67796-3
EMS patient care report - version 3 Document NEMSIS
Active
Term Description
Document for EMS encounter
Source: Regenstrief LOINC
Fully-Specified Name
- Component
- EMS patient care report - version 3
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Doc
- Method
- NEMSIS
Additional Names
- Short Name
- EMS PCR - v 3 Doc NEMSIS
Associated Observations
84428-2 National EMS Information System - version 3 set
LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
---|---|---|---|---|
84428-2 | National EMS Information System - version 3 set | |||
Indent67660-1 | EMS dispatch Narrative NEMSIS | |||
Indent67570-2 | The complaint dispatch reported to the responding unit. | |||
Indent67488-7 | Indication of whether Emergency Medical Dispatch was performed for this EMS event | |||
Indent71580-5 | Crew member level | |||
Indent71581-3 | Crew member response role NEMSIS | |||
Indent67664-3 | EMS response Narrative NEMSIS | |||
Indent71583-9 | Service requested of EMS unit | |||
Indent71579-7 | Unit transport and equipment capability EMS unit | |||
Indent67480-4 | The dispatch delays, if any, associated with the dispatch of the EMS unit to the patient encounter | |||
Indent67557-9 | The response delays, if any, of the unit associated with the patient encounter | |||
Indent67558-7 | The scene delays, if any, of the unit associated with the patient encounter | |||
Indent67559-5 | The transport delays, if any, of the unit associated with the patient encounter | |||
Indent67560-3 | The turn-around delays, if any, associated with the EMS unit associated with the patient encounter | |||
Indent69466-1 | The EMS Location or healthcare facility name representing the geographic location of the vehicle at the time of dispatch. | |||
Indent69465-3 | The GPS coordinates associated with the EMS unit at the time of dispatch documented in decimal degrees. | deg | ||
Indent69750-8 | EMS unit GPS latitude Vehicle --at dispatch | |||
Indent67484-6 | The mileage (counter or odometer reading) of the vehicle at the beginning of the call (when the wheels begin moving). | [mi_us] | ||
Indent67485-3 | The mileage (counter or odometer reading) of the vehicle when it arrives at the patient | [mi_us] | ||
Indent67486-1 | The mileage (counter or odometer reading) of the vehicle when it arrives at the patient's destination | [mi_us] | ||
Indent67487-9 | The ending mileage (counter or odometer reading) of the vehicle (at time back in service) | [mi_us] | ||
Indent67482-0 | The indication whether the response was emergent or non-emergent. An emergent response is an immediate response. | |||
Indent77157-6 | EMS Response mode descriptors NEMSIS | |||
Indent67667-6 | EMS times Narrative NEMSIS | |||
Indent69469-5 | 911 call to public safety answering point or other designated entity requesting EMS services [Date and time] Facility | |||
Indent69470-3 | Dispatch was notified by the 911 call taker [Date and time] Facility | |||
Indent69471-1 | Responding unit was notified by dispatch [Date and time] Vehicle | |||
Indent69472-9 | Unit responded [Date and time] Vehicle | |||
Indent69473-7 | Responding unit arrived on the scene [Date and time] Vehicle | |||
Indent69474-5 | Responding unit arrived at the patient's side [Date and time] Vehicle | |||
Indent69475-2 | Responding unit left the scene with a patient [Date and time] Vehicle | |||
Indent69476-0 | Responding unit arrived with the patient at the destination or transfer point [Date and time] Vehicle | |||
Indent69477-8 | Unit was back in service and available for response [Date and time] Vehicle | |||
Indent67659-3 | EMS billing Narrative NEMSIS | |||
Indent69464-6 | The CMS service level for this EMS encounter. | |||
Indent67556-1 | The condition codes are used to better describe the service and patient care delivery by an EMS service. | |||
Indent67665-0 | EMS scene Narrative NEMSIS | |||
Indent67481-2 | Documentation that this EMS Unit was the first EMS Unit for any EMS Agency on the Scene. | |||
Indent67489-5 | Indicator of how many total patients were at the scene | |||
Indent67490-3 | Indicator if this event would be considered a mass casualty incident (overwhelmed existing EMS resources) | |||
