LOINC
Version 2.67

84429-0Level 3 emergency medical services patient care report - recommended CDA R1 and R2 setActive

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.
Source: Regenstrief LOINC

Panel Hierarchy
Details for each LOINC in Panel LHC-Forms

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 R
Indent69747-4 Does the patient have any environmental allergies NEMSIS
Indent79151-7 Known allergies to food or environmental agents O
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. O
Indent69464-6 The CMS service level for this EMS encounter. R
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.) R
Indent67506-6 Documentation of the CPR provided prior to EMS arrival
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 Type of disposition treatment and/or transport of the patient.
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. R
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 Field Triage Criteria for transport to a trauma center as defined by the Centers for Disease Control and Prevention and the American College of Surgeons-Committee on Trauma.
Indent67496-0 The kind of risk factor predictors present at the incident. Added additional mechanism or risk indicators based on CDC Field Triage Decision Scheme Steps 3.
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 O
Indent67525-6 The assessment findings associated with the patients head. O
Indent67536-3 The assessment of the patient's neurological status on examination O
Indent67526-4 The assessment findings associated with the patients face O
Indent67527-2 The assessment findings associated with the patients neck. O
Indent67528-0 The assessment findings associated with the patients chest and lungs. O
Indent67529-8 The assessment findings associated with the patients heart O
Indent67530-6 The assessment findings associated with the patients abdomen. O
Indent67531-4 The assessment findings associated with the patients pelvic and genitourinary exam O
Indent67532-2 The assessment findings associated with the patient spine (Cervical, Thoracic, Lumbar, and Sacral) and back exam. O
Indent67533-0 The assessment of the patient's extremities. O
Indent67534-8 The assessment findings of the patient's left eye examination O
Indent67535-5 The assessment of the patient's mental status on examination O
Indent67471-3 Indication of the possibility by the patient's history of current pregnancy O
Indent67517-3 Last Oral Intake O
Indent30525-0 Age a
Indent67523-1 Reperfusion checklist R
Indent67515-7 Indication of whether or not there were any patient specific barriers to serving the patient at the scene R
Indent8335-2 Body weight Estimated kg;[lb_av]
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. R
Indent67543-9 The number of attempts taken to complete a procedure or intervention regardless of success R {#}
Indent67544-7 Indication of whether or not the procedure performed on the patient was successful R
Indent67545-4 Any complication associated with the performance of the procedure on the patient R
Indent67546-2 The patient response to the procedure R
Indent71576-3 Airway device placement confirmation NEMSIS
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 An indication if the patient may meet the entry criteria for an injury or illness specific 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 R
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 R mm[Hg]
Indent8462-4 Diastolic blood pressure mm[Hg]
Indent8867-4 Heart rate R {beats}/min
Indent9279-1 Respiratory rate R {breaths}/min
Indent59408-5 Oxygen saturation in Arterial blood by Pulse oximetry R %
Indent67520-7 Stroke scale score R
Indent56840-2 Pain score R {score}
Indent67775-7 Level of responsiveness (AVPU) R
Indent2339-0 Blood glucose level R mg/dL
Indent19911-7 Carbon monoxide level cm3/min/mm[Hg]
Indent19889-5 Carbon dioxide level R %
Indent67519-9 The cardiac rhythm and other electrocardiography findings associated with the patient R
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 R
Indent9269-2 Glasgow coma score total {score}

Fully-Specified Name

Component
Level 3 emergency medical services patient care report - recommended CDA R1 & R2 set
Property
-
Time
Pt
System
{Setting}
Scale
-
Method

Additional Names

Short Name
L3 EMS Pt Care Rpt CDA R1+R2 set

Basic Attributes

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

Language Variants Get Info

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}:-:
it-ITItalian (ITALY)
Livello 3 rapporto di assistenza al paziente di servizi medici di emergenza - set CDA R1 & R2 raccomandate:-:Pt:{Setting}:-:

LOINC FHIR® API Example - CodeSystem Request Get Info

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