74198-3

Trauma Summary Registry Report

Active

Term Description

A trauma case described in a uniform set of data elements, including injury, pre-hospital care, and hospital care.

LOINC Names Get Info

Fully-Specified Name: Summary registry report:Find:Pt:{Setting}:Doc:Trauma
Long Common Name: Trauma Summary Registry Report
Short Name: Trauma Summary Registry Report

Part Model Get Info

Component
Summary registry report
LP183513-3
- Analyte
  Summary registry report
  LP183513-3
  - Component Numerator
    Summary registry report
    LP183513-3
    - Component Numerator Core
      Summary registry report
      LP183513-3
    - 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
- Time Core
  Pt
  LP6960-1
- Time Modifier
  NULL
System
{Setting}
LP32887-9
- System Core
  {Setting}
  LP32887-9
- Super System
  NULL
Scale
Doc
LP32888-7
Method
Trauma
LP183498-7

Associated Observations

87825-6 National Trauma Data Standard - version 2018 set

This panel contains the set of LOINC codes used in the 2018 National Trauma Data Standard data dictionary, which is used as a national standard in the United States for the exchange of trauma registry data.

LOINC	Name	R/O/C	Example UCUM Units
87825-6	National Trauma Data Standard - version 2018 set
Indent74283-3	Alternate home residence
Indent30525-0	Age		a
Indent74291-6	Co-morbid conditions
Indent52797-8	ICD-10 injury diagnoses
Indent76067-8	Abbreviated Injury Scale panel AAAM
IndentIndent76066-0	AIS version	R
IndentIndent75890-4	AIS predot code	O
IndentIndent75891-2	AIS severity	R	{score}
Indent74202-3	Primary method of payment
Indent67554-6	Work related exposure, injury, or death?
Indent85078-4	Occupation industry [Type]
Indent85658-3	Occupation [Type]
Indent69543-7	ICD-10 primary external cause code
Indent74496-1	Injury location ICD code
Indent74292-4	ICD-10 additional external cause code
Indent67499-4	Protective devices
Indent67499-4	Child specific restraint
Indent67500-9	Indication of Airbag deployment during the motor vehicle crash
Indent87517-9	Report of physical abuse
Indent87519-5	Investigation of physical abuse
Indent87518-7	Caregiver at discharge
Indent74200-7	Total ICU length of stay		d
Indent74201-5	Total ventilator days		d
Indent74290-8	Hospital discharge disposition [NTDS]
Indent69471-1	EMS dispatch date
Indent69471-1	EMS dispatch time
Indent69473-7	EMS unit arrival date at scene or transferring facility
Indent69473-7	EMS unit arrival time at scene or transferring facility
Indent69475-2	EMS unit departure date from scene or transferring facility
Indent69475-2	EMS unit departure time from scene or transferring facility
Indent74286-6	Transport mode
Indent74286-6	Other transport mode
Indent8480-6	Initial field systolic blood pressure		mm[Hg]
Indent8867-4	Initial field pulse rate		{beats}/min;{counts}/min
Indent9279-1	Initial field respiratory rate		{breaths}/min;{counts}/min
Indent2708-6	Initial field oxygen saturation		%
Indent9267-6	Initial field GCS - Eye
Indent9270-0	Initial field GCS - Verbal
Indent9268-4	Initial field GCS - Motor
Indent9269-2	Initial field GCS - Total		{score}
Indent74199-1	Inter-facility transfer
Indent67495-2	Trauma center criteria
Indent67496-0	Vehicular, pedestrian, other risk injury
Indent8480-6	Initial ED/Hospital systolic blood pressure		mm[Hg]
Indent8867-4	Initial ED/Hospital pulse rate		{beats}/min;{counts}/min
Indent8310-5	Initial ED/Hospital temperature		Cel
Indent9279-1	Initial ED/Hospital respiratory rate		{breaths}/min;{counts}/min
Indent74210-6	Initial ED/Hospital respiratory assistance
Indent2708-6	Initial ED/Hospital oxygen saturation		%
Indent74206-4	Initial ED/Hospital supplemental oxygen
Indent9267-6	Initial ED/Hospital GCS - Eye
Indent9270-0	Initial ED/Hospital GCS - verbal
Indent9268-4	Initial ED/Hospital GCS - motor
Indent9269-2	Initial ED/Hospital GCS - total		{score}
Indent55285-1	Initial ED/Hospital GCS assessment qualifiers
Indent8302-2	Initial ED/Hospital height		[in_us];cm;m
Indent29463-7	Initial ED/Hospital weight		[lb_av];kg
Indent34601-5	Drug screen
Indent5640-8	Alcohol screen		mg/dL
Indent11302-7	ED discharge disposition
Indent74203-1	Signs of life
Indent9269-2	Highest GCS Total		{score}
Indent9268-4	Highest GCS Motor
Indent55285-1	GCS qualifier component of highest GCS total
Indent87515-3	Initial ED/Hospital pupillary response
Indent87514-6	Cerebral monitor
Indent1298-9	Packed erythrocytes given [Volume]		mL
Indent10411-7	Plasma given [Volume]		mL
Indent1299-7	Platelets given [Volume]		mL
Indent10392-9	Cryoprecipitate given [Volume]		mL
Indent8480-6	Lowest ED/Hospital systolic blood pressure		mm[Hg]
Indent87516-1	Withdrawal of life support treatment
Indent74284-1	Hospital complications

84428-2 National EMS Information System - version 3 set

LOINC	Name	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)

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	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 note
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 note
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}

Basic Attributes

Class: DOC.ONTOLOGY
Type: Clinical
First Released: Version 2.46
Last Updated: Version 2.64 (MIN)
Change Reason: Based on Clinical LOINC Committee approval on 2/2014, the Component was changed from 'Trauma summary registry report' and Method was changed from '{Provider}' to harmonize with the current LOINC Document Ontology model.
Order vs. Observation: Both

Member of these Groups Get Info

LOINC Group	Group Name
LG41826-5	{Setting}\|ANYTypeofService\|ANYKindofDocument\|ANYRole\|ANYSubjectMatterDomain
LG38852-6	Summary registry report\|ANYRole\|ANYSetting
LG39060-5	Trauma\|ANYTypeOfService\|ANYKindOfNote\|ANYSetting

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Συνοπτική αναφορά μητρώου:Εύρεση:Pt:{Ρυθμίσεις}:Doc:Τραύμα Synonyms: {Ρυθμίσεις} Doc DOC.ONTOLOGY Pt Αναφορά Αναφορά Μητρώου Εύρεση Συνοπτική αναφορά μητρώου Τραύμα
es-MX	Spanish (Mexico)	Informe de registro resumido:Tipo:Punto temporal:{Configuración}:Documento:Trauma
it-IT	Italian (Italy)	Sintesi della registrazione:Osservazione:Pt:{Setting}:Doc:Trauma Synonyms: Documentazione dell''ontologia Osservazione Punto nel tempo (episodio) Referto
zh-CN	Chinese (China)	摘要登记报告:发现:时间点:{环境}:文档型:创伤专业 Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书事件发生的地方;场景;环境;背景创伤;损伤;外伤;创伤（损伤、外伤）专业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;结论报道;汇报;调查报告;报表;报导摘要注册报告;摘要注册库报告;摘要注册处报告;摘要登记处报告;摘要注册中心报告文档本体;临床文档本体;文档本体;文书本体;医疗文书本体;临床医疗文书本体时刻;随机;随意;瞬间注册报告;注册处报告;登记处报告;注册中心报告;登记库报告;注册库报告

LOINC Terminology Service (API) using HL7^® FHIR^® Get Info

CodeSystem lookup: https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=74198-3

LOINC Copyright

Copyright © Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. See https://loinc.org/license for the full LOINC copyright and license.