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Term Description

Document for EMS encounter

LOINC Names Get Info

Fully-Specified Name
EMS patient care report - version 3:Find:Pt:^Patient:Doc:NEMSIS
Long Common Name
EMS patient care report - version 3 Document NEMSIS
Short Name
EMS PCR - v 3 Doc NEMSIS

Part Model Get Info

  • Component
    EMS patient care report - version 3
    LP133938-3
    • Analyte
      EMS patient care report - version 3
      LP133938-3
      • Component Numerator
        EMS patient care report - version 3
        LP133938-3
        • Component Numerator Core
          EMS patient care report - version 3
          LP133938-3
        • Component Numerator Core Suffix
          NULL
           
      • Component Denominator
        NULL
         
        • Component Denominator Core
          NULL
           
        • Component Denominator Core Suffix
          NULL
           
    • Challenge
      NULL
       
    • Adjustment
      NULL
       
    • Count
      NULL
       
  • Property
    Find
    LP6813-2
  • Time
    Pt
    LP6960-1
  • System
    ^Patient
    LP310005-6
    • System Core
      NULL
       
    • Super System
      Patient
      LP6985-8
  • Scale
    Doc
    LP32888-7
  • Method
    NEMSIS
    LP133224-8

Associated Observations

84428-2 National EMS Information System - version 3 set

LOINCNameR/O/CCardinalityExample UCUM Units
84428-2National EMS Information System - version 3 set
Indent67660-1EMS dispatch Narrative NEMSIS
Indent67570-2The complaint dispatch reported to the responding unit.
Indent67488-7Indication of whether Emergency Medical Dispatch was performed for this EMS event
Indent71580-5Crew member level
Indent71581-3Crew member response role NEMSIS
Indent67664-3EMS response Narrative NEMSIS
Indent71583-9Service requested of EMS unit
Indent71579-7Unit transport and equipment capability EMS unit
Indent67480-4The dispatch delays, if any, associated with the dispatch of the EMS unit to the patient encounter
Indent67557-9The response delays, if any, of the unit associated with the patient encounter
Indent67558-7The scene delays, if any, of the unit associated with the patient encounter
Indent67559-5The transport delays, if any, of the unit associated with the patient encounter
Indent67560-3The turn-around delays, if any, associated with the EMS unit associated with the patient encounter
Indent69466-1The EMS Location or healthcare facility name representing the geographic location of the vehicle at the time of dispatch.
Indent69465-3The GPS coordinates associated with the EMS unit at the time of dispatch documented in decimal degrees.deg
Indent69750-8EMS unit GPS latitude Vehicle --at dispatch
Indent67484-6The mileage (counter or odometer reading) of the vehicle at the beginning of the call (when the wheels begin moving).[mi_us]
Indent67485-3The mileage (counter or odometer reading) of the vehicle when it arrives at the patient[mi_us]
Indent67486-1The mileage (counter or odometer reading) of the vehicle when it arrives at the patient's destination[mi_us]
Indent67487-9The ending mileage (counter or odometer reading) of the vehicle (at time back in service)[mi_us]
Indent67482-0The indication whether the response was emergent or non-emergent. An emergent response is an immediate response.
Indent77157-6EMS Response mode descriptors NEMSIS
Indent67667-6EMS times Narrative NEMSIS
Indent69469-5911 call to public safety answering point or other designated entity requesting EMS services [Date and time] Facility
Indent69470-3Dispatch was notified by the 911 call taker [Date and time] Facility
Indent69471-1Responding unit was notified by dispatch [Date and time] Vehicle
Indent69472-9Unit responded [Date and time] Vehicle
Indent69473-7Responding unit arrived on the scene [Date and time] Vehicle
Indent69474-5Responding unit arrived at the patient's side [Date and time] Vehicle
Indent69475-2Responding unit left the scene with a patient [Date and time] Vehicle
Indent69476-0Responding unit arrived with the patient at the destination or transfer point [Date and time] Vehicle
Indent69477-8Unit was back in service and available for response [Date and time] Vehicle
Indent67659-3EMS billing Narrative NEMSIS
Indent69464-6The CMS service level for this EMS encounter.
Indent67556-1The condition codes are used to better describe the service and patient care delivery by an EMS service.
Indent67665-0EMS scene Narrative NEMSIS
Indent67481-2Documentation that this EMS Unit was the first EMS Unit for any EMS Agency on the Scene.
Indent67489-5Indicator of how many total patients were at the scene
Indent67490-3Indicator if this event would be considered a mass casualty incident (overwhelmed existing EMS resources)
Indent74496-1Injury location ICD code
Indent67666-8EMS situation Narrative NEMSIS
Indent69467-9Possible injury
Indent72114-2Complaint type
Indent10154-3Chief complaint Narrative - Reported
Indent67491-1The time duration of the healthcare complaintmin;h;d;mo;a
Indent71588-8Chief complaint anatomic location
Indent69468-7Chief complaint organ system
Indent67774-0The 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
Indent67776-5Other symptoms identified by the patient or observed by EMS personnel based on the ICD-10 Primary Symptom Code
Indent67492-9The 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
Indent69542-9Provider's Secondary Impressions
Indent67493-7The condition of the patient on EMS arrival at the scene
Indent67800-3EMS injury incident description Narrative NEMSIS
Indent69543-7Cause of injury NEMSIS
Indent67494-5General mechanism of the forces which caused the injury
Indent67495-2Trauma Triage Criteria (Steps 1 and 2)
Indent67496-0Trauma Triage Criteria (Steps 3 and 4)
Indent67497-8The primary area or location of impact on the vehicle
Indent67498-6The seat row location of the patient in vehicle at the time of the crash
Indent67499-4Safety equipment in use by the patient at the time of the injury - MMUCC P7 data element
Indent67500-9Indication of Airbag deployment during the motor vehicle crash
Indent67501-7The 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]
Indent67799-7EMS cardiac arrest event Narrative NEMSIS
Indent67502-5Indication of the presence of a cardiac arrest at any time associated with the EMS event
Indent67503-3Indication of the etiology or cause of the cardiac arrest (classified as cardiac, non-cardiac, etc.)
Indent72115-9Resuscitation Attempted
Indent67505-8Indication of who the cardiac arrest was witnessed by
Indent67508-2AED Use Prior to EMS Arrival
Indent67510-8CPR technique
Indent67511-6Documentation of EMS initiation of Therapeutic Hypothermia.
Indent67512-4First monitored rhythm
Indent88670-5Return of spontaneous circulation
Indent67574-4Reason CPR resuscitation discontinued
