Version 2.78

67840-9 EMS advance directives Narrative NEMSIS

Fully-Specified Name

Component
EMS advance directives
Property
-
Time
Pt
System
^Patient
Scale
Nar
Method
NEMSIS

Additional Names

Short Name
EMS advance directives NEMSIS

Basic Attributes

Class
PANEL.NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50
Panel Type
Panel

Survey Question

Source
EHistory Adv Dir

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Directivas anticipadas de EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT Italian (Italy) Servizi Medici di Emergenza, direttive anticipate:-:Pt:^Paziente:Nar:NEMSIS
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d Testamenti biologici;Direttive anticipate
zh-CN Chinese (China) 急救医疗服务事前指示:-:时间点:^患者:叙述型:NEMSIS
Synonyms: EMS 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 事前指示;事前意愿;事前要求;遗嘱;遗愿 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.NEMSIS;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）.NEMSIS;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;NEMSIS 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 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 急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS） 急救医疗服务事前指示（遗嘱、事前意愿、遗愿、事前要求）;EMS 事前指示;EMS 遗嘱;EMS 事前意愿 急诊医疗服务 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 紧救医疗服务 组 组合 组合医嘱 组合类 组套

67516-5 The presence of a valid form or living will document directing end of life or healthcare treatment decisions

Fully-Specified Name

Component
Advance directive
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Advance directive NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The presence of a valid form or living will document directing end of life or healthcare treatment decisions
Source
EHistory.05

Normative Answer List LL1818-5

Answer Code Score Answer ID
State EMS DNR or medical order form 3105011 LA17319-7
Other healthcare advanced directive form 3105009 LA17320-5
Living will 3105003 LA17321-3
Family/guardian request DNR (but no documentation) 3105001 LA17322-1
Other (not listed) 3105007 LA17059-9
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) 3105005 LA137-2

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Directiva anticipada:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
fr-CA French (Canada) Niveau de soins:Observation:Temps ponctuel:^Patient:Nominal:Système EMS services d'information
it-IT Italian (Italy) Dichiarazione anticipata di trattamento:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio) Testamento biologico;Direttive anticipate
zh-CN Chinese (China) 事前指示:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 时刻;随机;随意;瞬间 遗嘱;事前意愿;遗愿;事前要求

48765-2 Allergies and adverse reactions Document

Term Description

Contains a list and description of any allergies or adverse reactions pertinent to current or past medical history. At a minimum this section should contain currently active and any relevant historical allergies and adverse reactions.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Allergies &or adverse reactions
Property
Find
Time
Pt
System
^Patient
Scale
Doc
Method

Additional Names

Short Name
Allergies &or adverse reactions Doc

Basic Attributes

Class
DOC.MISC
Type
Clinical
First Released
Version 2.21
Last Updated
Version 2.73
Change Reason
Previous Releases: Edited Component part from "Allergies, adverse reactions, alerts" to "Allergies &or adverse reactions." We removed the word "alerts" because it was potentially confusing by implying that it may contain other kinds of warnings (as a arbitrary example: public health disease outbreak notifications) when in fact it was always intended to be the typical "allergies" section.;
Order vs. Observation
Both

Member of these Panels

LOINC Long Common Name
57082-0 Antepartum record panel
81898-9 Composite triage and nursing note - recommended IHE set
72231-4 Consultation note - recommended C-CDA R1.1 sections
81222-2 Consultation note - recommended C-CDA R2.0 and R2.1 sections
72232-2 Continuity of Care Document - recommended C-CDA R1.1 sections
81214-9 Continuity of Care Document - recommended C-CDA R2.0 and R2.1 sections
48769-4 Continuity of Care panel
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
72229-8 Discharge summary - recommended C-CDA R1.1 sections
81219-8 Discharge summary - recommended C-CDA R2.0 sections
81218-0 Discharge summary - recommended C-CDA R2.1 sections
81242-0 Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7 Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8 Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
81244-6 Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0 History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
81245-3 Interval document - recommended CDP Set 1 R1.0 and R1.1 sections
57083-8 Labor and Delivery record panel
92574-3 Labor and delivery summary - recommended IHE set
82315-3 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 sections
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
82811-1 Nurse summary note - recommended sections
82308-8 Oncology plan of care and summary - recommended CDA R1.2 sections
74293-2 Oncology plan of care and summary - recommended CDA set
74449-0 Patient plan of care - recommended IHE set
59843-3 Procedure note - recommended C-CDA R1.1 sections
81217-2 Procedure note - recommended C-CDA R2.0 and R2.1 sections
72225-6 Progress note - recommended C-CDA R1.1 sections
81216-4 Progress note - recommended C-CDA R2.0 and R2.1 sections
81223-0 Referral note - recommended C-CDA R2.0 and R2.1 sections
81221-4 Transfer summary note - recommended C-CDA R2.0 sections
81614-0 Transfer summary note - recommended C-CDA R2.1 sections

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Allergien und unerwünschte Wirkungen:Befund:Zeitpunkt:^Patient:Dokument:
es-MX Spanish (Mexico) Alergias y reacciones adversas:Tipo:Punto temporal:^ Paciente:Documento:
it-IT Italian (Italy) Allergie &o reazioni avverse:Osservazione:Pt:^Paziente:Doc:
Synonyms: Allergie e reazioni avverse Documentazione miscellanea Miscellanea Osservazione paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) allergieën en/of allergische reacties:bevinding:moment:^patiënt:document:
ru-RU Russian (Russian Federation) Аллергии &или неблагоприятные реакции:Находка:ТчкВрм:^Пациент:Док:
Synonyms: Документ Точка во времени;Момент
zh-CN Chinese (China) 变态反应和或不良反应:发现:时间点:^患者:文档型:
Synonyms: 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 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 变态反应与不良反应 文档.其他;杂项类文档;其他文档 时刻;随机;随意;瞬间 杂项;杂项类;杂项试验 过敏反应;过敏

69747-4 Does the patient have any environmental allergies NEMSIS

Fully-Specified Name

Component
Does the patient have any environmental allergies
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NEMSIS

Additional Names

Short Name
Any environmental allergies NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Source
EHistory.07

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) ¿Tiene el paciente alguna alergia ambiental?:Tipo:Punto temporal:^ Paciente:Ordinal:NEMSIS
it-IT Italian (Italy) Il paziente ha allergie ambientali:Osservazione:Pt:^Paziente:Ord:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 该患者是否存在任何的环境过敏:发现:时间点:^患者:序数型:NEMSIS
Synonyms: 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 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 时刻;随机;随意;瞬间 过敏反应;过敏 这个患者是否存在任何的环境变态反应;此病人是否存在任何的环境过敏

79151-7 Known allergies to food or environmental agents

Term Description

This term is used to report a patient's known allergies to food or environmental agents. This term was created for, but not limited in use to, the eHistory.07 variable included in the National EMS Information System (NEMSIS). A suggested list of SNOMED CT environmental/food allergies is available on the NEMSIS download site (http://nemsis.org/v3/resources.html).
Source: Regenstrief LOINC

Fully-Specified Name

Component
Known allergies to food or environmental agents
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Allergies to food environment

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.58
Order vs. Observation
Both

Preferred Answer List LL3720-1

Externally Defined
Yes
Code System
Code System OID
1.3.6.1.4.1.12009.10.1.2355
Link to External List
http://nemsis.org/media/nemsis_v3/master/SuggestedLists/NEMSIS_V3_Suggested_List_eHistory.07.pdf

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Alergias conocidas a alimentos o agentes ambientales.:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Allergie note a cibo o agenti ambientali:Osservazione:Pt:^Paziente:Nom:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Известные аллергии на пищевые или окружающей среды агенты:Находка:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 对于食物或环境因素的已知变态反应:发现:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 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 对于食物或环境因素的已知过敏;对于食物或环境因素的已知过敏反应;针对食物或环境因素的已知变态反应 时刻;随机;随意;瞬间 病史与体格检查 过敏反应;过敏

67794-8 Does the patient have any allergies?

Fully-Specified Name

Component
Does the patient have any medication allergies
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Pt have med allergies NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Does the patient have any allergies?
Source
EHistory.06

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) ¿Tiene el paciente alguna alergia a medicamentos?:Hx:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Il paziente ha qualche allergia ai farmaci:Hx:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Storia;Anamnesi
zh-CN Chinese (China) 该患者是否存在任何的药物过敏:历史记录:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物 时刻;随机;随意;瞬间 过敏反应;过敏 这个患者是否存在任何的药物变态反应;此病人是否存在任何的药物过敏

67659-3 EMS billing Narrative NEMSIS

Term Description

Billing-specific condition & service level
Source: Regenstrief LOINC

Fully-Specified Name

Component
EMS billing
Property
-
Time
Pt
System
^Patient
Scale
Nar
Method
NEMSIS

Additional Names

Short Name
EMS billing NEMSIS

Basic Attributes

Class
PANEL.NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50
Panel Type
Panel

Survey Question

Source
EBilling

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Facturación EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT Italian (Italy) Servizi Medici di Emergenza, fatturazione:-:Pt:^Paziente:Nar:NEMSIS
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN Chinese (China) 急救医疗服务记账:-:时间点:^患者:叙述型:NEMSIS
Synonyms: EMS 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 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.NEMSIS;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）.NEMSIS;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;NEMSIS 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 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 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）记账;急救医疗服务 账单;急救医疗服务 计费;急救医疗服务 付账 急诊医疗服务 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 紧救医疗服务 组 组合 组合医嘱 组合类 组套

67556-1 The condition codes are used to better describe the service and patient care delivery by an EMS service.

Fully-Specified Name

Component
EMS condition code
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
EMS condition code NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The condition codes are used to better describe the service and patient care delivery by an EMS service.
Source
EPayment.51

Normative Answer List LL1922-5

Externally Defined
Yes
Code System
NEMSIS
Code System OID
1.3.6.1.4.1.12009.10.1.1097
Link to External List
https://www.cms.gov/manuals/downloads/clm104c15.pdf

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Código de condición EMS:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Servizi Medici di Emergenza, codice di condizione:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 急救医疗服务情况代码:发现:时间点:^患者:名义型:NEMSIS
Synonyms: EMS 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 健康状况;疾病;情况;病情;状态;条件 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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）情况（服务情况、状况）代码;急救医疗服务 状况代码;急救医疗服务 情况编码;急救医疗服务 情况代码 急诊医疗服务 时刻;随机;随意;瞬间 紧救医疗服务

69464-6 The CMS service level for this EMS encounter.

Fully-Specified Name

Component
Centers for medicare - medicaid, CMS, service level
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NEMSIS

Additional Names

Short Name
CMS service level NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The CMS service level for this EMS encounter.
Source
EPayment.50

Normative Answer List LL1949-8

Answer Code Score Answer ID
ALS, level 1 2650001 LA18102-6
ALS, level 1 emergency 2650003 LA18103-4
ALS, level 2 2650005 LA18104-2
BLS 2650007 LA18105-9
BLS, emergency 2650009 LA18106-7
Fixed wing (airplane) 2650011 LA18107-5
Paramedic intercept 2650013 LA18108-3
Specialty care transport 2650015 LA18109-1
Rotary wing (helicopter) 2650017 LA18110-9

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Centros para medicare - medicaid, CMS, nivel de servicio:Tipo:Punto temporal:^ Paciente:Ordinal:NEMSIS
it-IT Italian (Italy) Centri per assicurazione sanitaria - assistenza sanitaria, CMS, livello del servizio:Osservazione:Pt:^Paziente:Ord:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 医疗保险和医疗补助服务中心服务等级:发现:时间点:^患者:序数型:NEMSIS
Synonyms: 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 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗保险和公共医疗补助服务中心服务等级;医疗保险和公共医疗补助服务中心服务级别;医疗保险和公共医疗补助服务中心服务水平;CMS等级;Centers for Medicare & Medicaid Services;Centers for Medicare and Medicaid Services;CMS;医疗保险和公共医疗补助服务中心;医疗保险和医疗补助服务中心 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 时刻;随机;随意;瞬间 程度 等级 级 级别

67799-7 EMS cardiac arrest event Narrative NEMSIS

Fully-Specified Name

Component
EMS cardiac arrest event
Property
-
Time
Pt
System
^Patient
Scale
Nar
Method
NEMSIS

Additional Names

Short Name
EMS cardiac arrest NEMSIS

Basic Attributes

Class
PANEL.NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50
Panel Type
Panel

Survey Question

Source
EArrest

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Evento de paro cardíaco EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT Italian (Italy) Servizi Medici di Emergenza, evento di arresto cardiaco:-:Pt:^Paziente:Nar:NEMSIS
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN Chinese (China) 急救医疗服务心脏停搏事件:-:时间点:^患者:叙述型:NEMSIS
Synonyms: EMS 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 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.NEMSIS;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）.NEMSIS;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;NEMSIS 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 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 心博骤停;心搏停止;心跳停止;心脏停止跳动 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）心脏停搏事件;急救医疗服务 心博骤停事件;急救医疗服务 心搏停止事件;急救医疗服务 心跳停止事件;急救医疗服务 心脏停止跳动事件 急诊医疗服务 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 紧救医疗服务 组 组合 组合医嘱 组合类 组套

67503-3 Indication of the etiology or cause of the cardiac arrest (classified as cardiac, non-cardiac, etc.)

Fully-Specified Name

Component
Cardiac arrest cause
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Cardiac arrest cause NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Indication of the etiology or cause of the cardiac arrest (classified as cardiac, non-cardiac, etc.)
Source
EArrest.02

Normative Answer List LL1789-8

Answer Code Score Answer ID
Cardiac (presumed) 3002001 LA17056-5
Drowning/submersion 3002003 LA17977-2
Drug overdose 3002005 LA17978-0
Electrocution 3002007 LA9539-3
Respiratory/asphyxia 3002013 LA17980-6
Traumatic cause 3002015 LA32910-4
Exsanguination-Medical (Non-Traumatic) 3002009 LA17979-8
Other (not listed) 3002011 LA17059-9

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Causa del paro cardíaco:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Arresto cardiaco, causa:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: Causa di arresto cardiaco National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 心脏停搏原因:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 心博骤停;心搏停止;心跳停止;心脏停止跳动 心博骤停原因;心搏停止原因;心跳停止原因;心脏停止跳动原因 时刻;随机;随意;瞬间

67508-2 AED Use Prior to EMS Arrival

Fully-Specified Name

Component
AED use prior to EMS arrival
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NEMSIS

Additional Names

Short Name
AED prior to EMS arrival NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
AED Use Prior to EMS Arrival
Source
EArrest.07

Normative Answer List LL1791-4

Answer Code Score Answer ID
Yes, with defibrillation 3007005 LA17066-4
Yes, applied without defibrillation 3007003 LA17067-2
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 3007001 LA32-8

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Uso del AED antes de la llegada de EMS:Tipo:Punto temporal:^ Paciente:Ordinal:NEMSIS
it-IT Italian (Italy) AED utilizzato prima dell'arrivo dei Servizi Medici di Emergenza:Osservazione:Pt:^Paziente:Ord:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 急救医疗服务方到达之前自动体外除颤器的使用:发现:时间点:^患者:序数型:NEMSIS
Synonyms: EMS EMS到达之前自动体外除颤器的使用;Automated External Defibrillator;自动体外除颤器;AED;EMS;Emergency Medical Services;急救医疗服务;紧急医疗服务 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 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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） 急诊医疗服务 时刻;随机;随意;瞬间 紧救医疗服务

67844-1 EMS current medications Narrative NEMSIS

Reference Information

Type Source Reference
Webcontent NEMSIS http://www.cdc.gov/nchs/icd.htm RxNorm/ICD9/ICD10

Fully-Specified Name

Component
EMS current medications
Property
-
Time
Pt
System
^Patient
Scale
Nar
Method
NEMSIS

Additional Names

Short Name
EMS current meds NEMSIS

Basic Attributes

Class
PANEL.NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50
Panel Type
Panel

Survey Question

Source
EHistory Meds

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Medicamentos actuales de EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT Italian (Italy) Servizi Medici di Emergenza, farmaci attuali:-:Pt:^Paziente:Nar:NEMSIS
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN Chinese (China) 急救医疗服务当前药物:-:时间点:^患者:叙述型:NEMSIS
Synonyms: EMS 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 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.NEMSIS;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）.NEMSIS;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;NEMSIS 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 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 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）当前药物;急救医疗服务 当前治疗药物;急救医疗服务 当前治疗用药;急救医疗服务 当前用药 急诊医疗服务 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 紧救医疗服务 组 组合 组合医嘱 组合类 组套 药物类;处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物

67791-4 Does the patient take any medications?

Fully-Specified Name

Component
Does the patient take any medications
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Patient take medications NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Does the patient take any medications?
Source
EHistory.14b

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) ¿El paciente toma algún medicamento?:Hx:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Il paziente prende farmaci:Hx:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Storia;Anamnesi
zh-CN Chinese (China) 该患者是否服用任何的药物:历史记录:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 时刻;随机;随意;瞬间 药物类;处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物 这个患者是否服用任何的药物

67556-1 The condition codes are used to better describe the service and patient care delivery by an EMS service.