Indent74496-1 | Injury location ICD code | |||
Indent67666-8 | EMS situation Narrative NEMSIS | |||
Indent69467-9 | Possible injury | |||
Indent72114-2 | Complaint type | |||
Indent10154-3 | Chief complaint Narrative - Reported | |||
Indent67491-1 | The time duration of the healthcare complaint | min;h;d;mo;a | ||
Indent71588-8 | Chief complaint anatomic location | |||
Indent69468-7 | Chief complaint organ system | |||
Indent67774-0 | 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).IDC-10 code | |||
Indent67776-5 | Other symptoms identified by the patient or observed by EMS personnel based on the ICD-10 Primary Symptom Code | |||
Indent67492-9 | 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).IDC-10 code | |||
Indent69542-9 | Provider's Secondary Impressions | |||
Indent67493-7 | The condition of the patient on EMS arrival at the scene | |||
Indent67800-3 | EMS injury incident description Narrative NEMSIS | |||
Indent69543-7 | Cause of injury NEMSIS | |||
Indent67494-5 | General mechanism of the forces which caused the injury | |||
Indent67495-2 | Trauma Triage Criteria (Steps 1 and 2) | |||
Indent67496-0 | Trauma Triage Criteria (Steps 3 and 4) | |||
Indent67497-8 | The primary area or location of impact on the vehicle | |||
Indent67498-6 | The seat row location of the patient in vehicle at the time of the crash | |||
Indent67499-4 | Safety equipment in use by the patient at the time of the injury - MMUCC P7 data element | |||
Indent67500-9 | Indication of Airbag deployment during the motor vehicle crash | |||
Indent67501-7 | The distance in feet the patient fell, measured from the lowest point of the patient to the position of the patient at the end of the fall. | [ft_us] | ||
Indent67799-7 | EMS cardiac arrest event Narrative NEMSIS | |||
Indent67502-5 | Indication of the presence of a cardiac arrest at any time associated with the EMS event | |||
Indent67503-3 | Indication of the etiology or cause of the cardiac arrest (classified as cardiac, non-cardiac, etc.) | |||
Indent72115-9 | Resuscitation Attempted | |||
Indent67505-8 | Indication of who the cardiac arrest was witnessed by | |||
Indent67508-2 | AED Use Prior to EMS Arrival | |||
Indent67510-8 | CPR technique | |||
Indent67511-6 | Documentation of EMS initiation of Therapeutic Hypothermia. | |||
Indent67512-4 | First monitored rhythm | |||
Indent88670-5 | Return of spontaneous circulation | |||
Indent67574-4 | Reason CPR resuscitation discontinued | |||
Indent67514-0 | The patient's cardiac rhythm upon delivery or transfer of care at the destination | |||
Indent77152-7 | Cardiac arrest event outcome NEMSIS | |||
Indent88102-9 | Who first initiated CPR | |||
Indent100034-8 | Who first applied the AED | |||
Indent88663-0 | Who first defibrillated the patient | |||
Indent67840-9 | EMS advance directives Narrative NEMSIS | |||
Indent67515-7 | Indication of whether or not there were any patient specific barriers to serving the patient at the scene | |||
Indent67516-5 | The presence of a valid form or living will document directing end of life or healthcare treatment decisions | |||
Indent67841-7 | EMS allergies and adverse reactions Narrative NEMSIS | |||
Indent67794-8 | Does the patient have any allergies? | |||
Indent67850-8 | The patient's medication allergies | |||
Indent69747-4 | Does the patient have any environmental allergies NEMSIS | |||
Indent79151-7 | Known allergies to food or environmental agents | |||
Indent67842-5 | EMS past medical history Narrative NEMSIS | |||
Indent68487-8 | Medical - surgical history - ICD-10 codes | |||
Indent67793-0 | Has the patient had any significant medical conditions? | |||
Indent67792-2 | Has the patient had any significant medical procedures? | |||
Indent67844-1 | EMS current medications Narrative NEMSIS | |||
Indent67791-4 | Does the patient take any medications? | |||
Indent67843-3 | EMS social history Narrative NEMSIS | |||
Indent67669-2 | Indicators for the potential use of alcohol or drugs by the patient. | |||
Indent69757-3 | Are there any indications of drug or alcohol use by the patient? | |||
