element State Element Version 2 Element Usage Code List
Code 9909001 9909003 9909005 9909007 9909009 9909011 9909013 9909015 Description Assisted/Walk Backboard Chair Carried Other (Not Listed) Stairchair Stretcher Wheelchair
No No No 0:1
www.NEMSIS.org
Page 618
eDisposition.16
State National
eDisposition.16 - EMS Transport Method Definition Transport method by this EMS Unit. National Element State Element Version 2 Element Usage
Yes Yes
No Yes Yes 1:1
Required
Response
Recurrence
STEMI Stroke Trauma

Code List
Code 4216001 4216003 4216005 4216007 4216009 4216011 4216013 4216015 4216017 Description Air Medical-Fixed Wing Air Medical-Rotor Craft Ground-Ambulance Ground-ATV or Rescue Vehicle Ground-Bariatric Ground-Other Not Listed Ground-Mass Casualty Bus/Vehicle Ground-Wheelchair Van Water-Boat

Required if the patient is transported by EMS.

Added to better describe Air and Ground Transport methods.
www.NEMSIS.org
Page 619
eDisposition.17
State National
eDisposition.17 - Transport Mode from Scene Definition Indication whether the transport was emergent or non-emergent. National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Code List
Code 4217001 4217003 4217005 4217007 Description Emergent (Immediate Response) Emergent Downgraded to Non-Emergent Non-Emergent Non-Emergent Upgraded to Emergent

Information now split between eDisposition.17 (Transport Mode from Scene) and eDisposition.18 (Additional Transport Mode Descriptors). Element eDisposition.18 (Additional Transport Mode Descriptors) has been added to document the use of lights and sirens or other descriptive information.
www.NEMSIS.org
Page 620
eDisposition.18
State National
eDisposition.18 - Additional Transport Mode Descriptors Definition The documentation of transport mode techniques for this EMS response. National Element State Element Version 2 Element Usage Attributes
Yes Yes
No Yes Yes 1:M
Required
Recurrence
Code List
Code 4218001 4218003 4218005 4218007 4218009 4218011 4218013 4218015 4218017 4218019 Description Intersection Navigation-Against Normal Light Patterns Intersection Navigation-With Automated Light Changing Technology Intersection Navigation-With Normal Light Patterns Speed-Enhanced per Local Policy Speed-Normal Traffic Lights and Sirens Lights and No Sirens No Lights or Sirens Initial No Lights or Sirens, Upgraded to Lights and Sirens Initial Lights and Sirens, Downgraded to No Lights or Sirens

Information now split between eDisposition.17 (Transport Mode from Scene) and eDisposition.18 (Additional Transport Mode Descriptors). Element eDisposition.18 (Additional Transport Mode Descriptors) has been added to document the use of lights and sirens or other descriptive information.
www.NEMSIS.org
Page 621
eDisposition.19
State National
eDisposition.19 - Condition of Patient at Destination Definition The condition of the patient after care by EMS National Element State Element Version 2 Element Usage

Trauma
No Yes Yes 1:1

Code List
www.NEMSIS.org
Page 622
eDisposition.20
State National
eDisposition.20 - Reason for Choosing Destination Definition The reason the unit chose to deliver or transfer the patient to the destination National Element State Element Version 2 Element Usage
Cardiac Arrest Pediatric

STEMI Stroke

Trauma
No Yes Yes 1:M

Code List
Code 4220001 4220003 4220005 4220007 4220009 4220011 4220013 4220015 4220017 4220019 4220021 Description Closest Facility Diversion Family Choice Insurance Status/Requirement Law Enforcement Choice On-Line/On-Scene Medical Direction Other (Not Listed) Patient's Choice Patient's Physician's Choice Protocol Regional Specialty Center

Required if Patient Transported
www.NEMSIS.org
Page 623
eDisposition.21
State National
eDisposition.21 - Type of Destination Definition The type of destination the patient was delivered or transferred to National Element State Element Version 2 Element Usage

Response

STEMI Stroke Trauma
No Yes Yes 1:1

Code List
Code 4221001 4221003 4221005 4221007 4221009 4221011 4221013 4221015 4221017 4221019 4221021 4221023 Description Home Hospital-Emergency Department Hospital-Non-Emergency Department Bed Medical Office/Clinic Morgue/Mortuary Nursing Home/Assisted Living Facility Other (Not Listed) Other EMS Responder (air) Other EMS Responder (ground) Police/Jail Urgent Care Freestanding Emergency Department

Required if Patient Transported by EMS. "Hospital-Non-Emergency Department Bed" includes any location in the hospital except the Emergency Department. Choices include those in eDisposition.22 (Hospital In-Patient Destination).
www.NEMSIS.org
Page 624
eDisposition.22
State National
eDisposition.22 - Hospital In-Patient Destination Definition The location within the hospital that the patient was taken directly by EMS (e.g. Cath Lab, ICU, etc.) National Element State Element Version 2 Element Usage Attributes
Yes Yes
No Yes Yes 1:1
Required
Recurrence
Code List
Code 4222001 4222003 4222005 4222007 4222009 4222011 4222013 4222015 4222017 4222019 4222021 4222023 4222025 4222027 4222029 4222031 4222033 4222035 4222037 4222039 4222041 4222043 4222045 4222047 4222049 Description Hospital-Burn Hospital-Cath Lab Hospital-CCU Hospital-Endoscopy Hospital-Hospice Hospital-Hyperbaric Oxygen Treatment Hospital-ICU Hospital-Labor & Delivery Hospital-Med/Surg Hospital-Mental Health Hospital-MICU Hospital-NICU Hospital-Nursery Hospital-Peds (General) Hospital-Peds ICU Hospital-OR Hospital-Orthopedic Hospital-Other Hospital-Out-Patient Bed Hospital-Radiology Services - MRI Hospital-Radiology Services - CT/PET Hospital-Radiology Services - X-Ray Hospital-Radiation Hospital-Rehab Hospital-SICU

To be documented when in eDisposition.21 "Hospital-Non-Emergency Department Bed" is selected.

Added to identify the location within the hospital that the patient was directly taken to by EMS.
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Page 625
eDisposition.23
State National
eDisposition.23 - Hospital Designation Definition The primary hospital capability associated with the patient's condition for this transport (e.g. Trauma, STEMI, Peds, etc). National Element State Element Version 2 Element Usage Attributes
Yes Yes
No Yes Yes 1:1
Required
Recurrence
Code List
Code 9908001 9908003 9908005 9908007 9908009 9908011 9908013 9908015 9908017 9908019 9908021 9908023 9908025 9908027 9908029 9908031 9908033 9908035 Description Behavioral Health Burn Center Critical Access Hospital Hospital (General) Neonatal Center Pediatric Center STEMI DEPRECATED STEMI Center (24/7) DEPRECATED Stroke Center Rehab Center Trauma Center Level 1 Trauma Center Level 2 Trauma Center Level 3 Trauma Center Level 4 Trauma Center Level 5 Cardiac-STEMI/PCI Capable Cardiac-STEMI/PCI Capable (24/7) Cardiac-STEMI/Non-PCI Capable

To be documented when in eDisposition.21 (Type of Destination) equals "4221003: Hospital-Emergency Department" or "4221005: Hospital-In Patient Bed" is selected .

Added to aid in determining if patients are transported to the appropriate hospital based on provider impression, assessment, and treatment.
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Page 626
eDisposition.24
State National
eDisposition.24 - Destination Team Pre-Arrival Alert or Activation Definition Indication that an alert (or activation) was called by EMS to the appropriate destination healthcare facility team. The alert (or activation) should occur prior to the EMS Unit arrival at the destination with the patient. National Element State Element Version 2 Element Usage
Cardiac Arrest STEMI Stroke
Yes Yes
No Yes Yes 1:1
Required
Trauma
Recurrence

Code List
Code 4224001 4224003 4224005 4224007 4224009 4224011 4224013 4224015 4224017 Description No Yes-Adult Trauma Yes-Cardiac Arrest Yes-Obstetrics Yes-Other Yes-Pediatric Trauma Yes-STEMI Yes-Stroke Yes-Trauma (General)

Added to better document performance measure for acute time dependent illness and injury systems of care.
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Page 627
eDisposition.25
State National
eDisposition.25 - Date/Time of Destination Prearrival Alert or Activation Definition The Date/Time EMS alerted, notified, or activated the Destination Healthcare Facility prior to EMS arrival. The EMS assessment identified the patient as acutely ill or injured based on exam and possibly specified alert criteria. National Element State Element Version 2 Element Usage
Yes Yes
No Yes Yes 1:1
Required
STEMI
Recurrence
Stroke Trauma