Fully-Specified Name

Component
EMS condition code
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
EMS condition code NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The condition codes are used to better describe the service and patient care delivery by an EMS service.
Source
EPayment.51

Normative Answer List LL1922-5

Externally Defined
Yes
Code System
NEMSIS
Code System OID
1.3.6.1.4.1.12009.10.1.1097
Link to External List
https://www.cms.gov/manuals/downloads/clm104c15.pdf

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Código de condición EMS:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Servizi Medici di Emergenza, codice di condizione:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 急救医疗服务情况代码:发现:时间点:^患者:名义型:NEMSIS
Synonyms: EMS 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 健康状况;疾病;情况;病情;状态;条件 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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）情况（服务情况、状况）代码;急救医疗服务 状况代码;急救医疗服务 情况编码;急救医疗服务 情况代码 急诊医疗服务 时刻;随机;随意;瞬间 紧救医疗服务

69749-0 Is the patient on anticoagulants NEMSIS

Fully-Specified Name

Component
Is the patient on anticoagulants
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NEMSIS

Additional Names

Short Name
Pt on anticoagulants NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Source
EHistory.12

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) ¿El paciente toma anticoagulantes?:Tipo:Punto temporal:^ Paciente:Ordinal:NEMSIS
it-IT Italian (Italy) Il paziente è in terapia anticoagulante:Osservazione:Pt:^Paziente:Ord:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 这名患者是否正在接受抗凝剂治疗:发现:时间点:^患者:序数型:NEMSIS
Synonyms: 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 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 时刻;随机;随意;瞬间 这名（这位）患者（病人、病患、病号）是否正在接受抗凝剂（抗凝血剂、抗凝血药、抗凝、抗凝固剂）治疗

67660-1 EMS dispatch Narrative NEMSIS

Term Description

Information related to dispatch instructions
Source: Regenstrief LOINC

Fully-Specified Name

Component
EMS dispatch
Property
-
Time
Pt
System
^Patient
Scale
Nar
Method
NEMSIS

Additional Names

Short Name
EMS dispatch NEMSIS

Basic Attributes

Class
PANEL.NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50
Panel Type
Panel

Survey Question

Source
EDispatch

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Envío EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT Italian (Italy) Servizi Medici di Emergenza, assegnazione:-:Pt:^Paziente:Nar:NEMSIS
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN Chinese (China) 急救医疗服务调度:-:时间点:^患者:叙述型:NEMSIS
Synonyms: EMS 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 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.NEMSIS;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）.NEMSIS;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;NEMSIS 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 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 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）调度;急救医疗服务 派遣;急救医疗服务 分派 急诊医疗服务 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 紧救医疗服务 组 组合 组合医嘱 组合类 组套

67488-7 Indication of whether Emergency Medical Dispatch was performed for this EMS event

Fully-Specified Name

Component
Emergency medical dispatch performed
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
EMD performed NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Indication of whether Emergency Medical Dispatch was performed for this EMS event
Source
EDispatch.02

Normative Answer List LL1797-1

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 2302001 LA32-8
Yes, with pre-arrival instructions 2302003 LA17151-4
Yes, without pre-arrival instructions 2302005 LA17152-2
Yes, unknown if pre-arrival instructions given 2302007 LA17153-0

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Despacho médico de emergencia realizado:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Comunicato medico di emergenza eseguito:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 已执行紧急医疗调度:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 已执行（已完成、已开展、已进行、已行、已做、已检查、已履行）紧急医疗调度（派遣、分派）;紧急医疗派遣已执行;紧急医疗调遣已执行;紧急医疗分派已执行;紧急医疗调度已完成 时刻;随机;随意;瞬间

67547-0 The number of patients transported by this EMS crew and unit.

Term Description

The number of patients transported by an EMS crew and unit.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Patients transported in EMS unit
Property
Num
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Patients transported EMS unit

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.64
Change Reason
Removed Method of NEMSIS since this is a general concept that can be used for various EMS protocols and is not specific to NEMSIS.

Survey Question

Text
The number of patients transported by this EMS crew and unit.
Source
EDisposition.11

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Pacientes transportados en unidad de EMS:Num:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Pazienti trasportati all'unità dei Servizi Medici di Emergenza:Num:Pt:^Paziente:Qn:
Synonyms: National EMS Information System data - dati del Si Numero (conta) paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Пациенты транспортированы в СМП машину:Кол:ТчкВрм:^Пациент:Колич:
Synonyms: Количественный Количество Точка во времени;Момент
zh-CN Chinese (China) 急救医疗服务单元所运送的患者:数量(计数):时间点:^患者:定量型:
Synonyms: EMS EMS 单元所运送的患者;急救医疗服务小组所运送的患者;急救医疗服务单元所运输的患者;急救医疗服务单元已运输（已运送）的患者 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 个数;数量;数量或计数（非负整数）;计数 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS） 急诊医疗服务 时刻;随机;随意;瞬间 紧救医疗服务

Example Units

Unit Source
{#} Example UCUM Units

67570-2 The complaint dispatch reported to the responding unit.

Fully-Specified Name

Component
Chief complaint per dispatch
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
Reported.dispatch

Additional Names

Short Name
Cplaint per dispatch Reported.dispatch

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.40
Last Updated
Version 2.50

Survey Question

Text
The complaint dispatch reported to the responding unit.
Source
EDispatch.01

Normative Answer List LL1796-3

Answer Code Score Answer ID
Abdominal Pain/Problems 2301001 LA23843-8
Allergic reaction/stings 2301003 LA17117-5
Animal bite 2301005 LA17118-3
Assault 2301007 LA17119-1
Automated crash notification 2301009 LA17120-9
Back pain (non-traumatic) 2301011 LA17121-7
Breathing problems 2301013 LA17122-5
Burns/explosion 2301015 LA17123-3
Carbon monoxide poisoning/hazmat/inhalation/chemical/biological/radiological/nuclear 2301017 LA17124-1
Cardiac arrest/death 2301019 LA17125-8
Chest pain (non-traumatic) 2301021 LA17126-6
Choking 2301023 LA17127-4
Convulsions/seizure 2301025 LA17128-2
Diabetic problem 2301027 LA17129-0
Electrocution/lightning 2301029 LA17131-6
Eye problem/injury 2301031 LA17132-4
Falls 2301033 LA17133-2
Fire 2301035 LA18093-7
Headache 2301037 LA15903-0
Healthcare professional/admission 2301039 LA17134-0
Heart problems/AICD 2301041 LA17135-7
Heat/cold exposure 2301043 LA17136-5
Hemorrhage/lacerations 2301045 LA17137-3
Industrial accident/inaccessible incident/other entrapments (non-vehicle) 2301047 LA17138-1
Medical alarm 2301049 LA18210-7
No other appropriate choice 2301051 LA18209-9
Overdose/poisoning/ingestion 2301053 LA17140-7
Pandemic/epidemic/outbreak 2301055 LA17141-5
Pregnancy/childbirth/miscarriage 2301057 LA17142-3
Psychiatric problem/abnormal behavior/suicide attempt 2301059 LA17143-1
Sick person 2301061 LA17144-9
Stab/gunshot wound/penetrating trauma 2301063 LA17145-6
Standby 2301065 LA17150-6
Stroke/CVA 2301067 LA9553-4
Traffic/transportation incident 2301069 LA17146-4
Transfer/interfacility/palliative Care 2301071 LA17147-2
Traumatic injury 2301073 LA9555-9
Well person check 2301075 LA18211-5
Unconscious/fainting/near-fainting 2301077 LA17148-0
Unknown problem person down 2301079 LA17149-8
Drowning/diving/SCUBA accident 2301081 LA17130-8
Air Medical Transport 2301083 LA23800-8
Altered mental status 2301085 LA17392-4
Emergency response (intercept) 2301087 LA18716-3
Nausea 2301089 LA15098-9
Vomiting 2301091 LA15099-7
Non-acute/routine 4219011 LA32920-3
Dead with resuscitation efforts (black) 4219009 LA32921-1

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Reclamación principal por envío:Tipo:Punto temporal:^ Paciente:Nominal:Reported.dispatch
it-IT Italian (Italy) Disturbo principale per il dispatch:Osservazione:Pt:^Paziente:Nom:Dichiarato.dispatch
Synonyms: Disturbo primario Disturbo primario per il dispatch Lamenta National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 调度时的主诉:发现:时间点:^患者:名义型:报告法.调度
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 报告法.派遣;报告法.分派 控诉;申诉;指控;不平;牢骚;委屈;意见;怨言;病痛;主诉 时刻;随机;随意;瞬间 派遣时的主诉;调度时所依据的主诉

67661-9 EMS disposition Narrative NEMSIS

Term Description

Information related to transportation, destination
Source: Regenstrief LOINC

Fully-Specified Name

Component
EMS disposition
Property
-
Time
Pt
System
^Patient
Scale
Nar
Method
NEMSIS

Additional Names

Short Name
EMS disposition NEMSIS

Basic Attributes

Class
PANEL.NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50
Panel Type
Panel

Survey Question

Source
EDisposition

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Disposición EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT Italian (Italy) Servizi Medici di Emergenza, disposizione:-:Pt:^Paziente:Nar:NEMSIS
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN Chinese (China) 急救医疗服务处置:-:时间点:^患者:叙述型:NEMSIS
Synonyms: EMS 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 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.NEMSIS;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）.NEMSIS;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;NEMSIS 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 处理;安排;布置 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 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）处置;急救医疗服务 处理;急救医疗服务 安排 急诊医疗服务 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 紧救医疗服务 组 组合 组合医嘱 组合类 组套

67547-0 The number of patients transported by this EMS crew and unit.

Term Description

The number of patients transported by an EMS crew and unit.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Patients transported in EMS unit
Property
Num
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Patients transported EMS unit

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.64
Change Reason
Removed Method of NEMSIS since this is a general concept that can be used for various EMS protocols and is not specific to NEMSIS.

Survey Question

Text
The number of patients transported by this EMS crew and unit.
Source
EDisposition.11

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Pacientes transportados en unidad de EMS:Num:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Pazienti trasportati all'unità dei Servizi Medici di Emergenza:Num:Pt:^Paziente:Qn:
Synonyms: National EMS Information System data - dati del Si Numero (conta) paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Пациенты транспортированы в СМП машину:Кол:ТчкВрм:^Пациент:Колич:
Synonyms: Количественный Количество Точка во времени;Момент
zh-CN Chinese (China) 急救医疗服务单元所运送的患者:数量(计数):时间点:^患者:定量型:
Synonyms: EMS EMS 单元所运送的患者;急救医疗服务小组所运送的患者;急救医疗服务单元所运输的患者;急救医疗服务单元已运输（已运送）的患者 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 个数;数量;数量或计数（非负整数）;计数 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS） 急诊医疗服务 时刻;随机;随意;瞬间 紧救医疗服务

Example Units

Unit Source
{#} Example UCUM Units

67548-8 Incident - patient disposition

Fully-Specified Name

Component
Incident - patient disposition
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Incident - patient disposition

Basic Attributes

Class
TRAUMA
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.72
Change Reason
Removed Method of "NEMSIS" since this concept is not specific to NEMSIS and can be used for various EMS protocols or other use-cases. Added LL1798-9 and Answer List Type of NORMATIVE within the context of the NEMSIS panel. Added LL5055-0 as an Example answer list for this concept. LL5055-0 includes NEMSIS concepts as well as allowed results based on the German Interdisciplinary Association of Intensive Care and Emergency Care Medicine.

Normative Answer List LL1798-9

Answer Code Score Answer ID
Assist, agency 4212001 LA18212-3
Assist, public 4212003 LA18213-1
Assist, unit 4212005 LA18214-9
Canceled (prior to arrival at scene) 4212007 LA17155-5
Canceled on scene (no patient contact) 4212009 LA18215-6
Canceled on scene (no patient found) 4212011 LA17156-3
Patient Dead at Scene-No Resuscitation Attempted (With Transport) 4212013 LA24388-3
Patient Dead at Scene-No Resuscitation Attempted (Without Transport) 4212015 LA24389-1
Patient Dead at Scene-Resuscitation Attempted (With Transport) 4212017 LA24390-9
Patient Dead at Scene-Resuscitation Attempted (Without Transport) 4212019 LA24391-7
Patient evaluated, no treatment/transport required 4212021 LA17159-7
Patient refused evaluation/care (with transport) 4212023 LA17160-5
Patient refused evaluation/care (without transport) 4212025 LA18216-4
Patient treated, released (AMA) 4212027 LA17161-3
Patient treated, released (per protocol) 4212029 LA18080-4
Patient treated, transferred care to another EMS professional 4212031 LA17162-1
Patient treated, transported by EMS 4212029 LA17154-8
Patient treated, transported by law enforcement 4212035 LA17163-9
Patient treated, transported by private vehicle 4212037 LA17164-7
Standby-no services or support provided 4212039 LA17165-4
Standby-public safety, fire, or EMS operational support provided 4212041 LA17166-2
Transport Non-Patient, Organs, etc. 4212043 LA17167-0

Member of these Panels

LOINC Long Common Name
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Incidente - disposición del paciente:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Incidente - disposizione del paziente:Tipo:Pt:^Paziente:Nom:
Synonyms: paziente Punto nel tempo (episodio) Trauma
ru-RU Russian (Russian Federation) Инцидент - пациента эвакуация:Тип:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 意外事件 - 患者处置:类型:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 创伤（外伤、损伤）;外伤;损伤 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 型 处理;安排;布置 意外事件（事件、事故、突发事件、偶发事件） - 患者（病人、病患、病号）处置;事件 - 患者处置;事故 - 患者处置;突发事件 - 患者处置;偶发事件 - 患者处置;意外事件 - 病人处置 时刻;随机;随意;瞬间

67550-4 Indication whether the transport was emergent or non-emergent.

Fully-Specified Name

Component
Transport mode from scene
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Transport mode from scene NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Indication whether the transport was emergent or non-emergent.
Source
EDisposition.17

Normative Answer List LL1800-3

Answer Code Score Answer ID
Emergent (immediate response) 2223001; 4217001 LA17177-9
Emergent downgraded to non-emergent 2223003; 4217003 LA17178-7
Non-emergent upgraded to emergent 2223007; 4217007 LA17179-5
Non-emergent 2223005; 4217005 LA17180-3

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Modo de transporte desde la escena:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Modo di trasporto dalla scena:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: Modalità di trasporto National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 从现场的运输方式:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 从（自、来自）现场的运输（输送、运送）方式（模式） 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 时刻;随机;随意;瞬间 运输（输送、运送）方式（模式）

77153-5 EMS Transport mode descriptors NEMSIS

Term Description

The documentation of transport mode techniques, such as use of lights and sirens, for this EMS response.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Transport mode descriptors
Property
Type
Time
Pt
System
EMS transport
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
EMS Transport mode descriptors NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.52
Order vs. Observation
Observation

Normative Answer List LL3321-8

Answer Code Score Answer ID
Intersection Navigation-Against Normal Light Patterns 4218001 LA22798-5
Intersection Navigation-With Automated Light Changing Technology 4218003 LA22799-3
Intersection Navigation-With Normal Light Patterns 4218005 LA22800-9
Speed-Enhanced per Local Policy 4218007 LA22801-7
Speed-Normal Traffic 4218009 LA22802-5
Lights and Sirens 4218011 LA22803-3
Lights and No Sirens 4218013 LA22804-1
No Lights or Sirens 4218015 LA22805-8
Initial No Lights or Sirens, Upgraded to Lights and Sirens 4218017 LA22806-6
Initial Lights and Sirens, Downgraded to No Lights or Sirens 4218019 LA22807-4
Scheduled 2224007 LA22866-0
Unscheduled 2224013 LA22869-4

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Descriptores de modo de transporte:Tipo:Punto temporal:Transporte EMS:Nominal:NEMSIS
it-IT Italian (Italy) Trasporto, descrittori modo:Tipo:Pt:Servizi Medici di Emergenza, traporto:Nom:NEMSIS
Synonyms: Descrittori modalità di trasporto Modalità di trasporto National EMS Information System data - dati del Si Punto nel tempo (episodio)
zh-CN Chinese (China) 运输方式描述符:类型:时间点:急救医疗服务运输:名义型:NEMSIS
Synonyms: EMS 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 型 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）运输（转送、转运、运送） 急诊医疗服务 时刻;随机;随意;瞬间 紧救医疗服务 运输（转送、运送）方式（模式、状况）描述符（叙词、描述词、解说符） 运输（输送、运送）方式（模式）

67549-6 The method of transport by EMS

Fully-Specified Name

Component
Transport method
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Transport method NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The method of transport by EMS
Source
EDisposition.16

Normative Answer List LL1799-7

Answer Code Score Answer ID
Ground-ambulance 4216005 LA17168-8
Air medical-fixed wing 4216001 LA17169-6
Air medical-rotor craft 4216003 LA17170-4
Ground-ATV or rescue vehicle 4216007 LA17171-2
Ground-bariatric 4216009 LA17172-0
Ground-mass casualty bus/vehicle 4216013 LA17173-8
Ground-other not listed 4216011 LA17175-3
Water-boat 4216017 LA17176-1
Ground-wheelchair van 4216015 LA17174-6

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Método de transporte:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Trasporto, metodo:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 运输方法:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 方;法;办法;方式 时刻;随机;随意;瞬间 运输（运输、输送）方法

67550-4 Indication whether the transport was emergent or non-emergent.