Indent67471-3 | Indication of the possibility by the patient's history of current pregnancy | |||
Indent67517-3 | Last Oral Intake | |||
Indent67801-1 | EMS vital signs Narrative NEMSIS | |||
Indent67518-1 | Obtained Prior to this Units EMS Care | |||
Indent67519-9 | The cardiac rhythm and other electrocardiography findings associated with the patient | |||
Indent71575-5 | ECG NEMSIS | |||
Indent71577-1 | ECG interpretation method NEMSIS | |||
Indent8480-6 | Systolic blood pressure | mm[Hg] | ||
Indent8462-4 | Diastolic blood pressure | mm[Hg] | ||
Indent8867-4 | Heart rate | {beats}/min;{counts/min} | ||
Indent2708-6 | Oxygen saturation in Arterial blood | % | ||
Indent9279-1 | Respiratory rate | {breaths}/min;{counts/min} | ||
Indent19889-5 | Carbon dioxide level | % | ||
Indent19911-7 | Carbon monoxide level | cm3/min/mm[Hg] | ||
Indent2339-0 | Blood glucose level | mg/dL | ||
Indent9267-6 | Glasgow coma score eye opening | |||
Indent9270-0 | Glasgow coma score verbal | |||
Indent9268-4 | Glasgow coma score motor | |||
Indent55285-1 | Glasgow coma score qualifier | |||
Indent9269-2 | Glasgow coma score total | {score} | ||
Indent8310-5 | Body temperature | Cel | ||
Indent67775-7 | Level of responsiveness (AVPU) | |||
Indent56840-2 | Pain score | {score} | ||
Indent67520-7 | Stroke scale score | |||
Indent67521-5 | Stroke Scale Type | |||
Indent67523-1 | Reperfusion checklist | |||
Indent67668-4 | EMS physical assessment Narrative NEMSIS | |||
Indent8335-2 | Body weight Estimated | [lb_av];kg | ||
Indent67670-0 | The Length - based tape measure as take from the tape | |||
Indent67524-9 | The assessment of the patient's skin on examination | |||
Indent67525-6 | The assessment findings associated with the patients head. | |||
Indent67526-4 | The assessment findings associated with the patients face | |||
Indent67527-2 | The assessment findings associated with the patients neck. | |||
Indent67529-8 | The assessment findings associated with the patients heart | |||
Indent71584-7 | Exam finding location Abdomen NEMSIS | |||
Indent67530-6 | The assessment findings associated with the patients abdomen. | |||
Indent67531-4 | The assessment findings associated with the patients pelvic and genitourinary exam | |||
Indent71589-6 | Exam finding location Back+Spine NEMSIS | |||
Indent67532-2 | The assessment findings associated with the patient spine (Cervical, Thoracic, Lumbar, and Sacral) and back exam. | |||
Indent71585-4 | Exam finding location Extremity NEMSIS | |||
Indent67533-0 | The assessment of the patient's extremities. | |||
Indent71586-2 | Exam finding location Eye NEMSIS | |||
Indent67534-8 | The assessment findings of the patient's left eye examination | |||
Indent67535-5 | The assessment of the patient's mental status on examination | |||
Indent67536-3 | The assessment of the patient's neurological status on examination | |||
Indent100036-3 | Exam finding location of Lung | |||
Indent32449-1 | Physical findings of Lung | |||
Indent100035-5 | Exam finding location of Chest | |||
Indent11422-3 | Physical findings of Chest | |||
Indent67663-5 | EMS protocol Narrative NEMSIS | |||
Indent67537-1 | The protocol used by EMS personnel to direct the clinical care of the patient | |||
Indent67538-9 | The age group the protocol is written to address | |||
Indent67849-0 | EMS medications administered Narrative NEMSIS | |||
Indent67539-7 | Medication administered prior to this unit's EMS care | |||
Indent67797-1 | Medication given to the patient | |||
Indent72113-4 | Medication not given reason | |||
Indent67540-5 | The patients response to the medication. | |||
Indent67541-3 | Any complication (abnormal effect on the patient) associated with the administration of the medication to the patient by EMS | |||
Indent71573-0 | Medication authorization NEMSIS | |||
Indent67802-9 | EMS procedures Narrative NEMSIS | |||
Indent67542-1 | Indicates that the procedure which was performed and documented was performed prior to this EMS units care. | |||
Indent72112-6 | Procedure not performed reason | |||
Indent67798-9 | Did the encounter team perform any procedures? | |||