Constraints
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}


Added to better document performance measure for acute time dependent illness and injury systems of care.
www.NEMSIS.org
Page 628
eDisposition.26
eDisposition.26 - Disposition Instructions Provided Definition Information provided to patient during disposition for patients not transported or treated. National Element State Element Version 2 Element Usage Attributes
No No
No No No 0:M
Optional
Recurrence
Code List
Code 4226001 4226003 4226005 4226007 4226009 4226011 4226013 4226015 Description Contact 911 or see your Doctor if problem returns Contact 911 or see your Doctor if problem worsens Other Not Listed (Described in Narrative) Problem Specific Instructions Provided See Your Doctor or the Emergency Department immediately See Your Doctor or the Emergency Department in the next 24 hours See Your Doctor or the Emergency Department in the next 4 hours See Your Doctor within the next one week

Added to better document instructions given to patients not transported by EMS.
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Page 629
eOutcome
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Page 630
Legend
S State
D Deprecated
eOutcome
1:1 1:1 0:M
eOutcome.01 - Emergency Department Disposition eOutcome.02 - Hospital Disposition eOutcome.ExternalDataGroup

0:1 0:1 0:1
N N
S S
R R C
N, L N, L
eOutcome.03 - External Report ID/Number Type eOutcome.04 - External Report ID/Number eOutcome.05 - Other Report Registry Type
O O O O O O O O O O O O
O O O
0:1 0:1 0:1 0:M 0:M 0:1 0:M 0:M 0:1 0:1 0:1 0:1
eOutcome.06 - Emergency Department Chief Complaint eOutcome.07 - First ED Systolic Blood Pressure eOutcome.08 - Emergency Department Recorded Cause of Injury eOutcome.09 - Emergency Department Procedures eOutcome.10 - Emergency Department Diagnosis eOutcome.11 - Date/Time of Hospital Admission eOutcome.12 - Hospital Procedures eOutcome.13 - Hospital Diagnosis eOutcome.14 - Total ICU Length of Stay eOutcome.15 - Total Ventilator Days eOutcome.16 - Date/Time of Hospital Discharge eOutcome.17 - Outcome at Hospital Discharge
C C
C C
eOutcome
www.NEMSIS.org
Page 631
eOutcome.01
State National
eOutcome.01 - Emergency Department Disposition Definition The known disposition of the patient from the Emergency Department (ED) National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
No Yes Yes 1:1

Code List
Code 01 02 03 04 05 06 07 09 20 21 30 43 50 51 61 62 63 64 65 66 70 Description Discharged to home or self care (routine discharge) Discharged/transferred to another short term general hospital for inpatient care Discharged/transferred to a skilled nursing facility (SNF) Discharged/transferred to an intermediate care facility (ICF) Discharged/transferred to another type of institution not defined elsewhere in this code list Discharged/transferred to home under care of organized home health service organization in anticipation of covered skills care Left against medical advice or discontinued care Admitted as an inpatient to this hospital. Deceased/Expired (or did not recover - Religious Non Medical Health Care Patient) Discharged/transferred to court/law enforcement Still a patient or expected to return for outpatient services. Discharged/transferred to a Federal Health Care Facility (e.g. VA or federal health care facility) Discharged/transferred to Hospice - home. Discharged/transferred to Hospice - medical facility Discharged/transferred within this institution to a hospital based Medicare approved swing bed. Discharged/transferred to a inpatient rehabilitation facility including distinct part units of a hospital. Discharged/transferred to long term care hospitals Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital. Discharged/transferred to a Critical Access Hospital (CAH). Discharged/transferred to another type of health care institution not defined elsewhere in the code list.

The list of values and codes is based on and in compliance with the Medicare Claims Processing Manual Chapter 25 Completing and Processing the Form CMS-1450 Data Set, referencing the Uniform Bill - Form CMS-1450 (UB-04) and the FL 17 - Patient Discharge Status Required. (For all Part A inpatient, SNF, hospice, home health agency (HHA) and outpatient hospital services.) This code indicates the patient's status as of the "Through" date of the billing period (FL 6). https://www.cms.gov/transmittals/downloads/R1104CP.pdf Page 35-36 Codes are available from Medicare contractors and the National Uniform Billing company (NUBC_ (www.nubc.org) via the NUBC's Official UB-04 Data Specifications Manual. Contractor site, Knowledge Trek: http://www.ub04.net/downloads/Medicare_Pub_Ch_25.pdf Please reference the section "FL 17 - Patient Status" found on page 23-25 of 126.
www.NEMSIS.org
Page 632
eOutcome.02
State National
eOutcome.02 - Hospital Disposition Definition The known disposition of the patient from the hospital, if admitted. National Element State Element Version 2 Element Usage

STEMI

Stroke Trauma
No Yes Yes 1:1

Code List
Code 01 02 03 04 05 06 07 20 21 30 43 50 51 61 62 63 64 65 66 70 Description Discharged to home or self care (routine discharge) Discharged/transferred to another short term general hospital for inpatient care Discharged/transferred to a skilled nursing facility (SNF) Discharged/transferred to an intermediate care facility (ICF) Discharged/transferred to another type of institution not defined elsewhere in this code list Discharged/transferred to home under care of organized home health service organization in anticipation of covered skills care Left against medical advice or discontinued care Deceased/Expired (or did not recover - Religious Non Medical Health Care Patient) Discharged/transferred to court/law enforcement Still a patient or expected to return for outpatient services. Discharged/transferred to a Federal Health Care Facility (e.g. VA or federal health care facility) Discharged/transferred to Hospice - home. Discharged/transferred to Hospice - medical facility Discharged/transferred within this institution to a hospital based Medicare approved swing bed. Discharged/transferred to a inpatient rehabilitation facility including distinct part units of a hospital. Discharged/transferred to long term care hospitals Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital. Discharged/transferred to a Critical Access Hospital (CAH). Discharged/transferred to another type of health care institution not defined elsewhere in the code list.

The list of values and codes is based on and in compliance with the Medicare Claims Processing Manual Chapter 25 Completing and Processing the Form CMS-1450 Data Set, referencing the Uniform Bill - Form CMS-1450 (UB-04) and the FL 17 - Patient Discharge Status Required. (For all Part A inpatient, SNF, hospice, home health agency (HHA) and outpatient hospital services.) This code indicates the patient's status as of the "Through" date of the billing period (FL 6). https://www.cms.gov/transmittals/downloads/R1104CP.pdf Page 35-36 Codes are available from Medicare contractors and the National Uniform Billing company (NUBC_ (www.nubc.org) via the NUBC's Official UB-04 Data Specifications Manual. Contractor site, Knowledge Trek: http://www.ub04.net/downloads/Medicare_Pub_Ch_25.pdf Please reference the section "FL 17 - Patient Status" found on page 23-25 of 126.
www.NEMSIS.org
Page 633
eOutcome.03
eOutcome.03 - External Report ID/Number Type Definition The Type of External Report or Record associated with the Report/ID Number. National Element State Element Version 2 Element Usage Code List
Code 4303001 4303003 4303005 4303007 4303009 4303011 4303013 4303015 4303017 4303019 4303021 4303023 4303025 Description Disaster Tag Fire Incident Report Hospital-Receiving Hospital-Transferring Law Enforcement Report Other (Not Listed) Other Registry Other Report Patient ID Prior EMS Patient Care Report STEMI Registry Stroke Registry Trauma Registry
No No
No No No 0:1
Optional
Recurrence

This data element is a merge based on the following Version 2.2.1 elements: E22_03, E22_04, E22_05, and E22_06

Added to allow documentation of external record and identification numbers.
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Page 634
eOutcome.04
eOutcome.04 - External Report ID/Number Definition The ID or Number of the external report or record in eOutcome.03. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

This data element is a merge based on the following Version 2.2.1 elements: E22_03, E22_04, E22_05, and E22_06

Added to allow documentation of external record and identification numbers.
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Page 635
eOutcome.05
eOutcome.05 - Other Report Registry Type Definition The type of external report/registry that was documented as "other" in eOutcome.03 National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

This element should be used only when other-report or other-registry is used eOutcome.03.
www.NEMSIS.org
Page 636
eOutcome.06
eOutcome.06 - Emergency Department Chief Complaint Definition The patient's reason for seeking care or attention, expressed in the terms as close as possible to those used by the patient or responsible informant. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Added to better evaluate EMS patient care.
www.NEMSIS.org
Page 637
eOutcome.07
eOutcome.07 - First ED Systolic Blood Pressure Definition The first recorded Emergency Department Systolic Blood Pressure. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Added to better evaluate the outcome of EMS care.
www.NEMSIS.org
Page 638
eOutcome.08
eOutcome.08 - Emergency Department Recorded Cause of Injury Definition The documented cause of injury from the emergency department record. National Element State Element Version 2 Element Usage Constraints
Pattern ([TV-Y][0-9]{2})((\.[0-9A-Z]{1,7})?)
No No
No No No 0:1
Optional
Recurrence