Fully-Specified Name

Component
Transport mode from scene
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Transport mode from scene NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Indication whether the transport was emergent or non-emergent.
Source
EDisposition.17

Normative Answer List LL1800-3

Answer Code Score Answer ID
Emergent (immediate response) 2223001; 4217001 LA17177-9
Emergent downgraded to non-emergent 2223003; 4217003 LA17178-7
Non-emergent upgraded to emergent 2223007; 4217007 LA17179-5
Non-emergent 2223005; 4217005 LA17180-3

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Modo de transporte desde la escena:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Modo di trasporto dalla scena:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: Modalità di trasporto National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 从现场的运输方式:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 从（自、来自）现场的运输（输送、运送）方式（模式） 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 时刻;随机;随意;瞬间 运输（输送、运送）方式（模式）

77153-5 EMS Transport mode descriptors NEMSIS

Term Description

The documentation of transport mode techniques, such as use of lights and sirens, for this EMS response.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Transport mode descriptors
Property
Type
Time
Pt
System
EMS transport
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
EMS Transport mode descriptors NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.52
Order vs. Observation
Observation

Normative Answer List LL3321-8

Answer Code Score Answer ID
Intersection Navigation-Against Normal Light Patterns 4218001 LA22798-5
Intersection Navigation-With Automated Light Changing Technology 4218003 LA22799-3
Intersection Navigation-With Normal Light Patterns 4218005 LA22800-9
Speed-Enhanced per Local Policy 4218007 LA22801-7
Speed-Normal Traffic 4218009 LA22802-5
Lights and Sirens 4218011 LA22803-3
Lights and No Sirens 4218013 LA22804-1
No Lights or Sirens 4218015 LA22805-8
Initial No Lights or Sirens, Upgraded to Lights and Sirens 4218017 LA22806-6
Initial Lights and Sirens, Downgraded to No Lights or Sirens 4218019 LA22807-4
Scheduled 2224007 LA22866-0
Unscheduled 2224013 LA22869-4

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Descriptores de modo de transporte:Tipo:Punto temporal:Transporte EMS:Nominal:NEMSIS
it-IT Italian (Italy) Trasporto, descrittori modo:Tipo:Pt:Servizi Medici di Emergenza, traporto:Nom:NEMSIS
Synonyms: Descrittori modalità di trasporto Modalità di trasporto National EMS Information System data - dati del Si Punto nel tempo (episodio)
zh-CN Chinese (China) 运输方式描述符:类型:时间点:急救医疗服务运输:名义型:NEMSIS
Synonyms: EMS 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 型 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）运输（转送、转运、运送） 急诊医疗服务 时刻;随机;随意;瞬间 紧救医疗服务 运输（转送、运送）方式（模式、状况）描述符（叙词、描述词、解说符） 运输（输送、运送）方式（模式）

67800-3 EMS injury incident description Narrative NEMSIS

Term Description

Appropriate ICD-10 External Cause Code (Minimal Values Provided as an Example), Pedestrian injured in transport accident (ICD-10: V01-V09), Pedal cyclist injured in transport accident (ICD-10: V10-V19), Motorcycle rider injured in transport accident (ICD-10: V20-V29), Occupant of three-wheeled motor vehicle injured in transport accident (ICD-10: V30-V39), Car occupant injured in transport accident (ICD-10: V40-V49), Occupant of pick-up truck or van injured in transport accident (ICD-10: V50-V59), Occupant of heavy transport vehicle injured in transport accident (ICD-10: V60-V69), Bus occupant injured in transport accident (ICD-10: V70-V79), Other land transport accidents (ICD-10: V80-V89), Water transport accidents (ICD-10: V90-V94), Air and space transport accidents (ICD-10: V95-V97), Other and unspecified transport accidents (ICD-10: V98-V99), Falls (ICD-10: W00-W19), Exposure to inanimate mechanical forces (ICD-10: W20-W49), Exposure to animate mechanical forces (ICD-10: W50-W64), Accidental drowning and submersion (ICD-10: W65-W74), Other accidental threats to breathing (ICD-10: W75-W84), Exposure to electric current, radiation and extreme ambient air temperature and pressure (ICD-10: W85-W99), Exposure to smoke, fire and flames (ICD_10: X00-X09), Contact with heat and hot substances (ICD-10: X10-X19), Contact with venomous animals and plants (ICD-10: X20-X29), Exposure to forces of nature (ICD-10: X30-X39), Accidental poisoning by and exposure to noxious substances (ICD-10: X40-X49), Overexertion, travel and privation (ICD-10: X50-X57), Accidental exposure to other and unspecified factors (ICD-10: X58-X59), Intentional self-harm (ICD-10: X60-X84), Assault (ICD-10: X85-Y09), Event of undetermined intent (ICD-10: Y10-Y34), Legal intervention and operations of war (ICD-10: Y35-Y36), Complications of medical and surgical care (ICD-10:Y40-Y84), Sequelae of external causes of morbidity and mortality (ICD-10: Y85-Y89)
Source: Regenstrief LOINC

Fully-Specified Name

Component
EMS injury incident description
Property
-
Time
Pt
System
^Patient
Scale
Nar
Method
NEMSIS

Additional Names

Short Name
EMS injury incident description NEMSIS

Basic Attributes

Class
PANEL.NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50
Panel Type
Panel

Survey Question

Source
EInjury

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Descripción del incidente de lesión de EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT Italian (Italy) Servizi Medici di Emergenza, descrizione lesioni incidente:-:Pt:^Paziente:Nar:NEMSIS
Synonyms: Descrizione incidente lesivo National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN Chinese (China) 急救医疗服务损伤事故描述:-:时间点:^患者:叙述型:NEMSIS
Synonyms: EMS 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 伤害事件描述;受伤事件描述;损伤意外事件描述;损伤偶然事件描述;损伤事故描述;损伤事件说明 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.NEMSIS;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）.NEMSIS;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;NEMSIS 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 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 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）损伤事故描述;急救医疗服务 受伤事故描述;急救医疗服务 工伤事故描述;急救医疗服务 损伤事故说明 急诊医疗服务 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 紧救医疗服务 组 组合 组合医嘱 组合类 组套

67494-5 General mechanism of the forces which caused the injury

Fully-Specified Name

Component
General mechanism of the forces which caused the injury
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Mechanism of injury

Basic Attributes

Class
TRAUMA
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.63
Change Reason
Removed method of NEMSIS since this concept is not specific to NEMSIS and updated the answer list to represent an example set. For a given assessment or dataset, such as NEMSIS, the specific answer list and binding type (e.g. normative) is represented within the instance of each panel.

Normative Answer List LL1974-6

Answer Code Score Answer ID
Blunt 2902001 LA17335-3
Burn 2902003 LA7318-4
Other 2902005 LA46-8
Penetrating 2902007 LA17336-1

Member of these Panels

LOINC Long Common Name
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Mecanismo general de las fuerzas que causaron la lesión.:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Meccanismo generale delle forze che hanno causato il danno:Osservazione:Pt:^Paziente:Nom:
Synonyms: Osservazione paziente Punto nel tempo (episodio) Trauma
ru-RU Russian (Russian Federation) Главный механизм сил, причинивших повреждение:Находка:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 造成该损伤的那些力量的一般机制:发现:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 创伤（外伤、损伤）;外伤;损伤 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 时刻;随机;随意;瞬间 造成该损伤的那些力量的总体机制;造成该损伤的那些力量的大体机制;引起该伤害的那些力量的一般机制

67495-2 CDC field triage criteria NEMSIS

Term Description

Physiologic and Anatomic Field Trauma Triage Criteria (steps 1 and 2) as defined by the Centers for Disease Control.
Source: Regenstrief LOINC

Fully-Specified Name

Component
CDC field triage criteria
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
CDC field triage criteria NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.72

Normative Answer List LL1821-9

Answer Code Score Answer ID
Glasgow Coma Score ≤ 13 2903007 LA23844-6
Respiratory rate < 10 or >29 or (<20 in infant < one year) 2903017 LA17338-7
Systolic blood pressure less than 90 2903019 LA17339-5
Amputation proximal to wrist and ankle 2903001 LA17340-3
Crushed, degloved, or mangled extremity 2903003 LA17341-1
Flail chest 2903005 LA17342-9
Open or depressed skull fracture 2903009 LA17343-7
Paralysis 2903011 LA17344-5
Pelvic fracture(s) 2903013 LA17345-2
Penetrating injury to head, neck, torso, and extremities proximal to elbow and knee 2903015 LA17346-0
Two or more proximal long-bone fractures 2903021 LA17347-8

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Criterios de clasificación de campo de los CDC:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) CDC field triage criteri:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) CDC 现场分诊准则:发现:时间点:^患者:名义型:NEMSIS
Synonyms: CDC （疾病预防控制中心、疾控中心;美国国家疾病预防控制中心、美国疾病预防控制中心、美国 CDC、美国疾控中心）现场（就地）分诊（伤病员鉴别分类、治疗类选法、治疗类选、类选、分选、伤检、检伤、检伤分类、分类、分类后送、分伤）准则（标准、尺度、条件、规准、原则、判断标准、判断准则、评判标准、评判准则）;CDC 现场伤病员鉴别分类标准 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 时刻;随机;随意;瞬间

67496-0 Other injury risk factors NEMSIS

Term Description

Mechanism and Special Considerations Field Trauma Triage Criteria (steps 3 and 4) as defined by the Centers for Disease Control.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Other injury risk factors
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Other inj risk factors NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.72

Normative Answer List LL1822-7

Answer Code Score Answer ID
Auto v. pedestrian/bicyclist thrown, run over, or > 20 MPH impact 2904001 LA17360-1
Fall adults: > 20 ft. (one story is equal to 10 ft.) 2904003 LA17348-6
Fall children: > 10 ft. or 2-3 times the height of the child 2904005 LA17349-4
Crash death in same passenger compartment 2904007 LA17352-8
Crash ejection (partial or complete) from vehicle 2904009 LA17353-6
Crash intrusion: > 12 in. occupant site; > 18 in. any site 2904011 LA17357-7
Crash vehicle telemetry data (AACN) consistent with high risk of injury 2904013 LA18124-0
Motorcycle crash > 20 mph 2904015 LA17350-2
SBP < 110 for age > 65 2904017 LA24412-1
Anticoagulants and Bleeding Disorders 2904019 LA24407-1
Pregnancy > 20 weeks 2904021 LA24411-3
EMS Provider Judgment 2904023 LA24410-5
Burn, without other trauma 2904025 LA24409-7
Burn, with trauma mechanism 2904027 LA24408-9

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Otros factores de riesgo de lesiones:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Altri fattori di rischio infortuni:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 其他的损伤危险因素:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 其他的 其他的损伤（伤害、损害、受伤）危险因素 其它 其它的 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 别的 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 危险因子;风险因素 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 另外的 损伤（伤害、受伤）风险（危险性、风险性、危险） 时刻;随机;随意;瞬间

67497-8 The primary area or location of impact on the vehicle

Term Description

Defined by MMUCC V25 data element coded as 1 through 12 associated with an Oclock. E.g. 12 = frontal, 3= passenger side, 6=rear, 9= driver side
Source: Regenstrief LOINC

Fully-Specified Name

Component
Location of impact on the vehicle
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Impact on vehicle NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The primary area or location of impact on the vehicle
Source
EInjury.05

Normative Answer List LL1913-4

Answer Code Score Answer ID
1 LA6112-2
2 or more LA6113-0
3 LA6114-8
4 LA6115-5
5 LA10137-0
6 LA10138-8
7 LA10139-6
8 LA10140-4
9 LA10141-2
10 LA13942-0
11 LA14557-5
12 LA14558-3

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Ubicación del impacto en el vehículo.:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Posizione dell'impatto sul veicolo:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 对车辆影响的位置:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 地点;场所;部位;定位;地方 对车辆影响的部位;对机动车辆作用的位置 时刻;随机;随意;瞬间

67498-6 The seat row location of the patient in vehicle at the time of the crash

Fully-Specified Name

Component
Location of patient in vehicle
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Loc pt in vehicle NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The seat row location of the patient in vehicle at the time of the crash
Source
EInjury.06

Normative Answer List LL1823-5

Answer Code Score Answer ID
Front seat-left side (or motorcycle driver) 2906001 LA17361-9
Front seat-middle 2906003 LA17363-5
Front seat-right side 2906005 LA17362-7
Second seat-left side (or motorcycle passenger) 2906013 LA17364-3
Second seat-middle 2906015 LA17365-0
Second seat-right side 2906017 LA17366-8
Third row-left side (or motorcycle passenger) 2906021 LA17367-6
Third row-middle 2906023 LA17369-2
Third row-right side 2906025 LA17368-4
Sleeper section of cab (truck) 2906019 LA17370-0
Passenger in other enclosed passenger or cargo area (non-trailing unit such as a bus, etc.) 2906007 LA17371-8
Passenger in unenclosed passenger or cargo area (non-trailing unit such as a pickup, etc.) 2906009 LA17372-6
Trailing unit 2906027 LA17373-4
Riding on vehicle exterior (non-trailing unit) 2906011 LA17374-2
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) 2906029 LA4489-6

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Ubicación del paciente en el vehículo:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Posizione del paziente nel veicolo:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 患者在车辆内的位置:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 地点;场所;部位;定位;地方 患者在机动车辆内的位置;病人在车辆内的位置;车辆内患者的位置 时刻;随机;随意;瞬间

67499-4 Safety equipment in use by the patient at the time of the injury - MMUCC P7 data element

Fully-Specified Name

Component
Safety equipment
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Safety equipment NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Safety equipment in use by the patient at the time of the injury - MMUCC P7 data element
Source
EInjury.07

Example Answer List LL1824-3

Answer Code Score Answer ID
Child booster seat 2907001 LA17375-9
Eye protection 2907003 LA9391-9
Helmet worn 2907005 LA17376-7
Infant car seat forward facing 2907007 LA17377-5
Infant car seat rear facing 2907009 LA17378-3
Shoulder and lap belt used 2907027 LA17379-1
Lap belt only used 2907029 LA17380-9
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) 2907015 LA137-2
Personal floatation device 2907019 LA17381-7
Protective clothing 2907021 LA9392-7
Protective non-clothing gear 2907023 LA17382-5
Shoulder belt only used 2907031 LA24961-7
Unable to determine 2907033 LA11137-9

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set
87825-6 National Trauma Data Standard - version 2018 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Equipo de seguridad:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Dispostivi di sicurezza:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 安全装备:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 安全设备;安全器具;保护装置;安全用品 时刻;随机;随意;瞬间

67500-9 Indication of Airbag deployment during the motor vehicle crash

Term Description

MMUCC P8 data element used but Other added to include newer airbag devices.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Airbag deployment
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Airbag deployment NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Indication of Airbag deployment during the motor vehicle crash
Source
EInjury.08

Normative Answer List LL1825-0

Answer Code Score Answer ID
Airbag deployed front 2908001 LA17384-1
Airbag deployed side 2908003 LA17385-8
Airbag deployed other (knee, airbelt, etc.) 2908005 LA17386-6
No airbag deployed 2908007 LA17387-4
No airbag present 2908009 LA17388-2

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Despliegue de airbag:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Attivazione degli airbag:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 气囊布置:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 时刻;随机;随意;瞬间 气囊使用;气囊布置情况

67501-7 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.

Term Description

Measured from the lowest point of the patient to the position of the patient at the end of the fall
Source: Regenstrief LOINC

Fully-Specified Name

Component
Height of fall
Property
Len
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Height of fall

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.64
Change Reason
Removed Method of NEMSIS since this is a general concept that can be used for various EMS protocols and is not specific to NEMSIS.

Survey Question

Text
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.
Source
EInjury.09

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Altura de caída:Len:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Altezza, caduta:Len:Pt:^Paziente:Qn:
Synonyms: Altezza della caduta Lunghezza National EMS Information System data - dati del Si paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Высота падения:Дл:ТчкВрм:^Пациент:Колич:
Synonyms: Длина Количественный Точка во времени;Момент
zh-CN Chinese (China) 跌倒高度:长度:时间点:^患者:定量型:
Synonyms: 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 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 跌倒（摔倒、摔跤、跌跤、跌落、坠落、突然倒下、倒下、栽倒）高度 身高;身长;身体高度 长;长短

Example Units

Unit Source
[ft_us] Example UCUM Units

67849-0 EMS medications administered Narrative NEMSIS

Fully-Specified Name

Component
EMS medications administered
Property
-
Time
Pt
System
^Patient
Scale
Nar
Method
NEMSIS

Additional Names

Short Name
EMS meds administered NEMSIS

Basic Attributes

Class
PANEL.NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50
Panel Type
Panel

Survey Question

Source
EMedications Gvn

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Medicamentos EMS administrados:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT Italian (Italy) Servizi Medici di Emergenza, farmaci somministrati:-:Pt:^Paziente:Nar:NEMSIS
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN Chinese (China) 急救医疗服务已施用的药物:-:时间点:^患者:叙述型:NEMSIS
Synonyms: EMS 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 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.NEMSIS;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）.NEMSIS;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;NEMSIS 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 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 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）已施用的药物;急救医疗服务 已施用的治疗药物;急救医疗服务 已给予的治疗用药;急救医疗服务 已给予的用药;急救医疗服务 已施用药物;急救医疗服务 已用药物 急诊医疗服务 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 紧救医疗服务 组 组合 组合医嘱 组合类 组套 药物类;处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物

67540-5 The patients response to the medication.

Fully-Specified Name

Component
Response to medication
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Response to med NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The patients response to the medication.
Source
EMedications.07

Normative Answer List LL1826-8

Answer Code Score Answer ID
Improved 9916001 LA65-8
Unchanged 9916003 LA17181-1
Worse 9916005 LA11011-6

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Respuesta a la medicación:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Risposta ai farmaci:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 对药物的反应:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物 时刻;随机;随意;瞬间

67541-3 Any complication (abnormal effect on the patient) associated with the administration of the medication to the patient by EMS

Fully-Specified Name

Component
Medication complication
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Med complication NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Any complication (abnormal effect on the patient) associated with the administration of the medication to the patient by EMS
Source
EMedications.08

Normative Answer List LL1827-6

Answer Code Score Answer ID
Altered mental status 3708001 LA17392-4
Apnea Copyright http://snomed.info/sct ID:1023001 Apnea (finding) 3708003 LA17393-2
Bleeding 3708005 LA7418-2
Bradycardia Copyright http://snomed.info/sct ID:48867003 Bradycardia (finding) 3708007 LA17394-0
Bradypnea 3708009 LA18266-9
Diarrhea Copyright http://snomed.info/sct ID:62315008 Diarrhea (finding) 3708011 LA15424-7
Extravasation 3708013 LA7434-9
Hypertension 3708015 LA7444-8
Hyperthermia 3708017 LA9540-1
Hypotension 3708019 LA7443-0
Hypothermia 3708021 LA9541-9
Hypoxia 3708023 LA17396-5
Injury 3708025 LA17713-1
Itching Copyright http://snomed.info/sct ID:418290006 Itching (finding) 3708043 LA20641-9
Nausea 3708029 LA15098-9
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) 3708031 LA137-2
Other (not listed) 3708033 LA17059-9
Respiratory distress 3708035 LA9548-4
Tachycardia 3708037 LA17714-9
Tachypnea 3708039 LA18267-7
Urticaria 3708045 LA20642-7
Vomiting 3708041 LA15099-7

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Complicación de la medicación:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Farmaco, complicazione:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 药物治疗并发症:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物 时刻;随机;随意;瞬间 药物处理合并症;用药并发症;药物并发症

67539-7 Medication administered prior to this unit's EMS care

Term Description

Indicates that the medication was administered prior to care provided by the EMS unit.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Medication administered prior to this unit's EMS care
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Med administered prior to EMS care

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.64
Change Reason
Removed Method of "NEMSIS" since this is a general concept and can be applied across EMS information systems. Corrected Scale from "Nom" to "Ord" since the result is ordinal.