Indent67514-0The patient's cardiac rhythm upon delivery or transfer of care at the destination
Indent77152-7Cardiac arrest event outcome NEMSIS
Indent88102-9Who first initiated CPR
Indent100034-8Who first applied the AED
Indent88663-0Who first defibrillated the patient
Indent67840-9EMS advance directives Narrative NEMSIS
Indent67515-7Indication of whether or not there were any patient specific barriers to serving the patient at the scene
Indent67516-5The presence of a valid form or living will document directing end of life or healthcare treatment decisions
Indent67841-7EMS allergies and adverse reactions Narrative NEMSIS
Indent67794-8Does the patient have any allergies?
Indent67850-8The patient's medication allergies
Indent69747-4Does the patient have any environmental allergies NEMSIS
Indent79151-7Known allergies to food or environmental agents
Indent67842-5EMS past medical history Narrative NEMSIS
Indent68487-8Medical - surgical history - ICD-10 codes
Indent67793-0Has the patient had any significant medical conditions?
Indent67792-2Has the patient had any significant medical procedures?
Indent67844-1EMS current medications Narrative NEMSIS
Indent67791-4Does the patient take any medications?
Indent67843-3EMS social history Narrative NEMSIS
Indent67669-2Indicators for the potential use of alcohol or drugs by the patient.
Indent69757-3Are there any indications of drug or alcohol use by the patient?
Indent67471-3Indication of the possibility by the patient's history of current pregnancy
Indent67517-3Last Oral Intake
Indent67801-1EMS vital signs Narrative NEMSIS
Indent67518-1Obtained Prior to this Units EMS Care
Indent67519-9The cardiac rhythm and other electrocardiography findings associated with the patient
Indent71575-5ECG NEMSIS
Indent71577-1ECG interpretation method NEMSIS
Indent8480-6Systolic blood pressuremm[Hg]
Indent8462-4Diastolic blood pressuremm[Hg]
Indent8867-4Heart rate{beats}/min;{counts}/min
Indent2708-6Oxygen saturation in Arterial blood%
Indent9279-1Respiratory rate{breaths}/min;{counts}/min
Indent19889-5Carbon dioxide level%
Indent19911-7Carbon monoxide levelcm3/min/mm[Hg]
Indent2339-0Blood glucose levelmg/dL
Indent9267-6Glasgow coma score eye opening
Indent9270-0Glasgow coma score verbal
Indent9268-4Glasgow coma score motor
Indent55285-1Glasgow coma score qualifier
Indent9269-2Glasgow coma score total{score}
Indent8310-5Body temperatureCel
Indent67775-7Level of responsiveness (AVPU)
Indent56840-2Pain score{score}
Indent67520-7Stroke scale score
Indent67521-5Stroke Scale Type
Indent67523-1Reperfusion checklist
Indent67668-4EMS physical assessment Narrative NEMSIS
Indent8335-2Body weight Estimated[lb_av];kg
Indent67670-0The Length - based tape measure as take from the tape
Indent67524-9The assessment of the patient's skin on examination
Indent67525-6The assessment findings associated with the patients head.
Indent67526-4The assessment findings associated with the patients face
Indent67527-2The assessment findings associated with the patients neck.
Indent67529-8The assessment findings associated with the patients heart
Indent71584-7Exam finding location Abdomen NEMSIS
Indent67530-6The assessment findings associated with the patients abdomen.
Indent67531-4The assessment findings associated with the patients pelvic and genitourinary exam
Indent71589-6Exam finding location Back+Spine NEMSIS
Indent67532-2The assessment findings associated with the patient spine (Cervical, Thoracic, Lumbar, and Sacral) and back exam.
Indent71585-4Exam finding location Extremity NEMSIS
Indent67533-0The assessment of the patient's extremities.
Indent71586-2Exam finding location Eye NEMSIS
Indent67534-8The assessment findings of the patient's left eye examination
Indent67535-5The assessment of the patient's mental status on examination
Indent67536-3The assessment of the patient's neurological status on examination
Indent100036-3Exam finding location of Lung
Indent32449-1Physical findings of Lung
Indent100035-5Exam finding location of Chest
Indent11422-3Physical findings of Chest
Indent67663-5EMS protocol Narrative NEMSIS
Indent67537-1The protocol used by EMS personnel to direct the clinical care of the patient
Indent67538-9The age group the protocol is written to address
Indent67849-0EMS medications administered Narrative NEMSIS
Indent67539-7Medication administered prior to this unit's EMS care
Indent67797-1Medication given to the patient
Indent72113-4Medication not given reason
Indent67540-5The patients response to the medication.
Indent67541-3Any complication (abnormal effect on the patient) associated with the administration of the medication to the patient by EMS
Indent71573-0Medication authorization NEMSIS
Indent67802-9EMS procedures Narrative NEMSIS
Indent67542-1Indicates that the procedure which was performed and documented was performed prior to this EMS units care.
Indent72112-6Procedure not performed reason
Indent67798-9Did the encounter team perform any procedures?
Indent67543-9The number of attempts taken to complete a procedure or intervention regardless of success{#}
Indent67544-7Indication of whether or not the procedure performed on the patient was successful
Indent67545-4Any complication associated with the performance of the procedure on the patient
Indent67546-2The patient response to the procedure
Indent71582-1Person performing procedure NEMSIS
Indent71587-0IV site NEMSIS
Indent71574-8Airway device confirmed for placement
Indent71576-3Airway device placement confirmation method
Indent67661-9EMS disposition Narrative NEMSIS
Indent67547-0The number of patients transported by this EMS crew and unit.{#}
Indent67549-6The method of transport by EMS
Indent67550-4Indication whether the transport was emergent or non-emergent.
Indent77153-5EMS Transport mode descriptors NEMSIS
Indent77941-3Final patient acuity NEMSIS
Indent67552-0The reason the unit chose to deliver or transfer the patient to the destination
Indent71578-9EMS transport destination NEMSIS
Indent77154-3Hospital inpatient destination
Indent77155-0Hospital designation capability
Indent69462-0Activation of the destination healthcare facility team
Indent100037-1Patient contact disposition EMS unit
Indent100038-9Patient evaluation disposition EMS unit
Indent100039-7Crew disposition for patient care EMS unit
Indent100040-5Patient transport disposition EMS unit
Indent67658-5EMS exposures or injuries of EMS personnel Provider Narrative NEMSIS
Indent67553-8Condition indicating eligibility for illness or injury registry
Indent67554-6Indication of an EMS work related exposure, injury, or death associated with this EMS event.
Indent67555-3The type of exposure or unprotected contact with blood or body fluids
Indent69463-8Event caused by natural forces or Suspected and Intentional/Unintentional Disasters (terrorism).
Indent67781-5The 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.