Added to better evaluate EMS care.
www.NEMSIS.org
Page 639
eOutcome.09
eOutcome.09 - Emergency Department Procedures Definition The procedures performed on the patient during the emergency department visit. National Element State Element Version 2 Element Usage Attributes
No No
No No No 0:M
Optional
Recurrence
Constraints
Pattern [0-9A-HJ-NP-Z]{3,7}

ICD-10-PCS has a seven character alphanumeric code structure. Each character contains up to 34 possible values. Each value represents a specific option for the general character definition (e.g., stomach is one of the values for the body part character). The ten digits 0-9 and the 24 letters A-H,J-N and P-Z may be used in each character. The letters O and I are not used in order to avoid confusion with the digits 0 and 1. Website - http://uts.nlm.nih.gov Product - UMLS Metathesaurus

www.NEMSIS.org
Page 640
eOutcome.10
eOutcome.10 - Emergency Department Diagnosis Definition The practitioner's description of the condition or problem for which Emergency Department services were provided. National Element State Element Version 2 Element Usage Attributes
No No
No No No 0:M
Optional
Recurrence
Constraints
Pattern [A-Z][0-9]{2}((\.[0-9A-Z]{1,3})?)

Code list is represented in ICD-10-CM: Diagnosis Codes. Website - http://uts.nlm.nih.gov Product - UMLS Metathesaurus

www.NEMSIS.org
Page 641
eOutcome.11
eOutcome.11 - Date/Time of Hospital Admission Definition The date and time the patient was admitted to the hospital. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}


www.NEMSIS.org
Page 642
eOutcome.12
eOutcome.12 - Hospital Procedures Definition Hospital Procedures performed on the patient during the hospital admission. National Element State Element Version 2 Element Usage Attributes
No No
No No No 0:M
Optional
Recurrence
Constraints
Pattern [0-9A-HJ-NP-Z]{3,7}

ICD-10-PCS has a seven character alphanumeric code structure. Each character contains up to 34 possible values. Each value represents a specific option for the general character definition (e.g., stomach is one of the values for the body part character). The ten digits 0-9 and the 24 letters A-H,J-N and P-Z may be used in each character. The letters O and I are not used in order to avoid confusion with the digits 0 and 1. Website - http://uts.nlm.nih.gov Product - UMLS Metathesaurus

www.NEMSIS.org
Page 643
eOutcome.13
eOutcome.13 - Hospital Diagnosis Definition The hospital diagnosis of the patient associated with the hospital admission. National Element State Element Version 2 Element Usage Attributes
No No
No No No 0:M
Optional
Recurrence
Constraints
Pattern [A-Z][0-9]{2}((\.[0-9A-Z]{1,4})?)

Code list is represented in ICD-10-CM: Diagnosis Codes. Website - http://uts.nlm.nih.gov Product - UMLS Metathesaurus

www.NEMSIS.org
Page 644
eOutcome.14
eOutcome.14 - Total ICU Length of Stay Definition The total number of patient days in any ICU (including all ICU episodes). National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Added to better measure patient outcomes.
www.NEMSIS.org
Page 645
eOutcome.15
eOutcome.15 - Total Ventilator Days Definition The total number of patient days spend on a mechanical ventilator (excluding time in the operating room). National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Added to better measure and define patient outcome.
www.NEMSIS.org
Page 646
eOutcome.16
eOutcome.16 - Date/Time of Hospital Discharge Definition The date the patient was discharged from the hospital. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}


Added to better measure patient outcome.
www.NEMSIS.org
Page 647
eOutcome.17
eOutcome.17 - Outcome at Hospital Discharge Definition The patient's functional status at time of hospital discharge. National Element State Element Version 2 Element Usage Code List
Code 4317001 4317003 4317005 4317007 4317009 4317011 4317013 Description No Symptoms At All No significant disability despite symptoms; able to carry out all usual duties and activities Slight disability; unable to carry out all previous activities, but able to look after own affairs without assistance Moderate disability; requiring some help, but able to walk without assistance Moderately severe disability; unable to walk without assistance and unable to attend to own bodily needs without assistance Severe disability; bedridden, incontinent and requiring constant nursing care and attention Dead
No No
No No No 0:1
Optional
Recurrence
www.NEMSIS.org
Page 648
eCustomResults
www.NEMSIS.org
Page 649
Legend
S State
D Deprecated
eCustomResults
0:M
eCustomResults.ResultsGroup
1:M 1:1 0:1
C M M O N, L, P
eCustomResults.01 - Custom Data Element Result eCustomResults.02 - Custom Element ID Referenced eCustomResults.03 - CorrelationID of PatientCareReport Element or Group
eCustomResults
www.NEMSIS.org
Page 650
eCustomResults.01
eCustomResults.01 - Custom Data Element Result Definition The actual value or values chosen (if values listed in eCustomConfiguration.06) or result (free text, Date/Time, or number) documented for the Custom Data Element National Element State Element Version 2 Element Usage Attributes
NOT Values (NV) Pertinent Negatives (PN) NV 7701001 - Not Applicable PN 8801001 - Contraindication Noted 8801007 - Medication Allergy 8801015 - None Reported 8801021 - Unresponsive
No No
Yes Yes Yes 1:M
Mandatory
Recurrence
7701003 - Not Recorded 8801003 - Denied By Order 8801009 - Medication Already Taken 8801017 - Not Performed by EMS 8801023 - Unable to Complete
7701005 - Not Reporting 8801005 - Exam Finding Not Present 8801013 - No Known Drug Allergy 8801019 - Refused
Constraints

www.NEMSIS.org
Page 651
eCustomResults.02
eCustomResults.02 - Custom Element ID Referenced Definition References the CustomElementID attribute for eCustomConfiguration.CustomGroup National Element State Element Version 2 Element Usage Constraints
No No
No No No 1:1
Mandatory
Recurrence
www.NEMSIS.org
Page 652
eCustomResults.03
eCustomResults.03 - CorrelationID of PatientCareReport Element or Group Definition References the CorrelationID attribute of an element or group in the PatientCareReport section National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence
www.NEMSIS.org
Page 653
eOther
www.NEMSIS.org
Page 654
Legend
S State
D Deprecated
eOther
0:1 0:M 1:M
eOther.01 - Review Requested eOther.02 - Potential System of Care/Specialty/Registry Patient eOther.EMSCrewMemberGroup

0:M 0:1 1:1 0:M
O O C C O O N S O S C E N, L C O O O C O O O O O O O O O O S E R N, L C
eOther.03 - Personal Protective Equipment Used eOther.04 - EMS Professional (Crew Member) ID eOther.05 - Suspected EMS Work Related Exposure, Injury, or Death eOther.06 - The Type of Work-Related Injury, Death or Suspected Exposure
N, L C
0:M 0:1 0:M
eOther.07 - Natural, Suspected, Intentional, or Unintentional Disaster eOther.08 - Crew Member Completing this Report eOther.FileGroup
0:1 0:1 0:1
eOther.09 - External Electronic Documents eOther.10 - File Attachment Type eOther.11 - File Attachment Image
0:M
eOther.SignatureGroup
0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1 0:1
eOther.12 - Type of Person Signing eOther.13 - Signature Reason eOther.14 - Type Of Patient Representative eOther.15 - Signature Status eOther.16 - Signature File Name eOther.17 - Signature File Type eOther.18 - Signature Graphic eOther.19 - Date/Time of Signature eOther.20 - Signature Last Name eOther.21 - Signature First Name
eOther
www.NEMSIS.org
Page 655
eOther.01
eOther.01 - Review Requested Definition Indication of whether the PCR needs review by anyone. National Element State Element Version 2 Element Usage Code List
No No No 0:1
www.NEMSIS.org
Page 656
eOther.02
eOther.02 - Potential System of Care/Specialty/Registry Patient Definition An indication if the patient may meet the entry criteria for an injury or illness specific registry National Element State Element Version 2 Element Usage
STEMI

Stroke Trauma
No No No 0:M

Code List
Code 4502001 4502003 4502005 4502007 4502009 4502011 4502013 4502015 4502017 4502019 Description Airway Burn Cardiac/MI CVA/Stroke Drowning Other (Not Listed) Spinal Cord Injury STEMI/Acute Cardiac Trauma Traumatic Brain Injury
www.NEMSIS.org
Page 657
eOther.03
eOther.03 - Personal Protective Equipment Used Definition The personal protective equipment which was used by EMS personnel during this EMS patient contact. National Element State Element Version 2 Element Usage Attributes
No No No 0:M
Code List
Code 4503001 4503003 4503005 4503007 4503009 4503011 4503013 4503015 4503017 4503019 4503021 4503023 Description Eye Protection Gloves Helmet Level A Suit Level B Suit Level C Suit Level D Suit (Turn out gear) Mask-N95 Mask-Surgical (Non-Fitted) Other (Not Listed) PAPR Reflective Vest
www.NEMSIS.org
Page 658
eOther.04
eOther.04 - EMS Professional (Crew Member) ID Definition The ID number of the EMS Crew Member associated with eOther.03, eOther.05, eOther.06. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Added to allow documentation of PPE and work related health and safety down to the individual level within each EMS crew.