Example Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Medicamentos administrados antes de la atención de EMS de esta unidad:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT Italian (Italy) Farmaco somministrato prima della cura di questa unità di cura dei Servizi Medici di Emergenza:Osservazione:Pt:^Paziente:Ord:
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Лекарственный препарат, введённый до этой бригады СМП действий:Находка:ТчкВрм:^Пациент:Пор:
Synonyms: Лекарство введено Порядковый Точка во времени;Момент
zh-CN Chinese (China) 此次急救医疗服务单元医疗护理服务之前所施用的药物:发现:时间点:^患者:序数型:
Synonyms: EMS 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 S 型 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 处理用药.已施用的;处理用药.已服用的;处理用药.已给予的;处理用药物.已施用的;处理用药物.已服用的;处理用药物.已给予的;处理药物.已施用的;处理药物.已服用的;处理药物.已给予的;已施用的处理药物;已施用的治疗药物;已服用的处理药物;已服用的治疗药物;已给予的处理药物;已给予的治疗药物;治疗用药.已施用的;治疗用药.已服用的;治疗用药.已给予的;治疗用药物.已施用的;治疗用药物.已服用的;治疗用药物.已给予的;治疗药物.已服用的;治疗药物.已给予的;治疗药物.已施用的;治疗药物.已服用的;治疗药物. 处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物 急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS） 急诊医疗服务 所施用的药物;已使用的药物;已使用的处理用药;已使用的处理用药物;已使用的处理药物;已使用的治疗用药;已使用的治疗用药物;已使用的用药;已使用的药物处理;已使用的药物治疗;已使用的治疗药物 时刻;随机;随意;瞬间 此次急救医疗服务小组医疗护理服务之前所施用的药物;此次急救医疗服务单元护理服务之前所施用的药物;此次急救医疗服务单元照护服务之前所施用的药物 紧救医疗服务

67842-5 EMS past medical history Narrative NEMSIS

Fully-Specified Name

Component
EMS past medical history
Property
-
Time
Pt
System
^Patient
Scale
Nar
Method
NEMSIS

Additional Names

Short Name
EMS past medical hx NEMSIS

Basic Attributes

Class
PANEL.NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50
Panel Type
Panel

Survey Question

Source
EHistory Past Med

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Antecedentes médicos de EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT Italian (Italy) Servizi Medici di Emergenza, storia clinica:-:Pt:^Paziente:Nar:NEMSIS
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d Storia clinica precedente
zh-CN Chinese (China) 急救医疗服务既往病史:-:时间点:^患者:叙述型:NEMSIS
Synonyms: EMS 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 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.NEMSIS;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）.NEMSIS;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;NEMSIS 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医学史;病历资料;病历数据 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 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 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）既往病史;急救医疗服务 既往医学史 急诊医疗服务 既往医学史 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 紧救医疗服务 组 组合 组合医嘱 组合类 组套

67793-0 Has the patient had any significant medical conditions?

Fully-Specified Name

Component
Has the patient had any significant medical conditions
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NEMSIS

Additional Names

Short Name
Patient had medical conditions NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.63
Change Reason
Updated Scale from "Nom" to "Ord" based on answer list.

Survey Question

Text
Has the patient had any significant medical conditions?
Source
EHistory.08

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) ¿Ha tenido el paciente alguna condición médica significativa?:Tipo:Punto temporal:^ Paciente:Ordinal:NEMSIS
it-IT Italian (Italy) Il paziente ha avuto condizioni mediche significative:Osservazione:Pt:^Paziente:Ord:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 该患者是否已经存在任何值得注意的病情:发现:时间点:^患者:序数型:NEMSIS
Synonyms: 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 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 时刻;随机;随意;瞬间 该病人是否已经存在任何重要的或显著的病情（医疗情况、医学状况、健康状况、医学情况）

68487-8 The patient's pre-existing medical and surgery history of the patient based on either ICD-10 Disease or ICD-10 Procedure Codes.

Fully-Specified Name

Component
Medical - surgical history - ICD-9 and 10 codes
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Med - surg hx ICD code

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.40
Last Updated
Version 2.50

Survey Question

Text
The patient's pre-existing medical and surgery history of the patient based on either ICD-10 Disease or ICD-10 Procedure Codes.
Source
EHistory.08

Normative Answer List LL1893-8

Externally Defined
Yes
Code System
Code System OID
1.3.6.1.4.1.12009.10.1.1070
Link to External List
http://www.cdc.gov/nchs/icd.htm

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Historial médico - quirúrgico - códigos ICD-9 y 10:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Storia medica - chirurgica - codici ICD - 9 e 10:Hx:Pt:^Paziente:Nom:
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Storia;Anamnesi
ru-RU Russian (Russian Federation) Медицинская - хирургическая история - МКБ-9 и 10 коды:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Медицинский - хирургический анамнез - коды МКБ-9 и МКБ-10 Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 内科 - 外科手术史 - ICD-9 和 ICD-10 代码:历史记录:时间点:^患者:名义型:
Synonyms: ICD 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 内科 - 外科手术史（内科病史 - 外科手术病史、内科 - 外科病史、内科学 - 外科学病史） - ICD-9 和 ICD-10 代码（编码）;内科与外科病史 - ICD-9 和 ICD-10 代码;内科病史与外科手术史（手术史、外科病史、外科学病史） - ICD-9 和 ICD-10 代码;内科学 - 外科学病史 - ICD-9 和 ICD-10 代码;国际疾病分类;international Classification of diseases;ICD 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 国际疾病分类（International Classification of Diseases，ICD） 国际疾病分类法 国际疾病分类系统 时刻;随机;随意;瞬间

67781-5 The narrative of the patient care report (PCR)

Fully-Specified Name

Component
Summarization of encounter note
Property
Hx
Time
Pt
System
{Setting}
Scale
Nar
Method
{Role}

Additional Names

Short Name
Summ of encounter note

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.40
Last Updated
Version 2.54
Change Reason
Based on Clinical LOINC Committee decision during the September 2014 meeting, {Provider} was changed to {Author Type} to emphasize a greater breadth of potential document authors. At the September 2015 Clinical LOINC Committee meeting, the Committee decided to change {Author Type} to {Role} to align with the 'Role' axis name in the LOINC Document Ontology.

Survey Question

Text
The narrative of the patient care report (PCR)
Source
ENarrative.01

Member of these Panels

LOINC Long Common Name
82315-3 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 sections
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Resumen de la nota del encuentro:Hx:Punto temporal:{Configuración}:Narrativo:{Role}
it-IT Italian (Italy) Riepilogo dell'incontro, note:Hx:Pt:{Setting}:Nar:{Role}
Synonyms: National EMS Information System data - dati del Si Punto nel tempo (episodio) Ruolo non specificato Storia;Anamnesi
nl-NL Dutch (Netherlands) samenvatting van contact:voorgeschiedenis:moment:{instelling}:tekstueel:{rol}
Synonyms: anamnese
zh-CN Chinese (China) 就医记录摘要:历史记录:时间点:{环境}:叙述型:{角色}
Synonyms: 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 事件发生的地方;场景;环境;背景 历史;史;病史 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 就医（就医过程、就诊、邂逅、就诊过程、接触过程、接触、遭遇、遭遇过程、医患交互、医患互动、医患相互作用、医患接触过程）记录摘要;就医过程记录摘要;就医记录概要;就医记录概括;就医记录总汇;就医记录小结;就医记录总结 时刻;随机;随意;瞬间 未加明确说明的角色 笔记;按语;注释;说明;票据;单据;证明书

67658-5 EMS exposures or injuries of EMS personnel Provider Narrative NEMSIS

Term Description

e.g. EMT exposure, needle stick, etc
Source: Regenstrief LOINC

Fully-Specified Name

Component
EMS exposures or injuries of EMS personnel
Property
-
Time
Pt
System
Provider
Scale
Nar
Method
NEMSIS

Additional Names

Short Name
Expos inj EMS person Provider NEMSIS

Basic Attributes

Class
PANEL.NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50
Panel Type
Panel

Survey Question

Source
EExposure-Injuries

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Exposiciones de EMS o lesiones del personal de EMS:-:Punto temporal:Proveedor:Narrativo:NEMSIS
it-IT Italian (Italy) Servizi Medici di Emergenza, esposizioni o lesioni del personale pronto intervento sanitario:-:Pt:Provider:Nar:NEMSIS
Synonyms: National EMS Information System data - dati del Si Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN Chinese (China) 急救医疗服务人员的急救医疗服务暴露或损伤:-:时间点:服务提供者:叙述型:NEMSIS
Synonyms: EMS 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 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.NEMSIS;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）.NEMSIS;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;NEMSIS 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 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 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）人员的急救医疗服务（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）暴露或损伤（受伤） 急诊医疗服务 提供方;提供者;服务人员;服务提供方;服务方;服务机构;服务者 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 紧救医疗服务 组 组合 组合医嘱 组合类 组套

67554-6 Work related exposure, injury, or death?

Term Description

Indication of an EMS work related exposure, injury, or death associated with this EMS event.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Work related exposure, injury, or death
Property
Find
Time
Pt
System
Provider
Scale
Ord
Method
NEMSIS

Additional Names

Short Name
Work expos/inj/death Provider NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Work related exposure, injury, or death?
Source
EOther.05

Normative Answer List LL251-0

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 0 LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Exposición, lesión o muerte relacionada con el trabajo:Tipo:Punto temporal:Proveedor:Ordinal:NEMSIS
it-IT Italian (Italy) Esposizione, lesione o morte correlata al lavoro:Osservazione:Pt:Provider:Ord:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 工作相关的暴露、损伤或死亡:发现:时间点:服务提供者:序数型:NEMSIS
Synonyms: 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 从业;就职;职业;劳动;干活儿;活儿;用功;做功;上班 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 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 工作（从业、就职、职业、劳动）相关的暴露（接触）、损伤（伤害、损害、受伤）或死亡 提供方;提供者;服务人员;服务提供方;服务方;服务机构;服务者 时刻;随机;随意;瞬间 曝光 辐照

29545-1 Physical findings Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.03
Last Updated
Version 2.63

Member of these Panels

LOINC Long Common Name
72231-4 Consultation note - recommended C-CDA R1.1 sections
81222-2 Consultation note - recommended C-CDA R2.0 and R2.1 sections
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
81242-0 Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7 Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8 Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
81244-6 Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0 History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
81245-3 Interval document - recommended CDP Set 1 R1.0 and R1.1 sections
92575-0 Labor and delivery admission history and physical - recommended IHE set
57083-8 Labor and Delivery record panel
92574-3 Labor and delivery summary - recommended IHE set
82315-3 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 sections
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
74449-0 Patient plan of care - recommended IHE set
59843-3 Procedure note - recommended C-CDA R1.1 sections
81217-2 Procedure note - recommended C-CDA R2.0 and R2.1 sections
72225-6 Progress note - recommended C-CDA R1.1 sections
81216-4 Progress note - recommended C-CDA R2.0 and R2.1 sections
81223-0 Referral note - recommended C-CDA R2.0 and R2.1 sections
81221-4 Transfer summary note - recommended C-CDA R2.0 sections
81614-0 Transfer summary note - recommended C-CDA R2.1 sections

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:^ Paciente:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:^paciente:Narrativo:observado
fr-BE French (Belgium) Examen physique:Observation:Temps ponctuel:^Patient:Narratif:Observé
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:^Paziente:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:^patiënt:tekstueel:observatie
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:^Paciente:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:^Пациент:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:^患者:叙述型:观察法
Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查小节 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 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 时刻;随机;随意;瞬间 病史与体格检查 观测法

67524-9 The assessment of the patient's skin on examination

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Skin
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Phys find Skin NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The assessment of the patient's skin on examination
Source
EExam.04

Normative Answer List LL1804-5

Answer Code Score Answer ID
Clammy 3504001 LA17197-7
Cold 3504003 LA15475-9
Cyanotic 3504005 LA17198-5
Diaphoretic 3504007 LA18217-2
Dry 3504009 LA17199-3
Flushed 3504011 LA17201-7
Hot 3504013 LA17202-5
Jaundiced 3504015 LA17203-3
Lividity 3504017 LA17204-1
Mottled 3504019 LA17205-8
Normal Copyright http://snomed.info/sct ID:17621005 Normal (qualifier value) 3504021 LA6626-1
Pale 3504025 LA17206-6
Poor turgor 3504027 LA18218-0
Red (erythematous) 3504029 LA17200-9
Tenting 3504031 LA18219-8
Warm 3504033 LA17207-4
Capillary Nail Bed Refill less than 2 seconds 3504035 LA23806-5
Capillary Nail Bed Refill 2-4 seconds 3504037 LA23807-3
Capillary Nail Bed Refill more than 4 seconds 3504039 LA23808-1

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Piel:Nominal:NEMSIS
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Pelle:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 体格检查发现:发现:时间点:皮肤:名义型:NEMSIS
Synonyms: 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 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 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 时刻;随机;随意;瞬间 皮;肤;表皮

67525-6 The assessment findings associated with the patients head.

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Head
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Phys find Head NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The assessment findings associated with the patients head.
Source
EExam.05

Normative Answer List LL1805-2

Answer Code Score Answer ID
Abrasion 3505001 LA7410-9
Avulsion 3505003 LA18220-6
Bleeding controlled 3505005 LA17208-2
Bleeding uncontrolled 3505007 LA17209-0
Burn, blistering 3505009 LA18221-4
Burn, charring 3505011 LA18222-2
Burn, redness 3505013 LA18223-0
Burn, white/waxy 3505015 LA18224-8
Decapitation 3505017 LA17210-8
Deformity 3505019 LA18225-5
Drainage 3505021 LA17211-6
Foreign body 3505023 LA18226-3
Laceration 3505029 LA7452-1
Mass/lesion 3505031 LA17213-2
Normal Copyright http://snomed.info/sct ID:17621005 Normal (qualifier value) 3505033 LA6626-1
Pain 3505037 LA7460-4
Puncture/stab wound 3505039 LA17214-0
Gunshot wound 3505045 LA17212-4
Contusion 3505051 LA7423-2
Crush injury 3505047 LA17229-8
Swelling 3505049 LA22440-4
Tenderness 3505053 LA17709-9

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Cabeza:Nominal:NEMSIS
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Testa:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 体格检查发现:发现:时间点:头部:名义型:NEMSIS
Synonyms: 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 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 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 大脑;头;头壳;头的;头盖;头盖的;头盖骨;头部的;头颅;头颅内;头颅内的;头骨;脑;脑壳;脑的;颅;颅侧;颅的;颅骨;颅骨内;颅骨内的 时刻;随机;随意;瞬间

67536-3 The assessment of the patient's neurological status on examination

Fully-Specified Name

Component
Neurological assessment
Property
Find
Time
Pt
System
Neurologic system
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Neuro assessment Neurologic NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The assessment of the patient's neurological status on examination
Source
EExam.20

Normative Answer List LL1816-9

Answer Code Score Answer ID
Aphagia 3520001 LA18261-0
Aphasia 3520003 LA18262-8
Cerebellar function-abnormal 3520005 LA17291-8
Cerebellar function-normal 3520007 LA17292-6
Decerebrate posturing 3520009 LA18263-6
Decorticate posturing 3520011 LA18264-4
Gait-abnormal 3520013 LA17293-4
Gait-normal 3520015 LA17294-2
Hemiplegia-left 3520017 LA17295-9
Hemiplegia-right 3520019 LA17296-7
Normal baseline for patient 3520021 LA17286-8
Status seizure 3520026 LA32958-3
Speech-normal 3520027 LA17297-5
Speech-slurring 3520029 LA17298-3
Strength-asymmetric 3520031 LA18265-1
Strength-normal 3520033 LA17299-1
Strength-symmetric 3520035 LA17300-7
Tremors 3520037 LA17301-5
Weakness-facial droop-left 3520039 LA17302-3
Weakness-facial droop-right 3520041 LA17303-1
Weakness-left sided 3520043 LA17304-9
Weakness-right sided 3520045 LA17305-6
Arm Drift-Left 3520051 LA23822-2
Arm Drift-Right 3520053 LA23823-0
Other seizures 3520055 LA32959-1

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Evaluación neurológica:Tipo:Punto temporal:Sistema neurológico:Nominal:NEMSIS
it-IT Italian (Italy) Valutazione neurologica:Osservazione:Pt:Apparato neurologico:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione Punto nel tempo (episodio) Sistema nervoso
zh-CN Chinese (China) 神经病学评估:发现:时间点:神经系统:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 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 时刻;随机;随意;瞬间 神经学评估（评价、估计、估价、评论、估定、估算）;神经系统评估;神经评估 神经病学的;神经学的;神经学;神经系统的;神经系统;神经的;神经 评价;估计;估价;评论;估定;估算

67526-4 The assessment findings associated with the patients face

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Face
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Phys find Face NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The assessment findings associated with the patients face
Source
EExam.06

Normative Answer List LL1806-0

Answer Code Score Answer ID
Abrasion 3506001 LA7410-9
Asymmetric smile or droop 3506003 LA17216-5
Avulsion 3506005 LA18220-6
Bleeding controlled 3506007 LA17208-2
Bleeding uncontrolled 3506009 LA17209-0
Burn, blistering 3506011 LA18221-4
Burn, charring 3506013 LA18222-2
Burn, redness 3506015 LA18223-0
Burn, white/waxy 3506017 LA18224-8
Deformity 3506021 LA18225-5
Drainage 3506023 LA17211-6
Foreign body 3506025 LA18226-3
Laceration 3506031 LA7452-1
Mass/lesion 3506033 LA17213-2
Normal Copyright http://snomed.info/sct ID:17621005 Normal (qualifier value) 3506035 LA6626-1
Pain 3506039 LA7460-4
Puncture/stab wound 3506041 LA17214-0
Gunshot wound 3506047 LA17212-4
Contusion 3506055 LA7423-2
Crush injury 3506049 LA17229-8
Swelling 3506053 LA22440-4
Tenderness 3506051 LA17709-9

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Cara:Nominal:NEMSIS
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Viso:Nom:NEMSIS
Synonyms: Faccia National EMS Information System data - dati del Si Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 体格检查发现:发现:时间点:面部:名义型:NEMSIS
Synonyms: 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 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 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 时刻;随机;随意;瞬间 面;颜;颜面部;脸部;脸

67527-2 The assessment findings associated with the patients neck.

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Neck
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Phys find Neck NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The assessment findings associated with the patients neck.
Source
EExam.07

Normative Answer List LL1807-8

Answer Code Score Answer ID
Abrasion 3507001 LA7410-9
Avulsion 3507003 LA18220-6
Bleeding controlled 3507005 LA17208-2
Bleeding uncontrolled 3507007 LA17209-0
Burn, blistering 3507009 LA18221-4
Burn, charring 3507011 LA18222-2
Burn, redness 3507013 LA18223-0
Burn, white/waxy 3507015 LA18224-8
Decapitation 3507017 LA17210-8
Foreign body 3507019 LA18226-3
Jugular vein distention - JVD 3507025 LA17217-3
Laceration 3507027 LA7452-1
Normal Copyright http://snomed.info/sct ID:17621005 Normal (qualifier value) 3507029 LA6626-1
Pain 3507033 LA7460-4
Puncture/stab wound 3507035 LA17214-0
Stridor Copyright http://snomed.info/sct ID:70407001 stridor (finding) 3507037 LA17612-5
Subcutaneous air 3507039 LA17219-9
Tracheal deviation-left 3507045 LA18228-9
Tracheal deviation-right 3507047 LA18227-1
Gunshot wound 3507049 LA17212-4
Crush injury 3507051 LA17229-8
Swelling 3507053 LA22440-4
Contusion 3507055 LA7423-2
Deformity 3507057 LA18225-5
Tenderness 3507059 LA17709-9

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Cuello:Nominal:NEMSIS
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Collo:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 体格检查发现:发现:时间点:颈部:名义型:NEMSIS
Synonyms: 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 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 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 时刻;随机;随意;瞬间 颈

67528-0 Physical findings of Chest+Lungs

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Chest+Lungs
Scale
Nom
Method

Additional Names

Short Name
Phys find Chest+Lungs

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.72
Change Reason
Release 2.72: METHOD_TYP: Removed Method since this concept is no longer used by NEMSIS but can be applied for other use-cases.;

Example Answer List LL1808-6

Answer Code Score Answer ID
Abrasion 3508001 LA7410-9
Avulsion 3508003 LA18220-6
Accessory muscles used with breathing 3508005 LA17222-3
Bleeding controlled 3508007 LA17208-2
Bleeding uncontrolled 3508009 LA17209-0
Breath sounds-absent-left 3508011 LA17223-1
Breath sounds-absent-right 3508013 LA17224-9
Breath sounds-decreased-left 3508015 LA17225-6
Breath sounds-decreased-right 3508017 LA17226-4
Breath sounds-equal 3508019 LA18402-0
Breath sounds-normal-left 3508021 LA17227-2
Breath sounds-normal-right 3508023 LA17228-0
Burn, blistering 3508025 LA18221-4
Burn, charring 3508027 LA18222-2
Burn, redness 3508029 LA18223-0
Burn, white/waxy 3508031 LA18224-8
Crush injury 3508033 LA17229-8
Deformity 3508035 LA18225-5
Flail segment-left 3508037 LA17230-6
Flail segment-right 3508039 LA17231-4
Foreign body 3508041 LA18226-3
Increased respiratory effort 3508047 LA17232-2
Implanted device 3508049 LA18236-2
Laceration 3508051 LA7452-1
Normal Copyright http://snomed.info/sct ID:17621005 Normal (qualifier value) 3508053 LA6626-1
Not done 3508055 LA6630-3
Pain 3508057 LA7460-4
Pain with inspiration/expiration-left 3508059 LA17233-0
Pain with inspiration/expiration-right 3508061 LA17234-8
Puncture/stab wound 3508063 LA17214-0
Rales-left 3508065 LA18229-7
Rales-right 3508067 LA18230-5
Retraction 3508069 LA18231-3
Rhonchi-left 3508071 LA18232-1
Rhonchi-right 3508073 LA18233-9
Rhonchi/wheezing 3508075 LA17236-3
Stridor-left 3508077 LA18234-7
Stridor-right 3508079 LA18235-4
Tenderness-left 3508085 LA17237-1
Tenderness-right 3508087 LA17238-9
Wheezing-expiratory-left 3508089 LA18238-8
Wheezing-expiratory-right 3508091 LA18237-0
Wheezing-inspiratory-left 3508093 LA18239-6
Wheezing-inspiratory-right 3508095 LA18240-4
Gunshot wound 3508097 LA17212-4
Swelling 3508099 LA22440-4
Contusion 3508101 LA7423-2
Tenderness-General 3508103 LA23810-7

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Pecho + Pulmones:Nominal:NEMSIS
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Torace+Polmoni:Nom:
Synonyms: Esame obbiettivo Osservazione Petto Punto nel tempo (episodio) Torace e Polmoni
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:thorax + long:nominaal:
Synonyms: borst borst + long
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Грудная клетка+Лёгкие:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:胸部+肺类:名义型:
Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 历史纪录与体格检查 历史纪录与体格检查小节 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 时刻;随机;随意;瞬间 病史与体格检查 胸;胸廓;胸膛 胸部（胸、胸膛、胸腔）+肺部;胸部+两肺;胸部+双肺;胸部+肺

67529-8 The assessment findings associated with the patients heart

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Heart
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Phys find Hrt NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The assessment findings associated with the patients heart
Source
EExam.09

Normative Answer List LL1809-4

Answer Code Score Answer ID
Normal Copyright http://snomed.info/sct ID:17621005 Normal (qualifier value) 3509009 LA6626-1
Heart sounds decreased 3509003 LA17239-7
Murmur-diastolic 3509005 LA17240-5
Murmur-systolic 3509007 LA17241-3
Clicks 3509001 LA18241-2
Rubs 3509013 LA18246-1
S1 3509015 LA18242-0
S2 3509017 LA18243-8
S3 3509019 LA18244-6
S4 3509021 LA18245-3

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Corazón:Nominal:NEMSIS
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Cuore:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 体格检查发现:发现:时间点:心脏:名义型:NEMSIS
Synonyms: 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 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 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 心 时刻;随机;随意;瞬间

67530-6 The assessment findings associated with the patients abdomen.

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Abdomen
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Phys find Abd NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The assessment findings associated with the patients abdomen.
Source
EExam.11

Normative Answer List LL1810-2

Answer Code Score Answer ID
Abrasion 3511001 LA7410-9
Avulsion 3511003 LA18220-6
Bleeding controlled 3511005 LA17208-2
Bleeding uncontrolled 3511007 LA17209-0
Bowel sounds-absent Copyright http://snomed.info/sct ID:16268000 Bowel sounds absent (finding) 3511009 LA18247-9
Bowel sounds-present 3511011 LA18248-7
Burn, blistering 3511013 LA18221-4
Burn, charring 3511015 LA18222-2
Burn, redness 3511017 LA18223-0
Burn, white/waxy 3511019 LA18224-8
Distention 3511021 LA17242-1
Foreign body 3511023 LA18226-3
Guarding 3511025 LA17243-9
Laceration 3511031 LA7452-1
Mass/lesion 3511033 LA17213-2
Mass-pulsating 3511035 LA17246-2
Normal Copyright http://snomed.info/sct ID:17621005 Normal (qualifier value) 3511037 LA6626-1
Pain 3511041 LA7460-4
Pregnant-palpable uterus 3511043 LA17247-0
Puncture/stab wound 3511045 LA17214-0
Tenderness 3511051 LA17709-9
Gunshot wound 3511053 LA17212-4
Crush injury 3511055 LA17229-8
Swelling 3511057 LA22440-4
Contusion 3511059 LA7423-2
Deformity 3511061 LA18225-5
Rebound Tenderness Copyright http://snomed.info/sct ID:35611005 Rebound tenderness (finding) 3511063 LA23814-9
Rigidity 3511065 LA23815-6

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Abdomen:Nominal:NEMSIS
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Addome:Nom:NEMSIS
Synonyms: Addome e National EMS Information System data - dati del Si Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 体格检查发现:发现:时间点:腹部:名义型:NEMSIS
Synonyms: 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 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 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 时刻;随机;随意;瞬间 腹;肚子 腹部（腹、肚子）+;腹部与

67531-4 The assessment findings associated with the patients pelvic and genitourinary exam

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Pelvis+Genitourinary
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Phys find Pelvis+Genitourinary NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The assessment findings associated with the patients pelvic and genitourinary exam
Source
EExam.12

Normative Answer List LL1811-0

Answer Code Score Answer ID
Abrasion 3512001 LA7410-9
Avulsion 3512003 LA18220-6
Bleeding controlled 3512005 LA17208-2
Bleeding uncontrolled 3512007 LA17209-0
Bleeding-rectal 3512009 LA17248-8
Bleeding-urethral 3512011 LA17249-6
Bleeding-vaginal 3512013 LA17250-4
Burn, blistering 3512015 LA18221-4
Burn, charring 3512017 LA18222-2
Burn, redness 3512019 LA18223-0
Burn, white/waxy 3512021 LA18224-8
Deformity 3512023 LA18225-5
Foreign body 3512025 LA18226-3
Genital injury 3512027 LA17251-2
Laceration 3512033 LA7452-1
Mass/lesion 3512035 LA17213-2
Normal Copyright http://snomed.info/sct ID:17621005 Normal (qualifier value) 3512037 LA6626-1
Pain 3512041 LA7460-4
Pelvic fracture 3512043 LA17252-0
Pelvic instability 3512045 LA17253-8
Penile priapism/erection 3512047 LA17254-6
Pregnant-crowning 3512049 LA17255-3
Puncture/stab wound 3512051 LA17214-0
Tenderness 3512057 LA17709-9
Gunshot wound 3512059 LA17212-4
Crush injury 3512061 LA17229-8
Swelling 3512063 LA22440-4
Contusion 3512065 LA7423-2

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Pelvis + Genitourinario:Nominal:NEMSIS
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Pelvi+Genitourinario:Nom:NEMSIS
Synonyms: Bacino National EMS Information System data - dati del Si Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 体格检查发现:发现:时间点:盆腔+泌尿生殖系统:名义型:NEMSIS
Synonyms: 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 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 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 时刻;随机;随意;瞬间 盆腔（骨盆）+ 盆腔（骨盆）+泌尿生殖系统（泌尿生殖、生殖泌尿、生殖泌尿系统、泌尿生殖道、生殖泌尿道） 骨盆

67532-2 The assessment findings associated with the patient spine (Cervical, Thoracic, Lumbar, and Sacral) and back exam.

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Back+Spine
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Phys find Back+Spine NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The assessment findings associated with the patient spine (Cervical, Thoracic, Lumbar, and Sacral) and back exam.
Source
EExam.14

Normative Answer List LL1812-8

Answer Code Score Answer ID
Abrasion 3514001 LA7410-9
Avulsion 3514003 LA18220-6
Bleeding controlled 3514005 LA17208-2
Bleeding uncontrolled 3514007 LA17209-0
Burn, blistering 3514009 LA18221-4
Burn, charring 3514011 LA18222-2
Burn, redness 3514013 LA18223-0
Burn, white/waxy 3514015 LA18224-8
Deformity 3514017 LA18225-5
Foreign body 3514019 LA18226-3
Laceration 3514025 LA7452-1
Normal Copyright http://snomed.info/sct ID:17621005 Normal (qualifier value) 3514027 LA6626-1
Not done 3514029 LA6630-3
Pain 3514031 LA7460-4
Pain with range of motion 3514033 LA17256-1
Puncture/stab wound 3514035 LA17214-0
Tenderness costovertebral angle (CVA) 3514041 LA17257-9
Tenderness midline spinous process 3514043 LA17258-7
Tenderness paraspinous 3514045 LA17259-5
Gunshot wound 3514047 LA17212-4
Crush injury 3514049 LA17229-8
Swelling 3514051 LA22440-4
Contusion 3514053 LA7423-2
Tenderness 3514055 LA17709-9

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Espalda + Columna Vertebral:Nominal:NEMSIS
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Schiena+Spina dorsale:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione Punto nel tempo (episodio) Schiena e Spina dorsale
zh-CN Chinese (China) 体格检查发现:发现:时间点:背部+脊椎:名义型:NEMSIS
Synonyms: 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 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 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 时刻;随机;随意;瞬间 背 背部+脊椎（脊柱、脊骨、椎骨） 脊柱;脊骨;脊髓;椎骨

67533-0 The assessment of the patient's extremities.

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Extremity
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Phys find Extr NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The assessment of the patient's extremities.
Source
EExam.16

Normative Answer List LL1813-6

Answer Code Score Answer ID
Burn, blistering 3516013 LA18221-4
Abrasion 3516001 LA7410-9
Amputation-acute 3516003 LA17260-3
Amputation-previous 3516005 LA17261-1
Avulsion 3516007 LA18220-6
Bleeding controlled 3516009 LA17208-2
Bleeding uncontrolled 3516011 LA17209-0
Burn, charring 3516015 LA18222-2
Burn, redness 3516017 LA18223-0
Burn, white/waxy 3516019 LA18224-8
Clubbing (of fingers) 3516021 LA18249-5
Crush injury 3516023 LA17229-8
Deformity 3516025 LA18225-5
Dislocation 3516027 LA17262-9
Edema 3516029 LA17263-7
Foreign body 3516031 LA18226-3
Fracture-closed 3516033 LA17264-5
Fracture-open 3516035 LA17265-2
Laceration 3516041 LA7452-1
Motor function-abnormal/weakness 3516043 LA17266-0
Motor function-absent 3516045 LA17267-8
Motor function-normal 3516047 LA17268-6
Normal Copyright http://snomed.info/sct ID:17621005 Normal (qualifier value) 3516049 LA6626-1
Pain 3516053 LA7460-4
Paralysis 3516055 LA17344-5
Pulse-abnormal 3516057 LA17269-4
Pulse-absent 3516059 LA17270-2
Pulse-normal 3516061 LA17271-0
Puncture/stab wound 3516063 LA17214-0
Sensation-abnormal 3516065 LA17272-8
Sensation-absent 3516067 LA17273-6
Sensation-normal 3516069 LA17274-4
Tenderness 3516075 LA17709-9
Gunshot wound 3516077 LA17212-4
Swelling 3516079 LA22440-4
Contusion 3516081 LA7423-2
Arm Drift 3516083 LA23816-4

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Extremidad:Nominal:NEMSIS
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Estremità:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 体格检查发现:发现:时间点:肢体:名义型:NEMSIS
Synonyms: 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 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 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 时刻;随机;随意;瞬间 肢;四肢

67534-8 The assessment findings of the patient's left eye examination

Part Descriptions

LP7218-3   Eye
The "Eye" System in LOINC is a broad concept that includes all parts of the eye, including ocular fluid (aqueous and vitreous), cornea, and conjunctiva. Source: Regenstrief LOINC

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Eye
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Phys find Eye NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The assessment findings of the patient's left eye examination
Source
EExam.18

Normative Answer List LL1814-4

Answer Code Score Answer ID
1 mm 3518001 LA17275-1
2 mm 3518003 LA17276-9
3 mm 3518005 LA17277-7
4 mm 3518007 LA17278-5
5 mm 3518009 LA17279-3
6 mm 3518011 LA17280-1
7 mm 3518013 LA17281-9
8 mm or > 3518015 LA18258-6
Blind 3518017 LA17710-7
Cataract present 3518019 LA18250-3
Clouded 3518021 LA17282-7
Deformity 3518023 LA18225-5
Dysconjugate gaze 3518025 LA18251-1
Foreign body 3518027 LA18226-3
Glaucoma present 3518029 LA18252-9
Hyphema 3518031 LA17283-5
Jaundiced sclera 3518033 LA18253-7
Missing 3518035 LA14698-7
Nonreactive Copyright http://snomed.info/sct ID:131194007 Non-reactive (qualifier value) 3518037 LA15256-3
Nonreactive prosthetic 3518041 LA18254-5
Nystagmus noted 3518043 LA18255-2
Open globe 3518045 LA17284-3
PERRL 3518047 LA18256-0
Pupil-irregular/teardrop 3518049 LA17285-0
Reactive Copyright http://snomed.info/sct ID:11214006 Reactive (qualifier value) 3518051 LA15255-5
Sluggish 3518053 LA18257-8
Swelling 3518055 LA22440-4
Contusion 3518057 LA7423-2
Puncture/stab wound 3518059 LA17214-0
Pin Point 3518063 LA32946-8
Dilated 3518061 LA19576-0

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Ojo:Nominal:NEMSIS
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Occhio:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 体格检查发现:发现:时间点:眼睛:名义型:NEMSIS
Synonyms: 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 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 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 时刻;随机;随意;瞬间 目;眼;眼部

67535-5 The assessment of the patient's mental status on examination

Fully-Specified Name

Component
Mental status assessment
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Mental status assessment NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The assessment of the patient's mental status on examination
Source
EExam.19

Normative Answer List LL1815-1

Answer Code Score Answer ID
Combative 3519001 LA17287-6
Confused 3519003 LA6560-2
Hallucinations 3519005 LA7438-0
Normal baseline for patient 3519007 LA17286-8
Oriented-person 3519011 LA17288-4
Oriented-place 3519013 LA17289-2
Oriented-event 3519015 LA18259-4
Oriented-time 3519017 LA17290-0
Unresponsive Copyright http://snomed.info/sct ID:422768004 unresponsive (finding) 3519021 LA9343-0
Agitation 3519023 LA6150-2
Somnolent 3519025 LA23818-0
Stupor Copyright http://snomed.info/sct ID:89458003 stupor (finding) 3519027 LA17666-1
Altered mental status, unspecified 3519029 LA32951-8
Developmentally impaired 3519031 LA17307-2
Disorientation, unspecified 3519033 LA17668-7
Pharmacologically paralyzed 3519035 LA32953-4
Pharmacologically sedated 3519037 LA32948-4
Psychologically impaired 3519039 LA17313-0
Slowness and poor responsiveness 3519041 LA32950-0
State of emotional shock and stress, unspecified 3519043 LA17678-6
Strange and inexplicable behavior 3519045 LA32956-7
Uncooperative 3519047 LA17317-1
Unspecified coma 3519049 LA32955-9

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Evaluación del estado mental:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Stato mentale, valutazione:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio) Valutazione dello stato mentale
zh-CN Chinese (China) 心理状况评估:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 时刻;随机;随意;瞬间 状况;情况 精神状态;心智状态;心理状态 精神状态评估（评价、估计、估价、评论、估定、估算）;心智状态评估;心理状态评估;心理情况评估 评价;估计;估价;评论;估定;估算

67471-3 Indication of the possibility by the patient's history of current pregnancy

Fully-Specified Name

Component
Pregnancy
Property
Hx
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Hx of Pregnancy

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.40
Last Updated
Version 2.56

Survey Question

Text
Indication of the possibility by the patient's history of current pregnancy
Source
EHistory.18

Normative Answer List LL1820-1

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 3118001 LA32-8
Possible, unconfirmed 3118003 LA17332-0
Yes, confirmed greater than 20 weeks 3118007 LA17331-2
Yes, confirmed 12 to 20 weeks 3118005 LA17330-4
Yes, confirmed less than 12 weeks 3118009 LA17329-6
Yes, Weeks Unknown 3118011 LA24406-3

Member of these Panels

LOINC Long Common Name
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) El embarazo:Hx:Punto temporal:^ Paciente:Ordinal:
es-ES Spanish (Spain) Embarazo:Antecedente:Punto temporal:^paciente:Ord:
it-IT Italian (Italy) Gravidanza:Hx:Pt:^Paziente:Ord:
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) zwangerschap:voorgeschiedenis:moment:^patiënt:ordinaal:
Synonyms: anamnese
ru-RU Russian (Russian Federation) Беременность:Hx:ТчкВрм:^Пациент:Пор:
Synonyms: История Порядковый Точка во времени;Момент
zh-CN Chinese (China) 妊娠:历史记录:时间点:^患者:序数型:
Synonyms: 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 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 怀孕;怀孕期;妊娠期 时刻;随机;随意;瞬间

67517-3 Last Oral Intake

Fully-Specified Name

Component
Last oral intake
Property
TmStp
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Last oral intake

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.64
Change Reason
Removed Method of NEMSIS since this is a general concept that can be used for various EMS protocols and is not specific to NEMSIS.

Survey Question

Text
Last Oral Intake
Source
EHistory.19

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Última ingesta oral:TmStp:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Ultima assunzione per via orale:TmStp:Pt:^Paziente:Qn:
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
ru-RU Russian (Russian Federation) Последний через рот приём:TmStp:ТчкВрм:^Пациент:Колич:
Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени;Момент
zh-CN Chinese (China) 最后一次经口摄入:时间戳:时间点:^患者:定量型:
Synonyms: 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 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 末次经口摄入（摄取、摄食、吸收、吸入、食入、进食、饮入、饮下、喝下、吃进、喝下去、吃进去）

30525-0 Age

Fully-Specified Name

Component
Age
Property
Time
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Age
Display Name
Age
Consumer Name Alpha Get Info
Age

Basic Attributes

Class
MISC
Type
Laboratory
First Released
Version 2.04
Last Updated
Version 2.73
Order vs. Observation
Observation
Common Test Rank Get Info
1937

Member of these Panels

LOINC Long Common Name
58735-2 Alpha-1-Fetoprotein panel - Amniotic fluid
48802-3 Alpha-1-Fetoprotein panel - Serum or Plasma
95405-7 Assay related variables panel [PhenX]
93478-6 Busulfan area under the curve panel - Plasma
68991-9 Epidemiologically important information for public health reporting panel
49085-4 First and Second trimester integrated maternal screen panel
48798-3 First trimester maternal screen panel - Serum or Plasma
49086-2 First trimester maternal screen with nuchal translucency panel
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
96452-8 Hepatocellular carcinoma risk panel - Serum or Plasma
89543-3 Laboratory ask at order entry panel
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
78699-6 Liver fibrosis score panel - Serum or Plasma Calculated by FibroMeter
78698-8 Liver fibrosis score panel - Serum or Plasma Calculated by HepaScore
49087-0 Maternal screen clinical predictors panel
82259-3 Metabolic equivalent of task and Resting metabolic rate panel
89724-9 Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers]
87825-6 National Trauma Data Standard - version 2018 set
91393-9 Opioid risk tool panel
98133-2 Osteoporosis Index of Risk panel
98139-9 Osteoporosis Risk Assessment Instrument
98146-4 Osteoporosis Self-Assessment Tool
93149-3 PhenX - bone age protocol 220301
93340-8 PhenX - complete blood count protocol 220501
62863-6 PhenX domain - Infectious diseases and immunity
62755-4 PhenX domain - Neurology
62812-3 PhenX domain - Physical activity and physical fitness
62710-9 PhenX domain - Psychiatric
62611-9 PhenX domain - Respiratory
63009-5 PhenX domain - Social environments
82287-4 Physical activity panel
81959-9 Public health laboratory ask at order entry panel
89544-1 Pulmonary Embolism Rule-out Criteria panel PERC
89694-4 Pulmonary Embolism Severity Index panel [PESI]
89549-0 Revised Geneva Score panel
48799-1 Second trimester penta maternal screen panel - Serum or Plasma
48800-7 Second trimester quad maternal screen panel - Serum or Plasma
35086-8 Second trimester triple maternal screen panel - Serum or Plasma
60687-1 Test of Infant Motor Performance Version 5.1
55140-8 Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Alter:Zeit:Zeitpunkt:^Patient:Quantitativ:
es-MX Spanish (Mexico) Edad:Tiempo (por ejemplo, segundos):Punto temporal:^ Paciente:Cuantitativo:
es-AR Spanish (Argentina) edad:tiempo:punto en el tiempo:^paciente:cuantitativo:
es-ES Spanish (Spain) Edad:Tiempo:Punto temporal:^paciente:Qn:
Synonyms: Cuantitativo
et-EE Estonian (Estonia) Vanus:Aeg:Pt:^patsient:Qn:
Synonyms: Juhuslik Kvantitatiivne
fr-CA French (Canada) Âge:Durée:Temps ponctuel:^Patient:Quantitatif:
fr-FR French (France) Âge:Temps:Ponctuel:Patient:Numérique:
fr-BE French (Belgium) Âge:Durée:Temps ponctuel:^Patient:Quantitatif:
it-IT Italian (Italy) Età:Tempo:Pt:^Paziente:Qn:
Synonyms: Miscellanea paziente Punto nel tempo (episodio) Tempo (e.g. secondi)
nl-NL Dutch (Netherlands) leeftijd:tijd:moment:^patiënt:kwantitatief:
pt-BR Portuguese (Brazil) Idade:Tempo:Pt:^Paciente:Qn:
Synonyms: Point in time; Random; Quantitative; QNT; Quant; Quan
ru-RU Russian (Russian Federation) Возраст:Время:ТчкВрм:^Пациент:Колич:
Synonyms: Время (в т.ч. в секундах) Количественный Точка во времени;Момент
tr-TR Turkish (Turkey) Yaş:Süre:Zmlı:^Hasta:Kant:
zh-CN Chinese (China) 年龄:时间:时间点:^患者:定量型:
Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 时间(如秒);时间(如秒数) 杂项;杂项类;杂项试验

Example Units

Unit Source
a Example UCUM Units

67523-1 Reperfusion checklist

Fully-Specified Name

Component
Contraindication for thrombolytic use
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Contra for thrombolytic NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The results of the patient's Reperfusion Checklist for potential Thrombolysis use
Source
EVitals.31

Normative Answer List LL1848-2

Answer Code Score Answer ID
Definite contraindications to thrombolytic use 3331001 LA17114-2
Possible contraindications to thrombolytic Use 3331005 LA17115-9
No contraindications to thrombolytic Use 3331003 LA17116-7

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Contraindicación para uso trombolítico:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Controindicazione all'uso della trombolisi:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 溶栓剂使用的禁忌证:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 时刻;随机;随意;瞬间 溶栓 溶栓剂 溶栓剂（血栓溶解剂、溶解血栓剂、溶血栓药、溶栓药物、溶血栓药物）使用（施用、用途、应用、运用）的禁忌证（禁忌症、禁忌征、禁忌） 溶血栓 溶解血栓 溶解血栓的 禁忌症;禁忌征;禁忌 血栓溶解 血栓溶解剂

67515-7 Indication of whether or not there were any patient specific barriers to serving the patient at the scene

Fully-Specified Name

Component
Barriers to patient care
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Barriers to patient care NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Indication of whether or not there were any patient specific barriers to serving the patient at the scene
Source
EHistory.01

Normative Answer List LL1817-7

Answer Code Score Answer ID
Cultural, custom, religious 3101001 LA17306-4
Developmentally impaired 3101003 LA17307-2
Hearing impaired 3101005 LA17308-0
Language 3101007 LA17309-8
None noted 3101009 LA17318-9
Obesity 3101011 LA6301-1
Physical barrier (unable to access patient) 3101013 LA17310-6
Physically impaired 3101015 LA17311-4
Physically restrained 3101017 LA17312-2
Psychologically impaired 3101019 LA17313-0
Sight impaired 3101021 LA17314-8
Speech impaired 3101023 LA17315-5
Unattended or unsupervised (including minors) 3101025 LA17316-3
Unconscious 3101027 LA17711-5
Uncooperative 3101029 LA17317-1
State of Emotional Distress 3101031 LA23824-8
Alcohol use, suspected 3101033 LA32961-7
Drug use, suspected 3101035 LA32960-9

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Barreras para la atención al paciente:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Ostacoli alla cura del paziente:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 患者医疗护理的障碍:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 时刻;随机;随意;瞬间 病人照护的障碍;病人医疗护理服务的障碍;病人照护服务的障碍;病人医疗护理的障碍;病患医疗护理的障碍

8335-2 Body weight Estimated

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Body weight
Property
Mass
Time
Pt
System
^Patient
Scale
Qn
Method
Estimated

Additional Names

Short Name
Weight Est

Basic Attributes

Class
BDYWGT.ATOM
Type
Clinical
First Released
Version 1.0h(2)
Last Updated
Version 2.73
Common Test Rank Get Info
11753

Member of these Panels

LOINC Long Common Name
18584-3 Body weight at ambulance transport Set
52416-5 Body weight Set
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) peso corporal:masa:punto en el tiempo:^paciente:cuantitativo:estimativo
es-ES Spanish (Spain) Peso corporal:Masa:Punto temporal:^paciente:Qn:Estimado
Synonyms: Cuantitativo
es-MX Spanish (Mexico) Peso corporal:Masa:Punto temporal:^ Paciente:Cuantitativo:Estimated
fr-CA French (Canada) Poids:Masse:Temps ponctuel:^Patient:Quantitatif:Estimé
fr-FR French (France) Poids corporel:Masse:Ponctuel:Patient:Numérique:Résultat estimé
fr-BE French (Belgium) Poids corporel:Masse:Temps ponctuel:^Patient:Quantitatif:Estimé
Synonyms: Poids
it-IT Italian (Italy) Peso corporeo:Massa:Pt:^Paziente:Qn:Stimato
Synonyms: paziente Peso del corpo - atomico Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichaamsgewicht:massa:moment:^patiënt:kwantitatief:schatting
pl-PL Polish (Poland) Masa ciała:masa:punkt w czasie:^pacjent:ilościowy:szacowany
Synonyms: Ciężar Masa ciała
pt-BR Portuguese (Brazil) Peso corpóreo:Massa:Pt:^Paciente:Qn:Estimado
Synonyms: ; Wt; Bdy weight; Point in time; Random; Quantitative; QNT; Quant; Quan; Est; estimation; bod; Bodies; BODY WEIGHT.ATOM; BODY WEIGHT.ATOM
tr-TR Turkish (Turkey) Vücut ağırlığı:Kütle:Zmlı:^Hasta:Kant:Hesaplanmış
zh-CN Chinese (China) 体重:质量:时间点:^患者:定量型:估计法
Synonyms: 一般体重;一般身体重量;身体重量.原子型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 标本重量;重 物体 胎龄估计法;孕龄估计法 身体重量 重量

Example Units

Unit Source
[lb_av];kg Example UCUM Units

67670-0 The Length - based tape measure as take from the tape

Term Description

The colors show equipment sizes for emergency pediatric resuscitation. Pre-calculated medication dosages are related to each weight.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Length-based tape measure category
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Length-based tape NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The Length - based tape measure as take from the tape
Source
EExam.02

Normative Answer List LL1803-7

Answer Code Score Answer ID
Grey 3502005 LA15554-1
Pink 3502009 LA17192-8
Red 3502013 LA17193-6
Purple 3502011 LA17194-4
Yellow 3502017 LA17195-1
White 3502015 LA4457-3
Blue 3502001 LA15553-3
Orange 3502007 LA17196-9
Green 3502003 LA15555-8

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Categoría de cinta métrica basada en la longitud:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Misurazione con nastro adesivo basata su lunghezza, categoria:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: Categoria di misurazione con nastro adesivo basata National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 基于长度的卷尺类别:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 基于长度的卷尺（钢尺、带尺、皮尺、软尺）类别 时刻;随机;随意;瞬间 长;长短

29554-3 Procedure Narrative

Term Description

Procedure records the descriptions of the procedure with an extensive narrative and may include procedure site preparation, pertinent details related to measurements and markings, procedure times, instrumentation, and vital signs and other monitoring data.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Procedure
Property
Type
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Procedure

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.03
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen
81244-6 Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
81241-2 Enhanced surgical operation note - recommended CDP Set 1 R1.0 and R1.1sections
82315-3 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 sections
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
59843-3 Procedure note - recommended C-CDA R1.1 sections
81217-2 Procedure note - recommended C-CDA R2.0 and R2.1 sections
72227-2 Surgical operation note - recommended C-CDA R1.1 and R2.0 and R2.1 sections

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Prozedur oder Maßnahme:Typ:Zeitpunkt:^Patient:Freitext:
es-MX Spanish (Mexico) Procedimiento:Tipo:Punto temporal:^ Paciente:Narrativo:
es-AR Spanish (Argentina) procedimiento:tipo:punto en el tiempo:^paciente:Narrativo:
es-ES Spanish (Spain) Procedimiento:Tipo:Punto temporal:^paciente:Narrativo:
it-IT Italian (Italy) Procedura:Tipo:Pt:^Paziente:Nar:
Synonyms: Esame obbiettivo paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) verrichting:type:moment:^patiënt:tekstueel:
pt-BR Portuguese (Brazil) Procedimento:Tipo:Pt:^Paciente:Nar:
Synonyms: Typ; Point in time; Random; Narrative; Report
ru-RU Russian (Russian Federation) Вмешательство:Тип:ТчкВрм:^Пациент:Опис:
Synonyms: Описательный Процедура Точка во времени;Момент
zh-CN Chinese (China) 操作项目:类型:时间点:^患者:叙述型:
Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查小节 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 型 操作;程序;手续;步骤;规程;程序流程 时刻;随机;随意;瞬间 病史与体格检查

67542-1 Indicates that the procedure which was performed and documented was performed prior to this EMS units care.

Fully-Specified Name

Component
Procedure performed prior to this units EMS care
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Procedure performed prior NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Indicates that the procedure which was performed and documented was performed prior to this EMS units care.
Source
EProcedures.02

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Procedimiento realizado antes de esta unidad de cuidados EMS:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Procedura eseguita in precedenza da queste unità dei Servizi Medici di Emergenza:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 此次急救医疗服务单元医疗护理服务之前所执行的操作:发现:时间点:^患者:名义型:NEMSIS
Synonyms: EMS 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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） 急诊医疗服务 操作;程序;手续;步骤;规程;程序流程 时刻;随机;随意;瞬间 此次急救医疗服务小组医疗护理服务之前所执行的操作;此次急救医疗服务单元护理服务之前所执行的操作;此次急救医疗服务单元照护服务之前所执行的操作;此次急救医疗服务单元医疗护理服务之前所执行的操作项目;此次急救医疗服务单元医疗护理服务之前所完成的操作;此次急救医疗服务单元医疗护理服务之前所进行的操作 紧救医疗服务

67543-9 The number of attempts taken to complete a procedure or intervention regardless of success

Fully-Specified Name

Component
Procedure attempts
Property
Num
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Procedure attempts

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.73
Change Reason
Removed Method of NEMSIS since this is a general concept and is not specific to NEMSIS.
Common Test Rank Get Info
5322

Survey Question

Text
The number of attempts taken to complete a procedure or intervention regardless of success
Source
EProcedures.05

Member of these Panels

LOINC Long Common Name
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Intentos de procedimiento:Num:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Procedura, tentativi:Num:Pt:^Paziente:Qn:
Synonyms: National EMS Information System data - dati del Si Numero (conta) paziente Punto nel tempo (episodio) Tentativi di procedura
ru-RU Russian (Russian Federation) Вмешательства попытки:Кол:ТчкВрм:^Пациент:Колич:
Synonyms: Количественный Количество Процедура Точка во времени;Момент
zh-CN Chinese (China) 操作尝试:数量(计数):时间点:^患者:定量型:
Synonyms: 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 个数;数量;数量或计数（非负整数）;计数 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 操作;程序;手续;步骤;规程;程序流程 操作项目尝试 时刻;随机;随意;瞬间

Example Units

Unit Source
{#} Example UCUM Units

67544-7 Indication of whether or not the procedure performed on the patient was successful

Fully-Specified Name

Component
Procedure successful
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Procedure successful NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Indication of whether or not the procedure performed on the patient was successful
Source
EProcedures.06

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
78914-9 Percutaneous coronary intervention panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Procedimiento exitoso:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Procedura, riuscita:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio) Riuscita della procedura
zh-CN Chinese (China) 操作成功:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 操作;程序;手续;步骤;规程;程序流程 操作项目成功;操作顺利 时刻;随机;随意;瞬间

67545-4 Any complication associated with the performance of the procedure on the patient

Fully-Specified Name

Component
Procedure complication
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Procedure complication NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.73
Common Test Rank Get Info
17770

Survey Question

Text
Any complication associated with the performance of the procedure on the patient
Source
EProcedures.07

Normative Answer List LL1831-8

Answer Code Score Answer ID
Altered mental status 3907001 LA17392-4
Apnea Copyright http://snomed.info/sct ID:1023001 Apnea (finding) 3907003 LA17393-2
Bleeding 3907005 LA7418-2
Bradypnea 3907007 LA18266-9
Diarrhea Copyright http://snomed.info/sct ID:62315008 Diarrhea (finding) 3907009 LA15424-7
Esophageal intubation-immediately 3907011 LA17489-8
Esophageal intubation-other 3907013 LA17490-6
Extravasation 3907015 LA7434-9
Hypertension 3907017 LA7444-8
Hyperthermia 3907019 LA9540-1
Hypotension 3907021 LA7443-0
Hypothermia 3907023 LA9541-9
Hypoxia 3907025 LA17396-5
Injury 3907027 LA17713-1
Nausea 3907031 LA15098-9
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) 3907033 LA137-2
Other (not listed) 3907035 LA17059-9
Respiratory distress 3907039 LA9548-4
Tachycardia 3907041 LA17714-9
Tachypnea 3907043 LA18267-7
Vomiting 3907045 LA15099-7
Bradycardia Copyright http://snomed.info/sct ID:48867003 Bradycardia (finding) 3907047 LA17394-0
Itching Copyright http://snomed.info/sct ID:418290006 Itching (finding) 3907049 LA20641-9
Urticaria 3907051 LA20642-7

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Complicación del procedimiento:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Procedura, complicazione:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: Complicazione durante la procedura National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 操作并发症:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 操作;程序;手续;步骤;规程;程序流程 操作项目并发症;操作合并症 时刻;随机;随意;瞬间

67546-2 The patient response to the procedure

Fully-Specified Name

Component
Response to procedure
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Response to procedure NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The patient response to the procedure
Source
EProcedures.08

Normative Answer List LL1826-8

Answer Code Score Answer ID
Improved 9916001 LA65-8
Unchanged 9916003 LA17181-1
Worse 9916005 LA11011-6

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Respuesta al procedimiento:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Risposta alla procedura:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 对操作的反应:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 对操作项目的反应（响应） 操作;程序;手续;步骤;规程;程序流程 时刻;随机;随意;瞬间

71576-3 Airway device placement confirmation method

Term Description

The method used to confirm the airway device placement.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Airway device placement confirmation method
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Airway placement confirm method

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.40
Last Updated
Version 2.72
Change Reason
Release 2.72: COMPONENT: Added "method" for clarification on concept meaning; METHOD_TYP: Removed Method since this concept is general and not specific to NEMSIS.; Release 2.70: ANSWER_LIST_TYPE: Normative binding for NEMSIS use-case was moved to form data (in the context of the NEMSIS panel).; SURVEY_QUEST_SRC: Moved to Observation ID in Form field within the context of the NEMSIS panel.;
Order vs. Observation
Observation

Example Answer List LL2122-1

Answer Code Score Answer ID
Auscultation 4004001 LA18672-8
Bulb syringe aspiration 4004003 LA18673-6
Colorimetric ETCO2 4004005 LA18674-4
Condensation in tube 4004007 LA18675-1
Digital (numeric) ETCO2 4004009 LA18676-9
Direct re-visualization of tube in place 4004011 LA18677-7
Endotracheal tube whistle (BAAM, etc) 4004013 LA18678-5
Other airway device placement confirmation 4004015 LA18679-3
Visualization of vocal cords 4004017 LA18680-1
Waveform ETCO2 4004019 LA18681-9
Chest rise 4004021 LA32909-6

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Confirmación de colocación del dispositivo de vía aérea:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Metodo conferma posizionamento dispositivo di intubazione:Osservazione:Pt:^Paziente:Nom:
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Воздуховода размещение подтверждено:Находка:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 气道装置置入确认:发现:时间点:^患者:名义型:
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 方;法;办法;方式 时刻;随机;随意;瞬间

67504-1 Indication of reason resuscitation the patient who is in cardiac arrest not attempted

Fully-Specified Name

Component
Reason resuscitation not attempted
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Reason resusc not attempted NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Indication of reason resuscitation the patient who is in cardiac arrest not attempted
Source
EArrest.03

Normative Answer List LL1790-6

Answer Code Score Answer ID
Considered futile 3003007 LA17063-1
DNR orders 3003009 LA17064-9
Signs of circulation 3003011 LA17065-6

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Razón por la que no se intentó la reanimación:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Motivo rianimazione non tentata:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 关于没有尝试复苏的原因:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 关于没有尝试复苏的理由;关于没有尝试复苏术的原因 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 时刻;随机;随意;瞬间

67663-5 EMS protocol Narrative NEMSIS

Term Description

Protocol followed by crew
Source: Regenstrief LOINC

Fully-Specified Name

Component
EMS protocol
Property
-
Time
Pt
System
^Patient
Scale
Nar
Method
NEMSIS

Additional Names

Short Name
EMS protocol NEMSIS

Basic Attributes

Class
PANEL.NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50
Panel Type
Panel

Survey Question

Source
EProtocol

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Protocolo EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT Italian (Italy) Servizi Medici di Emergenza, protocollo:-:Pt:^Paziente:Nar:NEMSIS
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN Chinese (China) 急救医疗服务方案:-:时间点:^患者:叙述型:NEMSIS
Synonyms: EMS 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 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.NEMSIS;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）.NEMSIS;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;NEMSIS 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 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 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）计划;急救医疗服务 协议 急诊医疗服务 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 紧救医疗服务 组 组合 组合医嘱 组合类 组套

67537-1 The protocol used by EMS personnel to direct the clinical care of the patient

Term Description

Protocols may be defined at the state and/or local level. The following codes are recommended where possible.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Protocol used
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Protocol used NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The protocol used by EMS personnel to direct the clinical care of the patient
Source
EProtocols.01

Normative Answer List LL1832-6

Answer Code Score Answer ID
Airway 9914001 LA17398-1
Airway-failed 9914003 LA17491-4
Airway-obstruction/foreign body 9914005 LA17492-2
Airway-Rapid Sequence Induction (RSI-Paralytic) 9914007 LA17494-8
Airway-sedation assisted (nonparalytic) 9914009 LA17495-5
Cardiac arrest- asystole 9914011 LA17496-3
Cardiac arrest-hypothermia-therapeutic 9914013 LA17499-7
Cardiac arrest- pulseless electrical activity 9914015 LA17497-1
Cardiac arrest- ventricular fibrillation/pulseless ventricular tachycardia 9914017 LA17498-9
Cardiac arrest-post resuscitation care 9914019 LA17500-2
Environmental-altitude sickness 9914021 LA17501-0
Environmental-cold exposure 9914023 LA17502-8
Environmental-frostbite/cold Injury 9914025 LA17503-6
Environmental-heat exposure/exhaustion 9914027 LA17504-4
Environmental-heat stroke/hyperthermia 9914029 LA17505-1
Environmental-hypothermia 9914031 LA17506-9
Exposure-airway/inhalation irritants 9914033 LA17507-7
Exposure-biological/infectious 9914035 LA17508-5
Exposure-blistering agents 9914037 LA17509-3
Exposure-chemicals to eye 9914041 LA17511-9
Exposure-cyanide 9914043 LA17512-7
Exposure-explosive/blast injury 9914045 LA17513-5
Exposure-nerve agents 9914047 LA17514-3
Exposure-radiologic agents 9914049 LA17515-0
General-back pain 9914051 LA17516-8
General-behavioral/patient restraint 9914053 LA17517-6
General-cardiac arrest 9914055 LA18269-3
General-dental problems 9914057 LA17518-4
General-epistaxis 9914059 LA17519-2
General-fever 9914061 LA17520-0
General-individualized patient protocol 9914063 LA17521-8
General-indwelling medical devices/equipment 9914065 LA17522-6
General-IV access 9914067 LA17523-4
General-medical device malfunction 9914069 LA17524-2
General-pain control 9914071 LA17525-9
General-spinal immobilization/clearance 9914073 LA17526-7
General-universal patient care/initial patient contact 9914075 LA17527-5
Injury-amputation 9914077 LA17528-3
Injury-bites and envenomations-land 9914079 LA17529-1
Injury-bites and envenomations-marine 9914081 LA17530-9
Injury-bleeding/hemorrhage control 9914083 LA17531-7
Injury-burns-thermal 9914085 LA17532-5
Injury-electrical injuries 9914095 LA17537-4
Injury-extremity 9914097 LA17538-2
Injury-eye 9914099 LA17539-0
Injury-head 9914101 LA17540-8
Injury-impaled object 9914103 LA17541-6
Injury-multisystem 9914105 LA17542-4
Injury-spinal cord 9914107 LA17543-2
Medical-abdominal pain 9914109 LA17544-0
Medical-allergic reaction/anaphylaxis 9914111 LA17545-7
Medical-altered mental status 9914113 LA17546-5
Medical-bradycardia 9914115 LA17547-3
Medical-cardiac chest pain 9914117 LA17548-1
Medical-diarrhea 9914119 LA17549-9
Medical-hyperglycemia 9914121 LA17550-7
Medical-hypertension 9914123 LA17551-5
Medical-hypoglycemia/diabetic emergency 9914125 LA17552-3
Medical-hypotension/shock (non-trauma) 9914127 LA17553-1
Medical-influenza-like Illness/ upper respiratory infection 9914129 LA17554-9
Medical-nausea/vomiting 9914131 LA17555-6
Medical-newborn/ neonatal resuscitation 9914133 LA17556-4
General-Overdose/Poisoning/Toxic Ingestion 9914135 LA23845-3
Medical-pulmonary edema/CHF 9914137 LA17558-0
Medical-respiratory distress/asthma/COPD/reactive airway disease 9914139 LA17559-8
Medical-seizure 9914141 LA17560-6
Medical-ST-elevation myocardial infarction (STEMI) 9914143 LA17561-4
Medical-stroke/TIA 9914145 LA17562-2
Medical-supraventricular tachycardia (including atrial fibrillation) 9914147 LA17563-0
Medical-syncope 9914149 LA17564-8
Medical-ventricular tachycardia (with pulse) 9914151 LA17565-5
OB/GYN-childbirth/labor/delivery 9914155 LA17566-3
OB/GYN-eclampsia 9914157 LA17567-1
OB/GYN-gynecologic emergencies 9914159 LA17568-9
OB/GYN-pregnancy related emergencies 9914161 LA17569-7
OB/GYN-post-partum hemorrhage 9914163 LA17570-5
Other 9914165 LA46-8
Exposure-Carbon Monoxide 9914167 LA24135-8
Cardiac Arrest-Do Not Resuscitate 9914169 LA24136-6
Cardiac Arrest-Special Resuscitation Orders 9914171 LA24137-4
Exposure-Smoke Inhalation 9914173 LA24138-2
General-Community Paramedicine / Mobile Integrated Healthcare 9914175 LA24139-0
General-Exception Protocol 9914177 LA24140-8
General-Extended Care Guidelines 9914179 LA24141-6
General-Interfacility Transfers 9914181 LA24142-4
General-Law Enforcement - Blood for Legal Purposes 9914183 LA24143-2
General-Law Enforcement - Assist with Law Enforcement Activity 9914185 LA24144-0
General-Neglect or Abuse Suspected 9914187 LA24145-7
General-Refusal of Care 9914189 LA24146-5
Injury-Mass/Multiple Casualties 9914191 LA24147-3
Injury-Thoracic 9914193 LA24148-1
Medical-Adrenal Insufficiency 9914195 LA24149-9
Medical-Apparent Life Threatening Event (ALTE) 9914197 LA24150-7
Medical-Tachycardia 9914199 LA24151-5
Cardiac Arrest-Determination of Death / Withholding Resuscitative Efforts 9914201 LA23827-1
Injury-Conducted Electrical Weapon (e.g., Taser) 9914203 LA23828-9
Injury-Facial Trauma 9914205 LA23829-7
Injury-General Trauma Management 9914207 LA23830-5
Injury-Lightning/Lightning Strike 9914209 LA23831-3
Injury-SCUBA Injury/Accidents 9914211 LA23832-1
Injury-Topical Chemical Burn 9914213 LA23833-9
Medical-Beta Blocker Poisoning/Overdose 9914215 LA23834-7
Medical-Respiratory Distress-Bronchiolitis 9914221 LA23837-0
Medical-Respiratory Distress-Croup 9914223 LA23838-8
Medical-Stimulant Poisoning/Overdose 9914225 LA23839-6
Medical-Calcium Channel Blocker Poisoning/Overdose 9914217 LA23835-4
Medical-Opioid Poisoning/Overdose 9914219 LA23836-2
Injury-cardiac arrest LA17533-3
Injury-crush syndrome LA17534-1
Injury-diving emergencies LA17535-8
Injury-drowning/near drowning LA17536-6

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Protocolo utilizado:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Protocollo usato:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 所采用的方案:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 所使用的方案;已使用的方案;已采用的方案 时刻;随机;随意;瞬间

67538-9 The age group the protocol is written to address

Fully-Specified Name

Component
Protocol age category
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Protocol age category NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The age group the protocol is written to address
Source
EProtocols.02

Normative Answer List LL1833-4

Answer Code Score Answer ID
General 3602003 LA17571-3
Adult only 3602001 LA17572-1
Pediatric only 3602005 LA17573-9

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Categoría de edad del protocolo:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Protocollo, categoria di età:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 方案年龄类别:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 时刻;随机;随意;瞬间

67553-8 Condition indicating eligibility for illness or injury registry

Term Description

An indication if the patient may meet the entry criteria for an injury or illness specific registry.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Condition indicating eligibility for illness or injury registry
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Condition illness injury reg

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.70
Change Reason
Release 2.70: METHOD_TYP: Removed Method since this concept is general and not specific to NEMSIS.; ANSWER_LIST_TYPE: Normative binding for NEMSIS use-case was moved to form data (in the context of the NEMSIS panel).; SURVEY_QUEST_SRC: Moved to Observation ID in Form field within the context of the NEMSIS panel.;

Example Answer List LL1828-4

Answer Code Score Answer ID
Airway 4502001 LA17398-1
Burn 4502003 LA7318-4
Cardiac/MI 4502005 LA16967-4
Drowning 4502009 LA17057-3
Spinal cord injury 4502013 LA17399-9
STEMI/acute cardiac 4502015 LA17400-5
Stroke/CVA 4502007 LA9553-4
Trauma 4502017 LA17058-1
Traumatic brain injury 4502019 LA17401-3
Other (not listed) 4502011 LA17059-9

Member of these Panels

LOINC Long Common Name
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Condición que indica elegibilidad para el registro de enfermedades o lesiones:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Condizione indicando ammissibilità per malattia o infortunio, registro:Osservazione:Pt:^Paziente:Nom:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Состояние, указывающие на пациента соответствие заболеваний или повреждений регистру:Находка:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 表示疾病或损伤注册资格的条件:发现:时间点:^患者:名义型:
Synonyms: 健康状况;疾病;情况;病情;状态;条件 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 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 时刻;随机;随意;瞬间 病史与体格检查 表示疾病或损伤注册符合条件的条件;表示疾病或损伤注册资格的情况;表示疾病或损伤注册资格的状况

67664-3 EMS response Narrative NEMSIS

Term Description

Places, odometer readings
Source: Regenstrief LOINC

Fully-Specified Name

Component
EMS response
Property
-
Time
Pt
System
^Patient
Scale
Nar
Method
NEMSIS

Additional Names

Short Name
EMS response NEMSIS

Basic Attributes

Class
PANEL.NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50
Panel Type
Panel

Survey Question

Source
EResponse

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Respuesta de EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT Italian (Italy) Servizi Medici di Emergenza, risposta:-:Pt:^Paziente:Nar:NEMSIS
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN Chinese (China) 急救医疗服务响应:-:时间点:^患者:叙述型:NEMSIS
Synonyms: EMS 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 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.NEMSIS;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）.NEMSIS;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;NEMSIS 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 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 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）响应;急救医疗服务 反应 急诊医疗服务 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 紧救医疗服务 组 组合 组合医嘱 组合类 组套

67480-4 The dispatch delays, if any, associated with the dispatch of the EMS unit to the patient encounter

Fully-Specified Name

Component
Dispatch delay
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Dispatch delay NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The dispatch delays, if any, associated with the dispatch of the EMS unit to the patient encounter
Source
EResponse.08

Normative Answer List LL1835-9

Answer Code Score Answer ID
Caller (uncooperative) 2208001 LA17579-6
Diversion/failure (of previous unit) 2208003 LA17183-7
High call volume 2208005 LA17580-4
Language barrier 2208007 LA7540-3
No EMS vehicles (units) available 2208011 LA17582-0
None/no delay 2208013 LA18081-2
Other (not listed) 2208015 LA17059-9
Technical failure (computer, phone etc.) 2208017 LA17584-6
Communication specialist-assignment error 2208019 LA32992-2
No receiving MD, bed, hospital 2208021 LA32993-0
Specialty team delay 2208023 LA32994-8
Incomplete address information provided 2208009 LA33039-1

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Retraso de envío:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Dispatch, ritardo:Tipo:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Ritardo del dispatch
zh-CN Chinese (China) 调度延迟:类型:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 型 时刻;随机;随意;瞬间 派遣延迟;调遣延迟;调度延期;调度耽搁;调度推迟;调度拖延

67557-9 The response delays, if any, of the unit associated with the patient encounter

Fully-Specified Name

Component
Response delay
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Response delay NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The response delays, if any, of the unit associated with the patient encounter
Source
EResponse.09

Normative Answer List LL1836-7

Answer Code Score Answer ID
Crowd 2209001 LA17585-3
Directions/unable to locate 2209003 LA17586-1
Distance 2209005 LA17587-9
Diversion 2209007 LA18301-4
HazMat 2209009 LA17588-7
None/no delay 2209011 LA18081-2
Other (not listed) 2209013 LA17059-9
Rendezvous transport unavailable 2209015 LA18270-1
Route obstruction (e.g., train) 2209017 LA18271-9
Scene safety (not secure for EMS) 2209019 LA17583-8
Staff delay 2209021 LA17590-3
Traffic 2209023 LA17591-1
Vehicle crash involving this unit 2209025 LA17592-9
Vehicle failure of this unit 2209027 LA17593-7
Weather (other) 2209029 LA17594-5
Mechanical Issue-Unit, Equipment, etc. 2209031 LA24421-2
Flight Planning 2209033 LA24422-0

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Retraso de respuesta:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Risposta, ritardo:Tipo:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 响应延迟:类型:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 响应（反应）延迟（延期、延误、推迟、耽误、耽搁） 型 时刻;随机;随意;瞬间

67558-7 The scene delays, if any, of the unit associated with the patient encounter

Fully-Specified Name

Component
Scene delay
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Scene delay NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The scene delays, if any, of the unit associated with the patient encounter
Source
EResponse.10

Normative Answer List LL1837-5

Answer Code Score Answer ID
Awaiting air unit 2210001 LA18272-7
Awaiting ground unit 2210003 LA18273-5
Crowd 2210005 LA17585-3
Directions/unable to locate 2210007 LA17586-1
Distance 2210009 LA17587-9
Extrication 2210011 LA17595-2
HazMat 2210013 LA17588-7
Language barrier 2210015 LA7540-3
None/no delay 2210017 LA18081-2
Other (not listed) 2210019 LA17059-9
Patient access 2210021 LA18275-0
Safety-crew/staging 2210023 LA17596-0
Safety-patient 2210025 LA17597-8
Staff delay 2210027 LA17590-3
Traffic 2210029 LA17591-1
Triage/multiple patients 2210031 LA18276-8
Vehicle crash involving this unit 2210033 LA17592-9
Vehicle failure of this unit 2210035 LA17593-7
Weather (other) 2210037 LA17594-5
Mechanical Issue-Unit, Equipment, etc. 2210039 LA24421-2

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Retraso de escena:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Scena, ritardo:Tipo:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 现场延迟:类型:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 型 时刻;随机;随意;瞬间 现场延误;现场耽搁;现场误期;现场延期

67559-5 The transport delays, if any, of the unit associated with the patient encounter

Fully-Specified Name

Component
Transport delay
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Transport delay NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The transport delays, if any, of the unit associated with the patient encounter
Source
EResponse.11

Normative Answer List LL1838-3

Answer Code Score Answer ID
Crowd 2211001 LA17585-3
Directions/unable to locate 2211003 LA17586-1
Distance 2211005 LA17587-9
Diversion 2211007 LA18301-4
HazMat 2211009 LA17588-7
None/no delay 2211011 LA18081-2
Other (not listed) 2211013 LA17059-9
Rendezvous transport unavailable 2211015 LA18270-1
Route obstruction (e.g., train) 2211017 LA18271-9
Safety 2211019 LA17589-5
Staff delay 2211021 LA17590-3
Traffic 2211023 LA17591-1
Vehicle crash involving this unit 2211025 LA17592-9
Vehicle failure of this unit 2211027 LA17593-7
Weather (other) 2211029 LA17594-5
Patient Condition Change (e.g., Unit Stopped) 2211031 LA24424-6

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Retraso de transporte:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Trasporto, ritardo:Tipo:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 运输延迟:类型:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 型 时刻;随机;随意;瞬间 运输（运输、输送）延迟（延期、延误、推迟、耽误、耽搁）

67560-3 The turn-around delays, if any, associated with the EMS unit associated with the patient encounter

Fully-Specified Name

Component
Turn-around delay
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Turn-around delay NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The turn-around delays, if any, associated with the EMS unit associated with the patient encounter
Source
EResponse.12

Normative Answer List LL1839-1

Answer Code Score Answer ID
Clean-up 2212001 LA17598-6
Decontamination 2212003 LA17599-4
Distance 2212005 LA17587-9
Documentation 2212007 LA17600-0
ED overcrowding/transfer of care 2212009 LA17601-8
Equipment failure 2212011 LA7497-6
Equipment/supply replenishment 2212013 LA17602-6
None/no delay 2212015 LA18081-2
Other (not listed) 2212017 LA17059-9
Rendezvous transport unavailable 2212019 LA18270-1
Route obstruction (e.g., train) 2212021 LA18271-9
Staff delay 2212023 LA17590-3
Traffic 2212025 LA17591-1
Vehicle crash involving this unit 2212027 LA17592-9
Vehicle failure of this unit 2212029 LA17593-7
Weather (other) 2212031 LA17594-5
EMS Crew Accompanies Patient for Facility Procedure 2212033 LA24425-3

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Retraso de respuesta:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Tempi di risposta, ritardo:Tipo:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Ritardo nei tempi di risposta
zh-CN Chinese (China) 周转延迟:类型:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 周转延迟（延期、延误、推迟、耽误、耽搁） 型 时刻;随机;随意;瞬间

69466-1 The EMS Location or healthcare facility name representing the geographic location of the vehicle at the time of dispatch.