Indent67543-9 | The number of attempts taken to complete a procedure or intervention regardless of success | {#} | ||
Indent67544-7 | Indication of whether or not the procedure performed on the patient was successful | |||
Indent67545-4 | Any complication associated with the performance of the procedure on the patient | |||
Indent67546-2 | The patient response to the procedure | |||
Indent71582-1 | Person performing procedure NEMSIS | |||
Indent71587-0 | IV site NEMSIS | |||
Indent71574-8 | Airway device confirmed for placement | |||
Indent71576-3 | Airway device placement confirmation method | |||
Indent67661-9 | EMS disposition Narrative NEMSIS | |||
Indent67547-0 | The number of patients transported by this EMS crew and unit. | {#} | ||
Indent67549-6 | The method of transport by EMS | |||
Indent67550-4 | Indication whether the transport was emergent or non-emergent. | |||
Indent77153-5 | EMS Transport mode descriptors NEMSIS | |||
Indent77941-3 | Final patient acuity NEMSIS | |||
Indent67552-0 | The reason the unit chose to deliver or transfer the patient to the destination | |||
Indent71578-9 | EMS transport destination NEMSIS | |||
Indent77154-3 | Hospital inpatient destination | |||
Indent77155-0 | Hospital designation capability | |||
Indent69462-0 | Activation of the destination healthcare facility team | |||
Indent100037-1 | Patient contact disposition EMS unit | |||
Indent100038-9 | Patient evaluation disposition EMS unit | |||
Indent100039-7 | Crew disposition for patient care EMS unit | |||
Indent100040-5 | Patient transport disposition EMS unit | |||
Indent67658-5 | EMS exposures or injuries of EMS personnel Provider Narrative NEMSIS | |||
Indent67553-8 | Condition indicating eligibility for illness or injury registry | |||
Indent67554-6 | Indication of an EMS work related exposure, injury, or death associated with this EMS event. | |||
Indent67555-3 | The type of exposure or unprotected contact with blood or body fluids | |||
Indent69463-8 | Event caused by natural forces or Suspected and Intentional/Unintentional Disasters (terrorism). | |||
Indent67781-5 | The narrative of the patient care report (PCR) |
82315-3 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 sections
This panel contains the recommended sections for an EMS patient care report based on the HL7 Version 3 Implementation Guide for CDA Release 2 - Level 3: Emergency Medical Services; Patient Care Report, Release 1 & 2 - US Realm.
LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
---|---|---|---|---|
82315-3 | Level 3 emergency medical services patient care report - recommended CDA R1 and R2 sections | |||
Indent67840-9 | EMS advance directives Narrative NEMSIS | |||
Indent48765-2 | Allergies and adverse reactions Document | |||
Indent67659-3 | EMS billing Narrative NEMSIS | |||
Indent67799-7 | EMS cardiac arrest event Narrative NEMSIS | |||
Indent67844-1 | EMS current medications Narrative NEMSIS | |||
Indent67660-1 | EMS dispatch Narrative NEMSIS | |||
Indent67661-9 | EMS disposition Narrative NEMSIS | |||
Indent67800-3 | EMS injury incident description Narrative NEMSIS | |||
Indent67849-0 | EMS medications administered Narrative NEMSIS | |||
Indent67842-5 | EMS past medical history Narrative NEMSIS | |||
Indent67781-5 | The narrative of the patient care report (PCR) | |||
Indent67658-5 | EMS exposures or injuries of EMS personnel Provider Narrative NEMSIS | |||
Indent29545-1 | Physical findings Narrative | |||
Indent29554-3 | Procedure Narrative | |||
Indent67663-5 | EMS protocol Narrative NEMSIS | |||
Indent67664-3 | EMS response Narrative NEMSIS | |||
Indent67665-0 | EMS scene Narrative NEMSIS | |||
Indent67666-8 | EMS situation Narrative NEMSIS | |||
Indent67843-3 | EMS social history Narrative NEMSIS | |||
Indent67667-6 | EMS times Narrative NEMSIS | |||
Indent8716-3 | Vital signs |
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
This panel contains the recommended section and entry level LOINCs for an EMS patient care report based on the HL7 Version 3 Implementation Guide for CDA Release 2 - Level 3: Emergency Medical Services; Patient Care Report, Release 1 & 2 - US Realm.
LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
---|---|---|---|---|
84429-0 | Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set | |||
Indent67840-9 | EMS advance directives Narrative NEMSIS | |||
Indent67516-5 | The presence of a valid form or living will document directing end of life or healthcare treatment decisions | |||
Indent48765-2 | Allergies and adverse reactions Document | |||
Indent69747-4 | Does the patient have any environmental allergies NEMSIS | |||
Indent79151-7 | Known allergies to food or environmental agents | |||
Indent67794-8 | Does the patient have any allergies? | |||
Indent67659-3 | EMS billing Narrative NEMSIS | |||
Indent67556-1 | The condition codes are used to better describe the service and patient care delivery by an EMS service. | |||
Indent69464-6 | The CMS service level for this EMS encounter. | |||
Indent67799-7 | EMS cardiac arrest event Narrative NEMSIS | |||
Indent67503-3 | Indication of the etiology or cause of the cardiac arrest (classified as cardiac, non-cardiac, etc.) | |||
Indent67508-2 | AED Use Prior to EMS Arrival | |||
Indent67844-1 | EMS current medications Narrative NEMSIS | |||
Indent67791-4 | Does the patient take any medications? | |||
Indent67556-1 | The condition codes are used to better describe the service and patient care delivery by an EMS service. | |||
Indent69749-0 | Is the patient on anticoagulants NEMSIS | |||
Indent67660-1 | EMS dispatch Narrative NEMSIS | |||
Indent67488-7 | Indication of whether Emergency Medical Dispatch was performed for this EMS event | |||
Indent67547-0 | The number of patients transported by this EMS crew and unit. | {#} | ||
Indent67570-2 | The complaint dispatch reported to the responding unit. | |||
Indent67661-9 | EMS disposition Narrative NEMSIS | |||
Indent67547-0 | The number of patients transported by this EMS crew and unit. | {#} | ||
Indent67548-8 | Incident - patient disposition | |||
Indent67550-4 | Indication whether the transport was emergent or non-emergent. | |||
Indent77153-5 | EMS Transport mode descriptors NEMSIS | |||
Indent67549-6 | The method of transport by EMS | |||
Indent67550-4 | Indication whether the transport was emergent or non-emergent. | |||
Indent77153-5 | EMS Transport mode descriptors NEMSIS | |||
Indent67800-3 | EMS injury incident description Narrative NEMSIS | |||
Indent67494-5 | General mechanism of the forces which caused the injury | |||
Indent67495-2 | CDC field triage criteria NEMSIS | |||
Indent67496-0 | Other injury risk factors NEMSIS | |||
Indent67497-8 | The primary area or location of impact on the vehicle | |||
Indent67498-6 | The seat row location of the patient in vehicle at the time of the crash | |||
Indent67499-4 | Safety equipment in use by the patient at the time of the injury - MMUCC P7 data element | |||
Indent67500-9 | Indication of Airbag deployment during the motor vehicle crash | |||
Indent67501-7 | The distance in feet the patient fell, measured from the lowest point of the patient to the position of the patient at the end of the fall. | [ft_us] | ||
Indent67849-0 | EMS medications administered Narrative NEMSIS | |||
Indent67540-5 | The patients response to the medication. | |||
Indent67541-3 | Any complication (abnormal effect on the patient) associated with the administration of the medication to the patient by EMS | |||
Indent67539-7 | Medication administered prior to this unit's EMS care | |||
Indent67842-5 | EMS past medical history Narrative NEMSIS | |||
Indent67793-0 | Has the patient had any significant medical conditions? | |||
Indent68487-8 | The patient's pre-existing medical and surgery history of the patient based on either ICD-10 Disease or ICD-10 Procedure Codes. | |||
Indent67781-5 | The narrative of the patient care report (PCR) | |||
Indent67658-5 | EMS exposures or injuries of EMS personnel Provider Narrative NEMSIS | |||
Indent67554-6 | Work related exposure, injury, or death? | |||
Indent29545-1 | Physical findings Narrative | |||
Indent67524-9 | The assessment of the patient's skin on examination | |||
Indent67525-6 | The assessment findings associated with the patients head. | |||
Indent67536-3 | The assessment of the patient's neurological status on examination | |||