LOINCNameR/O/CCardinalityExample UCUM Units
82315-3Level 3 emergency medical services patient care report - recommended CDA R1 and R2 sections
Indent67840-9EMS advance directives Narrative NEMSIS
Indent48765-2Allergies and adverse reactions Document
Indent67659-3EMS billing Narrative NEMSIS
Indent67799-7EMS cardiac arrest event Narrative NEMSIS
Indent67844-1EMS current medications Narrative NEMSIS
Indent67660-1EMS dispatch Narrative NEMSIS
Indent67661-9EMS disposition Narrative NEMSIS
Indent67800-3EMS injury incident description Narrative NEMSIS
Indent67849-0EMS medications administered Narrative NEMSIS
Indent67842-5EMS past medical history Narrative NEMSIS
Indent67781-5The narrative of the patient care report (PCR)
Indent67658-5EMS exposures or injuries of EMS personnel Provider Narrative NEMSIS
Indent29545-1Physical findings note
Indent29554-3Procedure Narrative
Indent67663-5EMS protocol Narrative NEMSIS
Indent67664-3EMS response Narrative NEMSIS
Indent67665-0EMS scene Narrative NEMSIS
Indent67666-8EMS situation Narrative NEMSIS
Indent67843-3EMS social history Narrative NEMSIS
Indent67667-6EMS times Narrative NEMSIS
Indent8716-3Vital signs note