Added to better document EMS workplace health and safety issues.
www.NEMSIS.org
Page 659
eOther.05
State National
eOther.05 - Suspected EMS Work Related Exposure, Injury, or Death Definition Indication of an EMS work related exposure, injury, or death associated with this EMS event. National Element State Element Version 2 Element Usage Attributes
No Yes Yes 1:1
Code List

Associated with eOther.04 (EMS Professional (Crew Member) ID)
www.NEMSIS.org
Page 660
eOther.06
State
eOther.06 - The Type of Work-Related Injury, Death or Suspected Exposure Definition The type of exposure or unprotected contact with blood or body fluids National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:M
Code List
Code 4506001 4506003 4506005 4506007 4506009 4506011 4506013 4506015 4506017 4506019 4506021 4506023 4506025 4506027 4506029 Description Death-Cardiac Arrest Death-Injury Related Death-Other (Not Listed) Exposure-Airborne Respiratory/Biological/Aerosolized Secretions Exposure-Body Fluid Contact to Broken Skin Exposure-Body Fluid Contact with Eye Exposure-Body Fluid Contact with Intact Skin Exposure-Body Fluid Contact with Mucosal Surface Exposure-Needle Stick with Body Fluid Injection Exposure-Needle Stick without Body Fluid Injection Exposure-Toxin/Chemical/Hazmat Injury-Lifting/Back/Musculoskeletal Injury-Other (Not Listed) None Other (Not Listed)

Associated witheOther.04 (EMS Professional (Crew Member) ID).
www.NEMSIS.org
Page 661
eOther.07
eOther.07 - Natural, Suspected, Intentional, or Unintentional Disaster Definition Event caused by natural forces or Suspected and Intentional/Unintentional Disasters (terrorism). National Element State Element Version 2 Element Usage
Trauma
No No No 0:M

Code List
Code 4507001 4507003 4507005 4507007 4507009 4507011 4507013 4507015 4507017 4507019 4507021 4507023 4507025 4507027 Description Biologic Agent Building Failure Chemical Agent Explosive Device Fire Hostage Event Mass Gathering Mass Illness Nuclear Agent Radioactive Device Secondary Destructive Device Shooting/Sniper Vehicular Weather

Based on FEMA website
www.NEMSIS.org
Page 662
eOther.08
State
eOther.08 - Crew Member Completing this Report Definition The statewide assigned ID number of the EMS crew member which completed this patient care report National Element State Element Version 2 Element Usage Attributes
No Yes Yes 0:1
Constraints

If the EMS Professional has a specific ID associated with two states, the ID used would typically be based on the EMS Agencies state license.
www.NEMSIS.org
Page 663
eOther.09
eOther.09 - External Electronic Documents Definition Document types which have been electronically stored with PCR. National Element State Element Version 2 Element Usage Code List
Code 4509001 4509003 4509005 4509007 4509009 4509011 4509013 4509015 4509017 4509019 4509021 4509023 4509025 Description Audio Recording Billing Information Diagnostic Image (CT, X-ray, US, etc) DNR/Living Will ECG/Lab Results Guardianship/Power of Attorney Healthcare Record Other (Not Listed) Patient Identification Patient Refusal Sheet Picture/Graphic Sound Recording Video/Movie
No No
No No No 0:1
Optional
Recurrence

Added to allow an improved implementation of electronic healthcare records.

www.NEMSIS.org
Page 664
eOther.10
eOther.10 - File Attachment Type Definition The description of the file attachment stored in File Attachment Image (eOther.11). National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence


www.NEMSIS.org
Page 665
eOther.11
eOther.11 - File Attachment Image Definition The file that is attached electronically to the patient care report. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

Associated with eOther.09 (External Electronic Documents) and eOther.10 (File Attachment Type).

www.NEMSIS.org
Page 666
eOther.12
eOther.12 - Type of Person Signing Definition The individual's signature associated with eOther.15 (Signature Status). National Element State Element Version 2 Element Usage Code List
Code 4512001 4512003 4512005 4512007 4512009 4512011 4512013 4512015 4512017 4512019 Description EMS Crew Member (Other) EMS Primary Care Provider (for this event) Healthcare Provider Medical Director Non-Healthcare Provider Online Medical Control Healthcare Practitioner Other Patient Patient Representative Witness
No No
No No No 0:1
Optional
Recurrence

Added to better document disposition and billing information.
www.NEMSIS.org
Page 667
eOther.13
eOther.13 - Signature Reason Definition The reason for the individuals signature. National Element State Element Version 2 Element Usage Code List
Code 4513001 4513003 4513005 4513007 4513009 4513011 4513013 4513015 4513017 4513019 4513021 4513023 Description HIPAA acknowledgement/Release Permission to Treat Release for Billing Transfer of Patient Care Refusal of Care Controlled Substance, Administration Controlled Substance, Waste Airway Verification Patient Belongings (Receipt) Permission to Transport Refusal of Transport Other
No No
No No No 0:1
Optional
Recurrence
www.NEMSIS.org
Page 668
eOther.14
eOther.14 - Type Of Patient Representative Definition If Patient Representative is chosen as the owner of the signature, this documents the relationship of the individual signing to the patient. National Element State Element Version 2 Element Usage Code List
Code 4514001 4514003 4514005 4514007 4514009 4514011 4514013 4514015 4514017 4514019 4514021 4514023 4514025 4514027 4514029 4514031 4514033 4514035 4514037 4514039 4514041 4514043 4514045 4514047 4514049 4514051 Description Aunt Brother Daughter Discharge Planner Domestic Partner Father Friend Grandfather Grandmother Guardian Husband Law Enforcement MD/DO Mother Nurse (RN) Nurse Practitioner (NP) Other Care Provider (Home health, hospice, etc.) Other Physician's Assistant (PA) Power of Attorney Relative (Not Listed) Self Sister Son Uncle Wife
No No
No No No 0:1
Optional
Recurrence

Required for Billing.

Added to improve documentation on disposition and billing.
www.NEMSIS.org
Page 669
eOther.15
eOther.15 - Signature Status Definition Indication that a patient or patient representative signature has been collected or attempted to be collected. National Element State Element Version 2 Element Usage Code List
Code 4515001 4515003 4515005 4515007 4515009 4515011 4515013 4515015 4515017 4515019 4515021 4515023 4515025 4515027 4515029 4515031 4515033 Description Not Signed - Crew Called out to another call Not Signed - Deceased Not Signed - Due to Distress Level Not Signed - Equipment Failure Not Signed - In Law Enforcement Custody Not Signed - Language Barrier Not Signed - Mental Status/Impaired Not Signed - Minor/Child Not Signed - Physical Impairment of Extremities Not Signed - Refused Not Signed - Transferred Care/No Access to Obtain Signature Not Signed - Unconscious Not Signed -Visually Impaired Physical Signature/Paper Copy Obtained Refused Signed Signed-Not Patient
No No
No No No 0:1
Optional
Recurrence

Added to better document disposition and billing.
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eOther.16
eOther.16 - Signature File Name Definition The name of the graphic file for the signature. National Element State Element Version 2 Element Usage Constraints
Data Type string maxLength 255
No No
No No No 0:1
Optional
Recurrence
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eOther.17
eOther.17 - Signature File Type Definition The description of the file attachment stored in Signature Graphic (eOther.18). National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

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eOther.18
eOther.18 - Signature Graphic Definition The graphic file for the signature. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

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eOther.19
eOther.19 - Date/Time of Signature Definition The date and time the signature was captured. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence
Pattern [0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}


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eOther.20
eOther.20 - Signature Last Name Definition The last name of the individual who signed the associated signature. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

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eOther.21
eOther.21 - Signature First Name Definition The first name of the individual associated with the signature. National Element State Element Version 2 Element Usage Constraints
No No
No No No 0:1
Optional
Recurrence