Indent67526-4 | The assessment findings associated with the patients face | |||
Indent67527-2 | The assessment findings associated with the patients neck. | |||
Indent67528-0 | Physical findings of Chest+Lungs | |||
Indent67529-8 | The assessment findings associated with the patients heart | |||
Indent67530-6 | The assessment findings associated with the patients abdomen. | |||
Indent67531-4 | The assessment findings associated with the patients pelvic and genitourinary exam | |||
Indent67532-2 | The assessment findings associated with the patient spine (Cervical, Thoracic, Lumbar, and Sacral) and back exam. | |||
Indent67533-0 | The assessment of the patient's extremities. | |||
Indent67534-8 | The assessment findings of the patient's left eye examination | |||
Indent67535-5 | The assessment of the patient's mental status on examination | |||
Indent67471-3 | Indication of the possibility by the patient's history of current pregnancy | |||
Indent67517-3 | Last Oral Intake | |||
Indent30525-0 | Age | a | ||
Indent67523-1 | Reperfusion checklist | |||
Indent67515-7 | Indication of whether or not there were any patient specific barriers to serving the patient at the scene | |||
Indent8335-2 | Body weight Estimated | [lb_av];kg | ||
Indent67670-0 | The Length - based tape measure as take from the tape | |||
Indent29554-3 | Procedure Narrative | |||
Indent67542-1 | Indicates that the procedure which was performed and documented was performed prior to this EMS units care. | |||
Indent67543-9 | The number of attempts taken to complete a procedure or intervention regardless of success | {#} | ||
Indent67544-7 | Indication of whether or not the procedure performed on the patient was successful | |||
Indent67545-4 | Any complication associated with the performance of the procedure on the patient | |||
Indent67546-2 | The patient response to the procedure | |||
Indent71576-3 | Airway device placement confirmation method | |||
Indent67504-1 | Indication of reason resuscitation the patient who is in cardiac arrest not attempted | |||
Indent67663-5 | EMS protocol Narrative NEMSIS | |||
Indent67537-1 | The protocol used by EMS personnel to direct the clinical care of the patient | |||
Indent67538-9 | The age group the protocol is written to address | |||
Indent67553-8 | Condition indicating eligibility for illness or injury registry | |||
Indent67664-3 | EMS response Narrative NEMSIS | |||
Indent67480-4 | The dispatch delays, if any, associated with the dispatch of the EMS unit to the patient encounter | |||
Indent67557-9 | The response delays, if any, of the unit associated with the patient encounter | |||
Indent67558-7 | The scene delays, if any, of the unit associated with the patient encounter | |||
Indent67559-5 | The transport delays, if any, of the unit associated with the patient encounter | |||
Indent67560-3 | The turn-around delays, if any, associated with the EMS unit associated with the patient encounter | |||
Indent69466-1 | The EMS Location or healthcare facility name representing the geographic location of the vehicle at the time of dispatch. | |||
Indent52002-3 | Ambulance transport, Destination site latitude coordinate | |||
Indent52003-1 | Ambulance transport, Destination site longitude coordinate | |||
Indent67484-6 | The mileage (counter or odometer reading) of the vehicle at the beginning of the call (when the wheels begin moving). | [mi_us] | ||
Indent67485-3 | The mileage (counter or odometer reading) of the vehicle when it arrives at the patient | [mi_us] | ||
Indent67486-1 | The mileage (counter or odometer reading) of the vehicle when it arrives at the patient's destination | [mi_us] | ||
Indent67487-9 | The ending mileage (counter or odometer reading) of the vehicle (at time back in service) | [mi_us] | ||
Indent67482-0 | The indication whether the response was emergent or non-emergent. An emergent response is an immediate response. | |||
Indent77157-6 | EMS Response mode descriptors NEMSIS | |||
Indent77156-8 | EMS unit Level of care capability | |||
Indent67665-0 | EMS scene Narrative NEMSIS | |||
Indent67481-2 | Documentation that this EMS Unit was the first EMS Unit for any EMS Agency on the Scene. | |||