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.

LOINCNameR/O/CCardinalityExample UCUM Units
84429-0Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
Indent67840-9EMS advance directives Narrative NEMSIS
Indent67516-5The presence of a valid form or living will document directing end of life or healthcare treatment decisions
Indent48765-2Allergies and adverse reactions Document
Indent69747-4Does the patient have any environmental allergies NEMSIS
Indent79151-7Known allergies to food or environmental agents
Indent67794-8Does the patient have any allergies?
Indent67659-3EMS billing Narrative NEMSIS
Indent67556-1The condition codes are used to better describe the service and patient care delivery by an EMS service.
Indent69464-6The CMS service level for this EMS encounter.
Indent67799-7EMS cardiac arrest event Narrative NEMSIS
Indent67503-3Indication of the etiology or cause of the cardiac arrest (classified as cardiac, non-cardiac, etc.)
Indent67508-2AED Use Prior to EMS Arrival
Indent67844-1EMS current medications Narrative NEMSIS
Indent67791-4Does the patient take any medications?
Indent67556-1The condition codes are used to better describe the service and patient care delivery by an EMS service.
Indent69749-0Is the patient on anticoagulants NEMSIS
Indent67660-1EMS dispatch Narrative NEMSIS
Indent67488-7Indication of whether Emergency Medical Dispatch was performed for this EMS event
Indent67547-0The number of patients transported by this EMS crew and unit.{#}
Indent67570-2The complaint dispatch reported to the responding unit.
Indent67661-9EMS disposition Narrative NEMSIS
Indent67547-0The number of patients transported by this EMS crew and unit.{#}
Indent67548-8Incident - patient disposition
Indent67550-4Indication whether the transport was emergent or non-emergent.
Indent77153-5EMS Transport mode descriptors NEMSIS
Indent67549-6The method of transport by EMS
Indent67550-4Indication whether the transport was emergent or non-emergent.
Indent77153-5EMS Transport mode descriptors NEMSIS
Indent67800-3EMS injury incident description Narrative NEMSIS
Indent67494-5General mechanism of the forces which caused the injury
Indent67495-2CDC field triage criteria NEMSIS
Indent67496-0Other injury risk factors NEMSIS
Indent67497-8The primary area or location of impact on the vehicle
Indent67498-6The seat row location of the patient in vehicle at the time of the crash
Indent67499-4Safety equipment in use by the patient at the time of the injury - MMUCC P7 data element
Indent67500-9Indication of Airbag deployment during the motor vehicle crash
Indent67501-7The 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]
Indent67849-0EMS medications administered Narrative NEMSIS
Indent67540-5The patients response to the medication.
Indent67541-3Any complication (abnormal effect on the patient) associated with the administration of the medication to the patient by EMS
Indent67539-7Medication administered prior to this unit's EMS care
Indent67842-5EMS past medical history Narrative NEMSIS
Indent67793-0Has the patient had any significant medical conditions?
Indent68487-8The patient's pre-existing medical and surgery history of the patient based on either ICD-10 Disease or ICD-10 Procedure Codes.
Indent67781-5The narrative of the patient care report (PCR)
Indent67658-5EMS exposures or injuries of EMS personnel Provider Narrative NEMSIS
Indent67554-6Work related exposure, injury, or death?
Indent29545-1Physical findings note
Indent67524-9The assessment of the patient's skin on examination
Indent67525-6The assessment findings associated with the patients head.
Indent67536-3The assessment of the patient's neurological status on examination
Indent67526-4The assessment findings associated with the patients face
Indent67527-2The assessment findings associated with the patients neck.
Indent67528-0Physical findings of Chest+Lungs
Indent67529-8The assessment findings associated with the patients heart
Indent67530-6The assessment findings associated with the patients abdomen.
Indent67531-4The assessment findings associated with the patients pelvic and genitourinary exam
Indent67532-2The assessment findings associated with the patient spine (Cervical, Thoracic, Lumbar, and Sacral) and back exam.
Indent67533-0The assessment of the patient's extremities.
Indent67534-8The assessment findings of the patient's left eye examination
Indent67535-5The assessment of the patient's mental status on examination
Indent67471-3Indication of the possibility by the patient's history of current pregnancy
Indent67517-3Last Oral Intake
Indent30525-0Agea
Indent67523-1Reperfusion checklist
Indent67515-7Indication of whether or not there were any patient specific barriers to serving the patient at the scene
Indent8335-2Body weight Estimated[lb_av];kg
Indent67670-0The Length - based tape measure as take from the tape
Indent29554-3Procedure Narrative
Indent67542-1Indicates that the procedure which was performed and documented was performed prior to this EMS units care.
Indent67543-9The number of attempts taken to complete a procedure or intervention regardless of success{#}
Indent67544-7Indication of whether or not the procedure performed on the patient was successful
Indent67545-4Any complication associated with the performance of the procedure on the patient
Indent67546-2The patient response to the procedure
Indent71576-3Airway device placement confirmation method
Indent67504-1Indication of reason resuscitation the patient who is in cardiac arrest not attempted
Indent67663-5EMS protocol Narrative NEMSIS
Indent67537-1The protocol used by EMS personnel to direct the clinical care of the patient
Indent67538-9The age group the protocol is written to address
Indent67553-8Condition indicating eligibility for illness or injury registry
Indent67664-3EMS response Narrative NEMSIS
Indent67480-4The dispatch delays, if any, associated with the dispatch of the EMS unit to the patient encounter
Indent67557-9The response delays, if any, of the unit associated with the patient encounter
Indent67558-7The scene delays, if any, of the unit associated with the patient encounter
Indent67559-5The transport delays, if any, of the unit associated with the patient encounter
Indent67560-3The turn-around delays, if any, associated with the EMS unit associated with the patient encounter
Indent69466-1The EMS Location or healthcare facility name representing the geographic location of the vehicle at the time of dispatch.
Indent52002-3Ambulance transport, Destination site latitude coordinate
Indent52003-1Ambulance transport, Destination site longitude coordinate
Indent67484-6The mileage (counter or odometer reading) of the vehicle at the beginning of the call (when the wheels begin moving).[mi_us]
Indent67485-3The mileage (counter or odometer reading) of the vehicle when it arrives at the patient[mi_us]
Indent67486-1The mileage (counter or odometer reading) of the vehicle when it arrives at the patient's destination[mi_us]
Indent67487-9The ending mileage (counter or odometer reading) of the vehicle (at time back in service)[mi_us]
Indent67482-0The indication whether the response was emergent or non-emergent. An emergent response is an immediate response.
Indent77157-6EMS Response mode descriptors NEMSIS
Indent77156-8EMS unit Level of care capability
Indent67665-0EMS scene Narrative NEMSIS
Indent67481-2Documentation that this EMS Unit was the first EMS Unit for any EMS Agency on the Scene.
Indent67489-5Indicator of how many total patients were at the scene
Indent67490-3Indicator if this event would be considered a mass casualty incident (overwhelmed existing EMS resources)
Indent67666-8EMS situation Narrative NEMSIS
Indent10154-3Chief complaint Narrative - Reported
Indent69467-9Possible injury
Indent67492-9The 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
Indent67776-5Other symptoms identified by the patient or observed by EMS personnel based on the ICD-10 Primary Symptom Code
Indent67493-7The condition of the patient on EMS arrival at the scene
Indent69542-9Provider's Secondary Impressions
Indent67843-3EMS social history Narrative NEMSIS
Indent69757-3Are there any indications of drug or alcohol use by the patient?
Indent67669-2Indicators for the potential use of alcohol or drugs by the patient.
Indent67667-6EMS times Narrative NEMSIS
Indent69469-5911 call to public safety answering point or other designated entity requesting EMS services [Date and time] Facility
Indent69471-1Responding unit was notified by dispatch [Date and time] Vehicle
Indent69472-9Unit responded [Date and time] Vehicle
Indent69473-7Responding unit arrived on the scene [Date and time] Vehicle
Indent69474-5Responding unit arrived at the patient's side [Date and time] Vehicle
Indent69475-2Responding unit left the scene with a patient [Date and time] Vehicle
Indent69476-0Responding unit arrived with the patient at the destination or transfer point [Date and time] Vehicle
Indent69477-8Unit was back in service and available for response [Date and time] Vehicle
Indent69470-3Dispatch was notified by the 911 call taker [Date and time] Facility
Indent8716-3Vital signs note
Indent8480-6Systolic blood pressuremm[Hg]
Indent8462-4Diastolic blood pressuremm[Hg]
Indent8867-4Heart rate{beats}/min;{counts}/min
Indent9279-1Respiratory rate{breaths}/min;{counts}/min
Indent59408-5Oxygen saturation in Arterial blood by Pulse oximetry%
Indent67520-7Stroke scale score
Indent56840-2Pain score{score}
Indent67775-7Level of responsiveness (AVPU)
Indent2339-0Blood glucose levelmg/dL
Indent19911-7Carbon monoxide levelcm3/min/mm[Hg]
Indent19889-5Carbon dioxide level%
Indent67519-9The cardiac rhythm and other electrocardiography findings associated with the patient
Indent9267-6Glasgow coma score eye opening
Indent9268-4Glasgow coma score motor
Indent9270-0Glasgow coma score verbal
Indent55285-1Glasgow coma score qualifier
Indent9269-2Glasgow coma score total{score}