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Index
DEMDataSet
DEMDataSet Grouping
1
2
EMSDataSet
EMSDataSet Grouping
3
4
dAgency
dAgency Grouping dAgency.01 - EMS Agency Unique State ID dAgency.02 - EMS Agency Number dAgency.03 - EMS Agency Name dAgency.04 - EMS Agency State dAgency.05 - EMS Agency Service Area States dAgency.06 - EMS Agency Service Area County(ies) dAgency.07 - EMS Agency Census Tracts dAgency.08 - EMS Agency Service Area ZIP Codes dAgency.09 - Primary Type of Service dAgency.10 - Other Types of Service dAgency.11 - Level of Service dAgency.12 - Organization Status dAgency.13 - Organizational Type dAgency.14 - EMS Agency Organizational Tax Status dAgency.15 - Statistical Calendar Year dAgency.16 - Total Primary Service Area Size dAgency.17 - Total Service Area Population dAgency.18 - 911 EMS Call Center Volume per Year dAgency.19 - EMS Dispatch Volume per Year dAgency.20 - EMS Patient Transport Volume per Year dAgency.21 - EMS Patient Contact Volume per Year dAgency.22 - EMS Billable Calls per Year dAgency.23 - EMS Agency Time Zone dAgency.24 - EMS Agency Daylight Savings Time Use dAgency.25 - National Provider Identifier dAgency.26 - Fire Department ID Number
19
20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46
dConfiguration
dConfiguration Grouping dConfiguration.01 - State Associated with the Certification/Licensure Levels dConfiguration.02 - State Certification/Licensure Levels dConfiguration.03 - Procedures Permitted by the State dConfiguration.04 - Medications Permitted by the State dConfiguration.05 - Protocols Permitted by the State dConfiguration.06 - EMS Certification Levels Permitted to Perform Each Procedure dConfiguration.07 - EMS Agency Procedures dConfiguration.08 - EMS Certification Levels Permitted to Administer Each Medication dConfiguration.09 - EMS Agency Medications dConfiguration.10 - EMS Agency Protocols dConfiguration.11 - EMS Agency Specialty Service Capability
65
66 67 68 69 70 71 74 75 76 77 78 80
dConfiguration.12 - Billing Status dConfiguration.13 - Emergency Medical Dispatch (EMD) Provided to EMS Agency Service Area dConfiguration.14 - EMD Vendor dConfiguration.15 - Patient Monitoring Capability(ies) dConfiguration.16 - Crew Call Sign dConfiguration.17 - Dispatch Center (CAD) Name or ID
81 82 83 84 85 86
dContact
dContact Grouping dContact.01 - Agency Contact Type dContact.02 - Agency Contact Last Name dContact.03 - Agency Contact First Name dContact.04 - Agency Contact Middle Name/Initial dContact.05 - Agency Contact Address dContact.06 - Agency Contact City dContact.07 - Agency Contact State dContact.08 - Agency Contact ZIP Code dContact.09 - Agency Contact Country dContact.10 - Agency Contact Phone Number dContact.11 - Agency Contact Email Address dContact.12 - EMS Agency Contact Web Address dContact.13 - Agency Medical Director Degree dContact.14 - Agency Medical Director Board Certification Type dContact.15 - Medical Director Compensation dContact.16 - EMS Medical Director Fellowship Trained Status
47
48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64
dCustomConfiguration Grouping dCustomConfiguration.01 - Custom Data Element Title dCustomConfiguration.02 - Custom Definition dCustomConfiguration.03 - Custom Data Type dCustomConfiguration.04 - Custom Data Element Recurrence dCustomConfiguration.05 - Custom Data Element Usage dCustomConfiguration.06 - Custom Data Element Potential Values dCustomConfiguration.07 - Custom Data Element Potential NOT Values (NV) dCustomConfiguration.08 - Custom Data Element Potential Pertinent Negative Values (PN)
9
10 11 12 13 14 15 16 17 18
dCustomResults
dCustomResults Grouping dCustomResults.01 - Custom Data Element Result dCustomResults.02 - Custom Element ID Referenced dCustomResults.03 - CorrelationID of DemographicReport Element or Group
183
184 185 186 187
dDevice
dDevice Grouping dDevice.01 - Medical Device Serial Number dDevice.02 - Medical Device Name or ID dDevice.03 - Medical Device Type dDevice.04 - Medical Device Manufacturer dDevice.05 - Medical Device Model Number
159
160 161 162 163 164 165
dDevice.06 - Medical Device Purchase Date
166
dFacility
dFacility Grouping dFacility.01 - Type of Facility dFacility.02 - Facility Name dFacility.03 - Facility Location Code dFacility.04 - Hospital Designations dFacility.05 - Facility National Provider Identifier dFacility.06 - Facility Room, Suite, or Apartment dFacility.07 - Facility Street Address dFacility.08 - Facility City dFacility.09 - Facility State dFacility.10 - Facility ZIP Code dFacility.11 - Facility County dFacility.12 - Facility Country dFacility.13 - Facility GPS Location dFacility.14 - Facility US National Grid Coordinates
167
168 169 170 171 172 173 174 175 176 177 178 179 180 181 182
dLocation
dLocation Grouping dLocation.01 - EMS Location Type dLocation.02 - EMS Location Name dLocation.03 - EMS Location Number dLocation.04 - EMS Location GPS dLocation.05 - EMS Location US National Grid Coordinates dLocation.06 - EMS Location Address dLocation.07 - EMS Location City dLocation.08 - EMS Location State dLocation.09 - EMS Station or Location ZIP Code dLocation.10 - EMS Location County dLocation.11 - EMS Location Country dLocation.12 - EMS Location Phone Number
87
88 89 90 91 92 93 94 95 96 97 98 99 100
dPersonnel
dPersonnel Grouping dPersonnel.01 - EMS Personnel's Last Name dPersonnel.02 - EMS Personnel's First Name dPersonnel.03 - EMS Personnel's Middle Name/Initial dPersonnel.04 - EMS Personnel's Mailing Address dPersonnel.05 - EMS Personnel's City of Residence dPersonnel.06 - EMS Personnel's State dPersonnel.07 - EMS Personnel's ZIP Code dPersonnel.08 - EMS Personnel's Country dPersonnel.09 - EMS Personnel's Phone Number dPersonnel.10 - EMS Personnel's Email Address dPersonnel.11 - EMS Personnel's Date of Birth dPersonnel.12 - EMS Personnel's Gender dPersonnel.13 - EMS Personnel's Race dPersonnel.14 - EMS Personnel's Citizenship
116
117 119 120 121 122 123 124 125 126 127 128 129 130 131 132
dPersonnel.15 - EMS Personnel's Highest Educational Degree dPersonnel.16 - EMS Personnel's Degree Subject/Field of Study dPersonnel.17 - EMS Personnel's Motor Vehicle License Type dPersonnel.18 - EMS Personnel's Immunization Status dPersonnel.19 - EMS Personnel's Immunization Year dPersonnel.20 - EMS Personnel's Foreign Language Ability dPersonnel.21 - EMS Personnel's Agency ID Number dPersonnel.22 - EMS Personnel's State of Licensure dPersonnel.23 - EMS Personnel's State's Licensure ID Number dPersonnel.24 - EMS Personnel's State EMS Certification Licensure Level dPersonnel.25 - EMS Personnel's State EMS Current Certification Date dPersonnel.26 - EMS Personnel's Initial State's Licensure Issue Date dPersonnel.27 - EMS Personnel's Current State's Licensure Expiration Date dPersonnel.28 - EMS Personnel's National Registry Number dPersonnel.29 - EMS Personnel's National Registry Certification Level dPersonnel.30 - EMS Personnel's Current National Registry Expiration Date dPersonnel.31 - EMS Personnel's Employment Status dPersonnel.32 - EMS Personnel's Employment Status Date dPersonnel.33 - EMS Personnel's Hire Date dPersonnel.34 - EMS Personnel's Primary EMS Job Role dPersonnel.35 - EMS Personnel's Other Job Responsibilities dPersonnel.36 - EMS Personnel's Total Length of Service in Years dPersonnel.37 - EMS Personnel's Date Length of Service Documented dPersonnel.38 - EMS Professional's Practice Level dPersonnel.39 - Date of Professional's Certification or Licensure for Agency
133 134 135 136 137 138 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158
dState
dState Grouping dState.01 - State Required Element
6
7 8
dVehicle
dVehicle Grouping dVehicle.01 - Unit/Vehicle Number dVehicle.02 - Vehicle Identification Number dVehicle.03 - EMS Unit Call Sign dVehicle.04 - Vehicle Type dVehicle.05 - Crew State Certification/Licensure Levels dVehicle.06 - Number of Each EMS Personnel Level on Normal 911 Ambulance Response dVehicle.07 - Number of Each EMS Personnel Level on Normal 911 Response (Non-Transport) Vehicle dVehicle.08 - Number of Each EMS Personnel Level on Normal Medical (Non-911) Transport Ambulance dVehicle.09 - Vehicle Initial Cost dVehicle.10 - Vehicle Model Year dVehicle.11 - Year Miles/Kilometers Hours Accrued dVehicle.12 - Annual Vehicle Hours dVehicle.13 - Annual Vehicle Miles/Kilometers
101
102 103 104 105 106 107 108 109 110 111 112 113 114 115
eAirway
eAirway Grouping eAirway.01 - Indications for Invasive Airway eAirway.02 - Date/Time Airway Device Placement Confirmation
575
576 577 578
eAirway.03 - Airway Device Being Confirmed eAirway.04 - Airway Device Placement Confirmed Method eAirway.05 - Tube Depth eAirway.06 - Type of Individual Confirming Airway Device Placement eAirway.07 - Crew Member ID eAirway.08 - Airway Complications Encountered eAirway.09 - Suspected Reasons for Failed Airway Procedure eAirway.10 - Date/Time Decision to Manage the Patient with an Invasive Airway eAirway.11 - Date/Time Invasive Airway Placement Attempts Abandoned
579 580 581 582 583 584 585 586 587
eArrest
eArrest Grouping eArrest.01 - Cardiac Arrest eArrest.02 - Cardiac Arrest Etiology eArrest.03 - Resuscitation Attempted By EMS eArrest.04 - Arrest Witnessed By eArrest.05 - CPR Care Provided Prior to EMS Arrival eArrest.06 - Who Provided CPR Prior to EMS Arrival eArrest.07 - AED Use Prior to EMS Arrival eArrest.08 - Who Used AED Prior to EMS Arrival eArrest.09 - Type of CPR Provided eArrest.10 - Therapeutic Hypothermia Initiated eArrest.11 - First Monitored Arrest Rhythm of the Patient eArrest.12 - Any Return of Spontaneous Circulation eArrest.13 - Neurological Outcome at Hospital Discharge eArrest.14 - Date/Time of Cardiac Arrest eArrest.15 - Date/Time Resuscitation Discontinued eArrest.16 - Reason CPR/Resuscitation Discontinued eArrest.17 - Cardiac Rhythm on Arrival at Destination eArrest.18 - End of EMS Cardiac Arrest Event