Indent67489-5 | Indicator of how many total patients were at the scene | |||
Indent67490-3 | Indicator if this event would be considered a mass casualty incident (overwhelmed existing EMS resources) | |||
Indent67666-8 | EMS situation Narrative NEMSIS | |||
Indent10154-3 | Chief complaint Narrative - Reported | |||
Indent69467-9 | Possible injury | |||
Indent67492-9 | 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).IDC-10 code | |||
Indent67776-5 | Other symptoms identified by the patient or observed by EMS personnel based on the ICD-10 Primary Symptom Code | |||
Indent67493-7 | The condition of the patient on EMS arrival at the scene | |||
Indent69542-9 | Provider's Secondary Impressions | |||
Indent67843-3 | EMS social history Narrative NEMSIS | |||
Indent69757-3 | Are there any indications of drug or alcohol use by the patient? | |||
Indent67669-2 | Indicators for the potential use of alcohol or drugs by the patient. | |||
Indent67667-6 | EMS times Narrative NEMSIS | |||
Indent69469-5 | 911 call to public safety answering point or other designated entity requesting EMS services [Date and time] Facility | |||
Indent69471-1 | Responding unit was notified by dispatch [Date and time] Vehicle | |||
Indent69472-9 | Unit responded [Date and time] Vehicle | |||
Indent69473-7 | Responding unit arrived on the scene [Date and time] Vehicle | |||
Indent69474-5 | Responding unit arrived at the patient's side [Date and time] Vehicle | |||
Indent69475-2 | Responding unit left the scene with a patient [Date and time] Vehicle | |||
Indent69476-0 | Responding unit arrived with the patient at the destination or transfer point [Date and time] Vehicle | |||
Indent69477-8 | Unit was back in service and available for response [Date and time] Vehicle | |||
Indent69470-3 | Dispatch was notified by the 911 call taker [Date and time] Facility | |||
Indent8716-3 | Vital signs | |||
Indent8480-6 | Systolic blood pressure | mm[Hg] | ||
Indent8462-4 | Diastolic blood pressure | mm[Hg] | ||
Indent8867-4 | Heart rate | {beats}/min;{counts/min} | ||
Indent9279-1 | Respiratory rate | {breaths}/min;{counts/min} | ||
Indent59408-5 | Oxygen saturation in Arterial blood by Pulse oximetry | % | ||
Indent67520-7 | Stroke scale score | |||
Indent56840-2 | Pain score | {score} | ||
Indent67775-7 | Level of responsiveness (AVPU) | |||
Indent2339-0 | Blood glucose level | mg/dL | ||
Indent19911-7 | Carbon monoxide level | cm3/min/mm[Hg] | ||
Indent19889-5 | Carbon dioxide level | % | ||
Indent67519-9 | The cardiac rhythm and other electrocardiography findings associated with the patient | |||
Indent9267-6 | Glasgow coma score eye opening | |||
Indent9268-4 | Glasgow coma score motor | |||
Indent9270-0 | Glasgow coma score verbal | |||
Indent55285-1 | Glasgow coma score qualifier | |||
Indent9269-2 | Glasgow coma score total | {score} |
Survey Question
- Source
- EMS pt care record - PCR
Basic Attributes
- Class
- NEMSIS
- Type
- Clinical
- First Released
- Version 2.38
- Last Updated
- Version 2.58
- Change Reason
- Feb 2016: Changed Component from "EMS patient care report - version 3.1" to "EMS patient care report - version 3" to accommodate use of this term for all Version 3 EMS patient care reports (currently v3.1 through v.3.3).
- HL7® Attachment Structure
- Implementation guide exists
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Informe de atención al paciente de EMS - versión 3: |
it-IT | Italian (Italy) | Servizi Medici di Emergenza, relazione assistenza del paziente - versione 3.1: Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio) Referto |
zh-CN | Chinese (China) | 急救医疗服务患者医疗护理报告 - 版本 3.1: Synonyms: Ⅲ EMS III National Emergency Medical Services Information System; |
LOINC Terminology Service (API) using HL7® FHIR® Get Info
Requests to this service require a free LOINC username and password. Below is a sample of the possible capabilities. See the LOINC Terminology Service documentation for more information.
- CodeSystem lookup
- https:
//fhir.loinc.org/CodeSystem/$lookup?system=http: //loinc.org&code=67796-3
LOINC Copyright
Copyright © 2024 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright