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Term Description

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.

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

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}

LOINC Names Get Info

Fully-Specified Name
Level 3 emergency medical services patient care report - recommended CDA R1 & R2 set:-:Pt:{Setting}:-:
Long Common Name
Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
Short Name
L3 EMS Pt Care Rpt CDA R1+R2 set

Part Model Get Info

  • Component
    Level 3 emergency medical services patient care report - recommended CDA R1 & R2 set
    LP234838-3
    • Analyte
      Level 3 emergency medical services patient care report - recommended CDA R1 & R2 set
      LP234838-3
      • Component Numerator
        Level 3 emergency medical services patient care report - recommended CDA R1 & R2 set
        LP234838-3
        • Component Numerator Core
          Level 3 emergency medical services patient care report - recommended CDA R1 & R2 set
          LP234838-3
        • Component Numerator Core Suffix
          NULL
           
      • Component Denominator
        NULL
         
        • Component Denominator Core
          NULL
           
        • Component Denominator Core Suffix
          NULL
           
    • Challenge
      NULL
       
    • Adjustment
      NULL
       
    • Count
      NULL
       
  • Property
    -
    LP6769-6
  • Time
    Pt
    LP6960-1
  • System
    {Setting}
    LP32887-9
    • System Core
      {Setting}
      LP32887-9
    • Super System
      NULL
       
  • Scale
    -
    LP7747-1
  • Method
    NULL
     

Basic Attributes

Class
PANEL.DOC
Type
Clinical
First Released
Version 2.58
Last Updated
Version 2.72 (PANEL)
Panel Type
Convenience group

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Έκθεση φροντίδας ασθενούς για ιατρικές υπηρεσίες έκτακτης ανάγκης επιπέδου 3 - συνιστώμενο σετ CDA R1 & R2:-:Pt:{Ρυθμίσεις}:-:
Synonyms: - {Ρυθμίσεις} PANEL.DOC Pt Αναφορά Έκθεση φροντίδας ασθενούς για ιατρικές υπηρεσίες έκτακτης ανάγκης επιπέδου 3 - συνιστώμενο σετ CDA R1 & R2
es-MXSpanish (Mexico)Informe de atención al paciente de servicios médicos de emergencia de nivel 3: conjunto CDA R1 y R2 recomendado:-:Punto temporal:{Configuración}:-:
it-ITItalian (Italy)Livello 3 rapporto di assistenza al paziente di servizi medici di emergenza - set CDA R1 & R2 raccomandate:-:Pt:{Setting}:-:
Synonyms: Livello 3 rapporto di assistenza al paziente di se Panel documentazione Punto nel tempo (episodio) Referto
zh-CNChinese (China)第3级 急救医疗服务患者医疗服务报告 - 推荐 CDA R1 与 R2 集合:-:时间点:{环境}:-:
Synonyms: Ⅲ III 三 事件发生的地方;场景;环境;背景 先天性红细胞生成异常性贫血 先天性红细胞生成异常性贫血（Congenital dyserythropoietic anaemia，CDA） 先天性红细胞生成障碍性贫血 先天性红血球生成不良性贫血 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.文档;文书组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）;文件医嘱组;医疗文书医嘱组;医疗文件医嘱组 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 叁 多重;多重型;多重标尺类型;多重精度类型 套餐 套餐医嘱 套餐医嘱组 套餐医嘱组类 实验室医嘱套餐 实验室医嘱套餐类 实验室医嘱组 实验室医嘱组合类 实验室医嘱组套 实验室医嘱组套类 实验室套餐医嘱组 实验室套餐医嘱组类 实验室检验项目医嘱组合类 实验室检验项目组合类 报道;汇报;调查报告;报表;报导 时刻;随机;随意;瞬间 检验医嘱组合类 检验项目医嘱组合类 检验项目组合类 程度 第3级（L3、Level 3、第3层） 急救医疗服务（EMS）患者医疗服务报告 - 推荐 CDA R1 与 R2 集合（集、代码集、取值集合、值集）;HL7 临床文档架构;HL7 Clinical Document Architecture;HL7 CDA 等级 级 级别 组 组合 组合医嘱 组合类 组套

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=84429-0
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/84429-0