423
424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 443
eCrew
eCrew Grouping eCrew.01 - Crew Member ID eCrew.02 - Crew Member Level eCrew.03 - Crew Member Response Role
241
242 243 244 245
eCustomConfiguration Grouping eCustomConfiguration.01 - Custom Data Element Title eCustomConfiguration.02 - Custom Definition eCustomConfiguration.03 - Custom Data Type eCustomConfiguration.04 - Custom Data Element Recurrence eCustomConfiguration.05 - Custom Data Element Usage eCustomConfiguration.06 - Custom Data Element Potential Values eCustomConfiguration.07 - Custom Data Element Potential NOT Values (NV) eCustomConfiguration.08 - Custom Data Element Potential Pertinent Negative Values (PN)
191
192 193 194 195 196 197 198 199 200
eCustomResults
eCustomResults Grouping
649
650
eCustomResults.01 - Custom Data Element Result eCustomResults.02 - Custom Element ID Referenced eCustomResults.03 - CorrelationID of PatientCareReport Element or Group
651 652 653
eDevice
eDevice Grouping eDevice.01 - Medical Device Serial Number eDevice.02 - Date/Time of Event (per Medical Device) eDevice.03 - Medical Device Event Type eDevice.04 - Medical Device Waveform Graphic Type eDevice.05 - Medical Device Waveform Graphic eDevice.06 - Medical Device Mode (Manual, AED, Pacing, CO2, O2, etc) eDevice.07 - Medical Device ECG Lead eDevice.08 - Medical Device ECG Interpretation eDevice.09 - Type of Shock eDevice.10 - Shock or Pacing Energy eDevice.11 - Total Number of Shocks Delivered eDevice.12 - Pacing Rate
588
589 590 591 592 593 594 595 596 597 598 599 600 601
eDispatch
eDispatch Grouping eDispatch.01 - Complaint Reported by Dispatch eDispatch.02 - EMD Performed eDispatch.03 - EMD Card Number eDispatch.04 - Dispatch Center Name or ID eDispatch.05 - Dispatch Priority (Patient Acuity)
233
234 235 237 238 239 240
eDisposition
eDisposition Grouping eDisposition.01 - Destination/Transferred To, Name eDisposition.02 - Destination/Transferred To, Code eDisposition.03 - Destination Street Address eDisposition.04 - Destination City eDisposition.05 - Destination State eDisposition.06 - Destination County eDisposition.07 - Destination ZIP Code eDisposition.08 - Destination Country eDisposition.09 - Destination GPS Location eDisposition.10 - Disposition Location US National Grid Coordinates eDisposition.11 - Number of Patients Transported in this EMS Unit eDisposition.12 - Incident/Patient Disposition eDisposition.13 - How Patient Was Moved to Ambulance eDisposition.14 - Position of Patient During Transport eDisposition.15 - How Patient Was Transported From Ambulance eDisposition.16 - EMS Transport Method eDisposition.17 - Transport Mode from Scene eDisposition.18 - Additional Transport Mode Descriptors eDisposition.19 - Condition of Patient at Destination eDisposition.20 - Reason for Choosing Destination eDisposition.21 - Type of Destination
602
603 604 605 606 607 608 609 610 611 612 613 614 615 616 617 618 619 620 621 622 623 624
eDisposition.22 - Hospital In-Patient Destination eDisposition.23 - Hospital Designation eDisposition.24 - Destination Team Pre-Arrival Alert or Activation eDisposition.25 - Date/Time of Destination Prearrival Alert or Activation eDisposition.26 - Disposition Instructions Provided
625 626 627 628 629
eExam
eExam Grouping eExam.01 - Estimated Body Weight in Kilograms eExam.02 - Length Based Tape Measure eExam.03 - Date/Time of Assessment eExam.04 - Skin Assessment eExam.05 - Head Assessment eExam.06 - Face Assessment eExam.07 - Neck Assessment eExam.08 - Chest/Lungs Assessment eExam.09 - Heart Assessment eExam.10 - Abdominal Assessment Finding Location eExam.11 - Abdomen Assessment eExam.12 - Pelvis/Genitourinary Assessment eExam.13 - Back and Spine Assessment Finding Location eExam.14 - Back and Spine Assessment eExam.15 - Extremity Assessment Finding Location eExam.16 - Extremities Assessment eExam.17 - Eye Assessment Finding Location eExam.18 - Eye Assessment eExam.19 - Mental Status Assessment eExam.20 - Neurological Assessment
516
517 518 519 520 521 522 523 524 525 527 528 529 530 531 532 533 535 537 538 539 540
eHistory
eHistory Grouping eHistory.01 - Barriers to Patient Care eHistory.02 - Last Name of Patient's Practitioner eHistory.03 - First Name of Patient's Practitioner eHistory.04 - Middle Name/Initial of Patient's Practitioner eHistory.05 - Advance Directives eHistory.06 - Medication Allergies eHistory.07 - Environmental/Food Allergies eHistory.08 - Medical/Surgical History eHistory.09 - Medical History Obtained From eHistory.10 - The Patient's Type of Immunization eHistory.11 - Immunization Date eHistory.12 - Current Medications eHistory.13 - Current Medication Dose eHistory.14 - Current Medication Dosage Unit eHistory.15 - Current Medication Administration Route eHistory.16 - Presence of Emergency Information Form eHistory.17 - Alcohol/Drug Use Indicators eHistory.18 - Pregnancy eHistory.19 - Last Oral Intake
444
445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464
eInjury
eInjury Grouping eInjury.01 - Cause of Injury eInjury.02 - Mechanism of Injury eInjury.03 - Trauma Center Criteria eInjury.04 - Vehicular, Pedestrian, or Other Injury Risk Factor eInjury.05 - Main Area of the Vehicle Impacted by the Collision eInjury.06 - Location of Patient in Vehicle eInjury.07 - Use of Occupant Safety Equipment eInjury.08 - Airbag Deployment eInjury.09 - Height of Fall (feet) eInjury.10 - OSHA Personal Protective Equipment Used eInjury.11 - ACN System/Company Providing ACN Data eInjury.12 - ACN Incident ID eInjury.13 - ACN Call Back Phone Number eInjury.14 - Date/Time of ACN Incident eInjury.15 - ACN Incident Location eInjury.16 - ACN Incident Vehicle Body Type eInjury.17 - ACN Incident Vehicle Manufacturer eInjury.18 - ACN Incident Vehicle Make eInjury.19 - ACN Incident Vehicle Model eInjury.20 - ACN Incident Vehicle Model Year eInjury.21 - ACN Incident Multiple Impacts eInjury.22 - ACN Incident Delta Velocity eInjury.23 - ACN High Probability of Injury eInjury.24 - ACN Incident PDOF eInjury.25 - ACN Incident Rollover eInjury.26 - ACN Vehicle Seat Location eInjury.27 - Seat Occupied eInjury.28 - ACN Incident Seatbelt Use eInjury.29 - ACN Incident Airbag Deployed
391
392 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422
eLabs
eLabs Grouping eLabs.01 - Date/Time of Laboratory or Imaging Result eLabs.02 - Study/Result Prior to this Unit's EMS Care eLabs.03 - Laboratory Result Type eLabs.04 - Laboratory Result eLabs.05 - Imaging Study Type eLabs.06 - Imaging Study Results eLabs.07 - Imaging Study File or Waveform Graphic Type eLabs.08 - Imaging Study File or Waveform Graphic
505
506 507 508 509 511 512 513 514 515
eMedications
eMedications Grouping eMedications.01 - Date/Time Medication Administered eMedications.02 - Medication Administered Prior to this Unit's EMS Care eMedications.03 - Medication Given eMedications.04 - Medication Administered Route eMedications.05 - Medication Dosage
546
547 548 549 550 551 552
eMedications.06 - Medication Dosage Units eMedications.07 - Response to Medication eMedications.08 - Medication Complication eMedications.09 - Medication Crew (Healthcare Professionals) ID eMedications.10 - Role/Type of Person Administering Medication eMedications.11 - Medication Authorization eMedications.12 - Medication Authorizing Physician
553 554 555 556 557 558 559
eNarrative
eNarrative Grouping eNarrative.01 - Patient Care Report Narrative
465
466 467
eOther
eOther Grouping eOther.01 - Review Requested eOther.02 - Potential System of Care/Specialty/Registry Patient eOther.03 - Personal Protective Equipment Used eOther.04 - EMS Professional (Crew Member) ID eOther.05 - Suspected EMS Work Related Exposure, Injury, or Death eOther.06 - The Type of Work-Related Injury, Death or Suspected Exposure eOther.07 - Natural, Suspected, Intentional, or Unintentional Disaster eOther.08 - Crew Member Completing this Report eOther.09 - External Electronic Documents eOther.10 - File Attachment Type eOther.11 - File Attachment Image eOther.12 - Type of Person Signing eOther.13 - Signature Reason eOther.14 - Type Of Patient Representative eOther.15 - Signature Status eOther.16 - Signature File Name eOther.17 - Signature File Type eOther.18 - Signature Graphic eOther.19 - Date/Time of Signature eOther.20 - Signature Last Name eOther.21 - Signature First Name
654
655 656 657 658 659 660 661 662 663 664 665 666 667 668 669 670 671 672 673 674 675 676
eOutcome
eOutcome Grouping eOutcome.01 - Emergency Department Disposition eOutcome.02 - Hospital Disposition eOutcome.03 - External Report ID/Number Type eOutcome.04 - External Report ID/Number eOutcome.05 - Other Report Registry Type eOutcome.06 - Emergency Department Chief Complaint eOutcome.07 - First ED Systolic Blood Pressure eOutcome.08 - Emergency Department Recorded Cause of Injury eOutcome.09 - Emergency Department Procedures eOutcome.10 - Emergency Department Diagnosis eOutcome.11 - Date/Time of Hospital Admission eOutcome.12 - Hospital Procedures
630
631 632 633 634 635 636 637 638 639 640 641 642 643
eOutcome.13 - Hospital Diagnosis eOutcome.14 - Total ICU Length of Stay eOutcome.15 - Total Ventilator Days eOutcome.16 - Date/Time of Hospital Discharge eOutcome.17 - Outcome at Hospital Discharge
644 645 646 647 648
ePatient
ePatient Grouping ePatient.01 - EMS Patient ID ePatient.02 - Last Name ePatient.03 - First Name ePatient.04 - Middle Initial/Name ePatient.05 - Patient's Home Address ePatient.06 - Patient's Home City ePatient.07 - Patient's Home County ePatient.08 - Patient's Home State ePatient.09 - Patient's Home ZIP Code ePatient.10 - Patient's Home Country ePatient.11 - Patient Home Census Tract ePatient.12 - Social Security Number ePatient.13 - Gender ePatient.14 - Race ePatient.15 - Age ePatient.16 - Age Units ePatient.17 - Date of Birth ePatient.18 - Patient's Phone Number ePatient.19 - Patient's Email Address ePatient.20 - State Issuing Driver's License ePatient.21 - Driver's License Number
264
265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286
ePayment
ePayment Grouping ePayment.01 - Primary Method of Payment ePayment.02 - Physician Certification Statement ePayment.03 - Date Physician Certification Statement Signed ePayment.04 - Reason for Physician Certification Statement ePayment.05 - Healthcare Provider Type Signing Physician Certification Statement ePayment.06 - Last Name of Individual Signing Physician Certification Statement ePayment.07 - First Name of Individual Signing Physician Certification Statement ePayment.08 - Patient Resides in Service Area ePayment.09 - Insurance Company ID ePayment.10 - Insurance Company Name ePayment.11 - Insurance Company Billing Priority ePayment.12 - Insurance Company Address ePayment.13 - Insurance Company City ePayment.14 - Insurance Company State ePayment.15 - Insurance Company ZIP Code ePayment.16 - Insurance Company Country ePayment.17 - Insurance Group ID/Name ePayment.18 - Insurance Policy ID Number
287
288 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307
ePayment.19 - Last Name of the Insured ePayment.20 - First Name of the Insured ePayment.21 - Middle Initial/Name of the Insured ePayment.22 - Relationship to the Insured ePayment.23 - Closest Relative/Guardian Last Name ePayment.24 - Closest Relative/ Guardian First Name ePayment.25 - Closest Relative/ Guardian Middle Initial/Name ePayment.26 - Closest Relative/ Guardian Street Address ePayment.27 - Closest Relative/ Guardian City ePayment.28 - Closest Relative/ Guardian State ePayment.29 - Closest Relative/ Guardian ZIP Code ePayment.30 - Closest Relative/ Guardian Country ePayment.31 - Closest Relative/ Guardian Phone Number ePayment.32 - Closest Relative/ Guardian Relationship ePayment.33 - Patient's Employer ePayment.34 - Patient's Employer's Address ePayment.35 - Patient's Employer's City ePayment.36 - Patient's Employer's State ePayment.37 - Patient's Employer's ZIP Code ePayment.38 - Patient's Employer's Country ePayment.39 - Patient's Employer's Primary Phone Number ePayment.40 - Response Urgency ePayment.41 - Patient Transport Assessment ePayment.42 - Specialty Care Transport Care Provider ePayment.43 - Ambulance Transport Code ePayment.44 - Ambulance Transport Reason Code ePayment.45 - Round Trip Purpose Description ePayment.46 - Stretcher Purpose Description ePayment.47 - Ambulance Conditions Indicator ePayment.48 - Mileage to Closest Hospital Facility ePayment.49 - ALS Assessment Performed and Warranted ePayment.50 - CMS Service Level ePayment.51 - EMS Condition Code ePayment.52 - CMS Transportation Indicator ePayment.53 - Transport Authorization Code ePayment.54 - Prior Authorization Code Payer ePayment.55 - Supply Item Used Name ePayment.56 - Number of Supply Item(s) Used
308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345
eProcedures
eProcedures Grouping eProcedures.01 - Date/Time Procedure Performed eProcedures.02 - Procedure Performed Prior to this Unit's EMS Care eProcedures.03 - Procedure eProcedures.04 - Size of Procedure Equipment eProcedures.05 - Number of Procedure Attempts eProcedures.06 - Procedure Successful eProcedures.07 - Procedure Complication eProcedures.08 - Response to Procedure eProcedures.09 - Procedure Crew Members ID eProcedures.10 - Role/Type of Person Performing the Procedure
560
561 562 563 564 565 566 567 568 569 570 571
eProcedures.11 - Procedure Authorization eProcedures.12 - Procedure Authorizing Physician eProcedures.13 - Vascular Access Location
572 573 574
eProtocols
eProtocols Grouping eProtocols.01 - Protocols Used eProtocols.02 - Protocol Age Category
541
542 543 545
eRecord
eRecord Grouping eRecord.01 - Patient Care Report Number eRecord.02 - Software Creator eRecord.03 - Software Name eRecord.04 - Software Version
201
202 203 204 205 206
eResponse
eResponse Grouping eResponse.01 - EMS Agency Number eResponse.02 - EMS Agency Name eResponse.03 - Incident Number eResponse.04 - EMS Response Number eResponse.05 - Type of Service Requested eResponse.06 - Standby Purpose eResponse.07 - Primary Role of the Unit eResponse.08 - Type of Dispatch Delay eResponse.09 - Type of Response Delay eResponse.10 - Type of Scene Delay eResponse.11 - Type of Transport Delay eResponse.12 - Type of Turn-Around Delay eResponse.13 - EMS Vehicle (Unit) Number eResponse.14 - EMS Unit Call Sign eResponse.15 - Level of Care of This Unit eResponse.16 - Vehicle Dispatch Location eResponse.17 - Vehicle Dispatch GPS Location eResponse.18 - Vehicle Dispatch US National Grid Location eResponse.19 - Beginning Odometer Reading of Responding Vehicle eResponse.20 - On-Scene Odometer Reading of Responding Vehicle eResponse.21 - Patient Destination Odometer Reading of Responding Vehicle eResponse.22 - Ending Odometer Reading of Responding Vehicle eResponse.23 - Response Mode to Scene eResponse.24 - Additional Response Mode Descriptors
207
208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232
eScene
eScene Grouping eScene.01 - First EMS Unit on Scene eScene.02 - Other EMS or Public Safety Agencies at Scene eScene.03 - Other EMS or Public Safety Agency ID Number eScene.04 - Type of Other Service at Scene eScene.05 - Date/Time Initial Responder Arrived on Scene
346
347 348 349 350 351 352
eScene.06 - Number of Patients at Scene eScene.07 - Mass Casualty Incident eScene.08 - Triage Classification for MCI Patient eScene.09 - Incident Location Type eScene.10 - Incident Facility Code eScene.11 - Scene GPS Location eScene.12 - Scene US National Grid Coordinates eScene.13 - Incident Facility or Location Name eScene.14 - Mile Post or Major Roadway eScene.15 - Incident Street Address eScene.16 - Incident Apartment, Suite, or Room eScene.17 - Incident City eScene.18 - Incident State eScene.19 - Incident ZIP Code eScene.20 - Scene Cross Street or Directions eScene.21 - Incident County eScene.22 - Incident Country eScene.23 - Incident Census Tract
353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370
eSituation
eSituation Grouping eSituation.01 - Date/Time of Symptom Onset/Last Normal eSituation.02 - Possible Injury eSituation.03 - Complaint Type eSituation.04 - Complaint eSituation.05 - Duration of Complaint eSituation.06 - Time Units of Duration of Complaint eSituation.07 - Chief Complaint Anatomic Location eSituation.08 - Chief Complaint Organ System eSituation.09 - Primary Symptom eSituation.10 - Other Associated Symptoms eSituation.11 - Provider's Primary Impression eSituation.12 - Provider's Secondary Impressions eSituation.13 - Initial Patient Acuity eSituation.14 - Work-Related Illness/Injury eSituation.15 - Patient's Occupational Industry eSituation.16 - Patient's Occupation eSituation.17 - Patient Activity
371
372 373 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390
eState
eState Grouping eState.01 - State Required Element
188
189 190
eTimes
eTimes Grouping eTimes.01 - PSAP Call Date/Time eTimes.02 - Dispatch Notified Date/Time eTimes.03 - Unit Notified by Dispatch Date/Time eTimes.04 - Dispatch Acknowledged Date/Time eTimes.05 - Unit En Route Date/Time
246
247 248 249 250 251 252
eTimes.06 - Unit Arrived on Scene Date/Time eTimes.07 - Arrived at Patient Date/Time eTimes.08 - Transfer of EMS Patient Care Date/Time eTimes.09 - Unit Left Scene Date/Time eTimes.10 - Arrival at Destination Landing Area Date/Time eTimes.11 - Patient Arrived at Destination Date/Time eTimes.12 - Destination Patient Transfer of Care Date/Time eTimes.13 - Unit Back in Service Date/Time eTimes.14 - Unit Canceled Date/Time eTimes.15 - Unit Back at Home Location Date/Time eTimes.16 - EMS Call Completed Date/Time
253 254 255 256 257 258 259 260 261 262 263
eVitals
eVitals Grouping eVitals.01 - Date/Time Vital Signs Taken eVitals.02 - Obtained Prior to this Unit's EMS Care eVitals.03 - Cardiac Rhythm / Electrocardiography (ECG) eVitals.04 - ECG Type eVitals.05 - Method of ECG Interpretation eVitals.06 - SBP (Systolic Blood Pressure) eVitals.07 - DBP (Diastolic Blood Pressure) eVitals.08 - Method of Blood Pressure Measurement eVitals.09 - Mean Arterial Pressure eVitals.10 - Heart Rate eVitals.11 - Method of Heart Rate Measurement eVitals.12 - Pulse Oximetry eVitals.13 - Pulse Rhythm eVitals.14 - Respiratory Rate eVitals.15 - Respiratory Effort eVitals.16 - Carbon Dioxide (CO2) eVitals.17 - Carbon Monoxide (CO) eVitals.18 - Blood Glucose Level eVitals.19 - Glasgow Coma Score-Eye eVitals.20 - Glasgow Coma Score-Verbal eVitals.21 - Glasgow Coma Score-Motor eVitals.22 - Glasgow Coma Score-Qualifier eVitals.23 - Total Glasgow Coma Score eVitals.24 - Temperature eVitals.25 - Temperature Method eVitals.26 - Level of Responsiveness (AVPU) eVitals.27 - Pain Scale Score eVitals.28 - Pain Scale Type eVitals.29 - Stroke Scale Score eVitals.30 - Stroke Scale Type eVitals.31 - Reperfusion Checklist eVitals.32 - APGAR eVitals.33 - Revised Trauma Score
468
469 471 472 473 475 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 501 502 503 504