Survey Question

EMS pt care record - PCR

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.58 (MIN)
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

TagLanguageTranslation
cs-CZCzech (Czechia)záznam o výjezdu:Nález:Časový bod:^Pacient:Dokument:NEMSIS
el-GRGreek (Greece)Έκθεση φροντίδας ασθενούς υπηρεσίας έκτακτης ανάγκης - έκδοση 3:Εύρεση:Pt:^Ασθενής:Doc:NEMSIS
Synonyms: - Doc NEMSIS Pt Αναφορά Ασθενής Έκδοση Έκθεση φροντίδας ασθενούς υπηρεσίας έκτακτης ανάγκης - έκδοση 3 Εύρεση
es-MXSpanish (Mexico)Informe de atención al paciente de EMS - versión 3:Tipo:Punto temporal:^ Paciente:Documento:NEMSIS
it-ITItalian (Italy)Servizi Medici di Emergenza, relazione assistenza del paziente - versione 3.1:Osservazione:Pt:^Paziente:Doc:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio) Referto
zh-CNChinese (China)急救医疗服务患者医疗护理报告 - 版本 3.1:发现:时间点:^患者:文档型:NEMSIS
Synonyms: Ⅲ EMS III National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统 三 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 叁 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS） 急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）患者医疗护理报告 - 版本 3.1;急救医疗服务 患者医疗护理报告 - 3.1 版;急救医疗服务 病人医疗护理报告 - 版本 3.1;急救医疗服务 患者护理报告 - 版本 3.1;急救医疗服务 患者照护报告 - 版本 3.1 急诊医疗服务 报道;汇报;调查报告;报表;报导 时刻;随机;随意;瞬间 版;版次;变化形式;变体 紧救医疗服务

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