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NEMSIS

EMS Data Standard

NEMSIS Data Dictionary Version 3.3.4

NEMSIS Version 3 Element Configuration from v2.2.1

NEMSIS Version 3 Element Configuration

NEMSIS Version 3.3.4 Data Dictionary Content

NEMSIS Version 3.3.4 Change Summary

dAgency.25 - National Provider Identifier dAgency.26 - Fire Department ID Number

238 239 240

ePatient.20 - State Issuing Driver's License ePatient.21 - Driver's License Number

385 386 387 388 389 390

434 435 436 437 438 439 440 441 443

535 537 538 539 540

583 584 585 586 587

Dataset Level: N National Usage: Attributes:

dState dCustomConfiguration DemographicReport

dAgency dContact dConfiguration dLocation dVehicle dPersonnel dDevice dFacility dCustomResults

Dataset Level: N National Usage: Attributes:

Dataset Level: N National Usage: Attributes:

dState.01 - State Required Element

NEMSIS Version 3.3.4 Build 140305

Pertinent Negatives (PN) NOT Values Is Nillable

Data Element Comment

Dataset Level: N National Usage: Attributes:

dCustomConfiguration.08 - Custom Data Element Potential Pertinent Negative Values (PN) O

NEMSIS Version 3.3.4 Build 140305

Pertinent Negatives (PN) NOT Values Is Nillable

Data Element Comment

Version 3 Changes Implemented

NEMSIS Version 3.3.4 Build 140305

Pertinent Negatives (PN) NOT Values Is Nillable

Data Element Comment

NEMSIS Version 3.3.4 Build 140305

Pertinent Negatives (PN) NOT Values Is Nillable

Data Element Comment

NEMSIS Version 3.3.4 Build 140305

Pertinent Negatives (PN) NOT Values Is Nillable

Data Element Comment Version 3 Changes Implemented

NEMSIS Version 3.3.4 Build 140305

Pertinent Negatives (PN) NOT Values Is Nillable

Data Element Comment

Version 3 Changes Implemented

NEMSIS Version 3.3.4 Build 140305

Pertinent Negatives (PN) NOT Values Is Nillable

Data Element Comment Version 3 Changes Implemented

NEMSIS Version 3.3.4 Build 140305

Pertinent Negatives (PN) NOT Values Is Nillable

Data Element Comment

NEMSIS Version 3.3.4 Build 140305

Pertinent Negatives (PN) NOT Values Is Nillable

Data Element Comment

Dataset Level: N National Usage: Attributes:

1:1 0:M 1:1 1:1 1:1 1:1 1:M

0:1 0:1 1:M 1:M

NEMSIS Version 3.3.4 Build 140305

Pertinent Negatives (PN) NOT Values Is Nillable

Associated Performance Measure Initiatives Constraints

Data Element Comment

NEMSIS Version 3.3.4 Build 140305

Yes Yes D01_01 Mandatory

Pertinent Negatives (PN) NOT Values Is Nillable Recurrence

Associated Performance Measure Initiatives Constraints