Fully-Specified Name

Component
Vehicle location^at dispatch
Property
Loc
Time
Pt
System
^Vehicle
Scale
Ord
Method
NEMSIS

Additional Names

Short Name
Facility or geographic location

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The EMS Location or healthcare facility name representing the geographic location of the vehicle at the time of dispatch.
Source
EResponse.16

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Ubicación del vehículo ^ en el momento del envío:Loc:Punto temporal:^ Vehículo:Ordinal:NEMSIS
it-IT Italian (Italy) Veicolo, posizione^al dispatch:Loc:Pt:^Veicolo:Ord:NEMSIS
Synonyms: National EMS Information System data - dati del Si Posizione Posizione del veicolo;Posizione nel veicolo Punto nel tempo (episodio)
zh-CN Chinese (China) 机动车位置^在调度时:位置:时间点:^机动车:序数型:NEMSIS
Synonyms: 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 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 在调遣时;在分派时;在派遣时 地点;场所 地点;场所;部位;定位;地方 时刻;随机;随意;瞬间 车辆;机动车辆;交通工具;运输工具;车子 车辆位置（地点、定位、地方、地理位置、工作地点、场所）;机动车辆位置;交通工具位置;运输工具位置;车子位置;机动车地点

52002-3 Ambulance transport, Destination site latitude coordinate

Fully-Specified Name

Component
Destination site latitude
Property
Angle
Time
Pt
System
Ambulance transport
Scale
Qn
Method

Basic Attributes

Class
ATTACH.AMB
Type
Claims Attachments
First Released
Version 2.24
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
15512-7 Ambulance transport, Destination site information Set
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Luogo di destinazione, latitudine:Angolo:Pt:Ambulanza, trasporto:Qn:
Synonyms: Allegato Allegato ambulanza Coordinate di latitudine del luogo di destinazione Posto;Luogo Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Latitude do local de destino:Ângulo:Pt:Transporte de ambulância:Qn:
Synonyms: Point in time; Random; Quantitative; QNT; Quant; Quan
ru-RU Russian (Russian Federation) Назначение место широта:Угол:ТчкВрм:Скорая медицинская помощь транспорт:Колич:
Synonyms: Количественный Пункт назначения Точка во времени;Момент Точка назначения;Место назначения;Пункт назначения
zh-CN Chinese (China) 目的地场所纬度:角度:时间点:救护车运输:定量型:
Synonyms: Health Insurance Portability and Accountability Act of 1996;HIPAA;健康保險可攜與責任法;HIPAA法案;健康保险可移植性和问责法1996年;美国健康保险携带和责任法案;医疗保险便携性和责任法案;医疗保险便携性与责任法案;醫療保險可攜性與責任法;HIPAA 信息附件.救护船;HIPAA 信息附件.救护艇;HIPAA 信息附件.救护运输工具;HIPAA 信息附件.流动医院;HIPAA 信息附件.野战医院;健康保险便携与责任法案信息附件.救护船 位点;位置 信息附件;健康保险便携与责任法案信息附件;附件 几何学角度;几何角度 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 急救车;救护车[船,飞机];红十字车;野战医院;流动医院 救护车运送 时刻;随机;随意;瞬间 目的地（终点、目的、目标）场所（地点、位置、现场） 目的地（终点、目的、目标）场所（地点、位置、现场）纬度 终点;目的;目标 范围;黄纬

52003-1 Ambulance transport, Destination site longitude coordinate

Fully-Specified Name

Component
Destination site longitude
Property
Angle
Time
Pt
System
Ambulance transport
Scale
Qn
Method

Basic Attributes

Class
ATTACH.AMB
Type
Claims Attachments
First Released
Version 2.24
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
15512-7 Ambulance transport, Destination site information Set
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Luogo di destinazione, longitudine:Angolo:Pt:Ambulanza, trasporto:Qn:
Synonyms: Allegato Allegato ambulanza Coordinate di longitudine del luogo di destinazion Posto;Luogo Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Longitude do local de destino:Ângulo:Pt:Transporte de ambulância:Qn:
Synonyms: Point in time; Random; Quantitative; QNT; Quant; Quan
ru-RU Russian (Russian Federation) Назначение место долгота:Угол:ТчкВрм:Скорая медицинская помощь транспорт:Колич:
Synonyms: Количественный Пункт назначения Точка во времени;Момент Точка назначения;Место назначения;Пункт назначения
zh-CN Chinese (China) 目的地场所经度:角度:时间点:救护车运输:定量型:
Synonyms: Health Insurance Portability and Accountability Act of 1996;HIPAA;健康保險可攜與責任法;HIPAA法案;健康保险可移植性和问责法1996年;美国健康保险携带和责任法案;医疗保险便携性和责任法案;医疗保险便携性与责任法案;醫療保險可攜性與責任法;HIPAA 信息附件.救护船;HIPAA 信息附件.救护艇;HIPAA 信息附件.救护运输工具;HIPAA 信息附件.流动医院;HIPAA 信息附件.野战医院;健康保险便携与责任法案信息附件.救护船 位点;位置 信息附件;健康保险便携与责任法案信息附件;附件 几何学角度;几何角度 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 急救车;救护车[船,飞机];红十字车;野战医院;流动医院 救护车运送 时刻;随机;随意;瞬间 目的地（终点、目的、目标）场所（地点、位置、现场） 目的地（终点、目的、目标）场所（地点、位置、现场）经度 终点;目的;目标 经线;黄经

67484-6 The mileage (counter or odometer reading) of the vehicle at the beginning of the call (when the wheels begin moving).

Term Description

If a mileage counter is being used instead of an odometer, this value would 0.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Counter or odometer reading^beginning of call
Property
Num
Time
Pt
System
^Vehicle
Scale
Qn
Method

Additional Names

Short Name
Odometer beginning of call Vehicle

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.64
Change Reason
Updated System from "^Patient" to "^Vehicle"; Removed Method of NEMSIS since this is a general concept that can be used for various EMS protocols and is not specific to NEMSIS.

Survey Question

Text
The mileage (counter or odometer reading) of the vehicle at the beginning of the call (when the wheels begin moving).
Source
EResponse.19

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Lectura del contador o del odómetro ^ inicio de llamada:Num:Punto temporal:^ Vehículo:Cuantitativo:
it-IT Italian (Italy) Lettura del contatore o del contachilometri^inizio telefonata:Num:Pt:^Veicolo:Qn:
Synonyms: National EMS Information System data - dati del Si Numero (conta) Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Счётчик или одометр показание^начало вызова:Кол:ТчкВрм:^Транспортное средство:Колич:
Synonyms: Количественный Количество Точка во времени;Момент
zh-CN Chinese (China) 计数器或里程表读数^开始呼叫:数量(计数):时间点:^机动车:定量型:
Synonyms: 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 个数;数量;数量或计数（非负整数）;计数 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 呼叫开始;电话开始;开始通话;开始调用 时刻;随机;随意;瞬间 计数器或里程计读数;计数器或计程器读数 车辆;机动车辆;交通工具;运输工具;车子

Example Units

Unit Source
[mi_us] Example UCUM Units

67485-3 The mileage (counter or odometer reading) of the vehicle when it arrives at the patient

Term Description

If using a counter, this is the mileage traveled from dispatch to the scene starting from 0
Source: Regenstrief LOINC

Fully-Specified Name

Component
Counter or odometer reading^patient arrival
Property
Num
Time
Pt
System
^Vehicle
Scale
Qn
Method

Additional Names

Short Name
Odometer reading arrive

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.64
Change Reason
Updated System from "^Patient" to "^Vehicle"; Removed Method of NEMSIS since this is a general concept that can be used for various EMS protocols and is not specific to NEMSIS.

Survey Question

Text
The mileage (counter or odometer reading) of the vehicle when it arrives at the patient
Source
EResponse.20

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Lectura del contador o del odómetro ^ llegada del paciente:Num:Punto temporal:^ Vehículo:Cuantitativo:
it-IT Italian (Italy) Lettura del contatore o del contachilometri^arrivo paziente:Num:Pt:^Veicolo:Qn:
Synonyms: National EMS Information System data - dati del Si Numero (conta) Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Счётчик или одометр показание^к пациент прибытие:Кол:ТчкВрм:^Транспортное средство:Колич:
Synonyms: Количественный Количество Точка во времени;Момент
zh-CN Chinese (China) 计数器或里程表读数^患者到达:数量(计数):时间点:^机动车:定量型:
Synonyms: 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 个数;数量;数量或计数（非负整数）;计数 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 患者的到达;病人的到达;病人到达;患者的抵达;患者抵达;患者到来;患者的到来 时刻;随机;随意;瞬间 计数器或里程计读数;计数器或计程器读数 车辆;机动车辆;交通工具;运输工具;车子

Example Units

Unit Source
[mi_us] Example UCUM Units

67486-1 The mileage (counter or odometer reading) of the vehicle when it arrives at the patient's destination

Term Description

If using a counter, this is the mileage traveled from dispatch to the patients transport destination starting from 0
Source: Regenstrief LOINC

Fully-Specified Name

Component
Counter or odometer reading^patient destination
Property
Num
Time
Pt
System
^Vehicle
Scale
Qn
Method

Additional Names

Short Name
Odometer reading dest

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.64
Change Reason
Updated System from "^Patient" to "^Vehicle"; Removed Method of NEMSIS since this is a general concept that can be used for various EMS protocols and is not specific to NEMSIS.

Survey Question

Text
The mileage (counter or odometer reading) of the vehicle when it arrives at the patient's destination
Source
EResponse.21

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Lectura del contador o del odómetro ^ destino del paciente:Num:Punto temporal:^ Vehículo:Cuantitativo:
it-IT Italian (Italy) Lettura del contatore o del contachilometri^destinazione paziente:Num:Pt:^Veicolo:Qn:
Synonyms: National EMS Information System data - dati del Si Numero (conta) Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Счётчик или одометр показание^к пациент место назначения:Кол:ТчкВрм:^Транспортное средство:Колич:
Synonyms: Количественный Количество Пункт назначения Точка во времени;Момент
zh-CN Chinese (China) 计数器或里程表读数^患者目的地:数量(计数):时间点:^机动车:定量型:
Synonyms: 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 个数;数量;数量或计数（非负整数）;计数 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 患者（病人、病患、病号）目的地（终点、目的、目标） 时刻;随机;随意;瞬间 终点;目的;目标 计数器或里程计读数;计数器或计程器读数 车辆;机动车辆;交通工具;运输工具;车子

Example Units

Unit Source
[mi_us] Example UCUM Units

67487-9 The ending mileage (counter or odometer reading) of the vehicle (at time back in service)

Term Description

If using a counter, this is the mileage traveled beginning with dispatch through the transport of the patient to their destination and ending.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Counter or odometer reading^end of call
Property
Num
Time
Pt
System
^Vehicle
Scale
Qn
Method

Additional Names

Short Name
Odometer end of call Vehicle

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.64
Change Reason
Updated System from "^Patient" to "^Vehicle"; Removed Method of NEMSIS since this is a general concept that can be used for various EMS protocols and is not specific to NEMSIS.

Survey Question

Text
The ending mileage (counter or odometer reading) of the vehicle (at time back in service)
Source
EResponse.22

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Lectura del contador o del odómetro ^ fin de llamada:Num:Punto temporal:^ Vehículo:Cuantitativo:
it-IT Italian (Italy) Lettura del contatore o del contachilometri^fine della chiamata:Num:Pt:^Veicolo:Qn:
Synonyms: National EMS Information System data - dati del Si Numero (conta) Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Счётчик или одометр показание^окончание вызова:Кол:ТчкВрм:^Транспортное средство:Колич:
Synonyms: Количественный Количество Точка во времени;Момент
zh-CN Chinese (China) 计数器或里程表读数^调用结束:数量(计数):时间点:^机动车:定量型:
Synonyms: 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 个数;数量;数量或计数（非负整数）;计数 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 呼叫结束;电话结束 时刻;随机;随意;瞬间 计数器或里程计读数;计数器或计程器读数 车辆;机动车辆;交通工具;运输工具;车子

Example Units

Unit Source
[mi_us] Example UCUM Units

67482-0 The indication whether the response was emergent or non-emergent. An emergent response is an immediate response.

Fully-Specified Name

Component
Response mode to scene
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Response mode to scene NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The indication whether the response was emergent or non-emergent. An emergent response is an immediate response.
Source
EResponse.23

Normative Answer List LL1800-3

Answer Code Score Answer ID
Emergent (immediate response) 2223001; 4217001 LA17177-9
Emergent downgraded to non-emergent 2223003; 4217003 LA17178-7
Non-emergent upgraded to emergent 2223007; 4217007 LA17179-5
Non-emergent 2223005; 4217005 LA17180-3

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Modo de respuesta a la escena:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Modalità di risposta alla scena:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 对于现场的响应方式:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 对于现场的响应（反应）方式（模式） 时刻;随机;随意;瞬间

77157-6 EMS Response mode descriptors NEMSIS

Term Description

The documentation of response mode techniques, such as lights and sirens, used for the EMS response. This includes information on whether the EMS event was schedule or unscheduled.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Response mode descriptors
Property
Type
Time
Pt
System
EMS response
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
EMS Response mode descriptors NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.52
Order vs. Observation
Observation

Normative Answer List LL3316-8

Answer Code Score Answer ID
Intersection Navigation-Against Normal Light Patterns 2224001 LA22798-5
Intersection Navigation-With Automated Light Changing Technology 2224003 LA22799-3
Intersection Navigation-With Normal Light Patterns 2224005 LA22800-9
Scheduled 2224007 LA22866-0
Speed-Enhanced per Local Policy 2224009 LA22801-7
Speed-Normal Traffic 2224011 LA22802-5
Unscheduled 2224013 LA22869-4
Lights and Sirens 2224015 LA22803-3
Lights and No Sirens 2224017 LA22804-1
No Lights or Sirens 2224019 LA22805-8
Initial No Lights or Sirens, Upgraded to Lights and Sirens 2224021 LA22806-6
Initial Lights and Sirens, Downgraded to No Lights or Sirens 2224023 LA22807-4

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Descriptores de modo de respuesta:Tipo:Punto temporal:Respuesta de EMS:Nominal:NEMSIS
it-IT Italian (Italy) Risposta, descrittori modalità:Tipo:Pt:Servizi Medici di Emergenza, risposta:Nom:NEMSIS
Synonyms: Descrittori modalità risposta National EMS Information System data - dati del Si Punto nel tempo (episodio)
zh-CN Chinese (China) 响应方式描述符:类型:时间点:急救医疗服务响应:名义型:NEMSIS
Synonyms: EMS 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 响应（反应、应答）方式（模式、状况）描述符（叙词、描述词、解说符） 型 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）响应（反应、应答） 急诊医疗服务 时刻;随机;随意;瞬间 紧救医疗服务

77156-8 EMS unit Level of care capability

Term Description

The level of care (such as BLS or ALS) the EMS unit/crew is able to provide based on the units' treatment capabilities for this EMS response. For example, if a unit/crew is staffed with an EMT-Intermediate or EMT-Paramedic but the unit is either licensed or stocked at a BLS level, the appropriate level of care is "BLS-Basic". This is because the care provided to patients is limited to BLS skills.
Source: Regenstrief LOINC

Fully-Specified Name

Component
EMS level of care capability
Property
Type
Time
Pt
System
EMS unit
Scale
Nom
Method

Additional Names

Short Name
EMS level of care

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.63
Change Reason
Removed method of NEMSIS since this concept is not specific to NEMSIS and can be applied across EMS datasets and for other use-cases.
Order vs. Observation
Observation

Normative Answer List LL3320-0

Answer Code Score Answer ID
BLS-First Responder/EMR 2215001 LA22851-2
BLS-Basic /EMT 2215003 LA22852-0
BLS-AEMT 2215005 LA22853-8
BLS-Intermediate 2215007 LA22854-6
ALS-AEMT 2215009 LA22855-3
ALS-Intermediate 2215011 LA22856-1
ALS-Paramedic 2215013 LA22857-9
ALS-Community Paramedicine 2215015 LA22858-7
ALS-Nurse 2215017 LA22859-5
ALS-Physician 2215019 LA22860-3
Specialty Critical Care 2215021 LA22861-1
BLS-Community Paramedicine 2215023 LA22862-9

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Nivel de capacidad de atención de EMS:Tipo:Punto temporal:Unidad EMS:Nominal:
it-IT Italian (Italy) Servizi Medici di Emergenza, livello di cura:Tipo:Pt:Servizi Medici di Emergenza, unità:Nom:
Synonyms: National EMS Information System data - dati del Si Punto nel tempo (episodio)
zh-CN Chinese (China) 照护服务能力急救医疗服务级别:类型:时间点:急救医疗服务单元:名义型:
Synonyms: EMS 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 型 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）单元（单位、病房） 急诊医疗服务 时刻;随机;随意;瞬间 照护（照护服务、医疗护理服务、护理服务、医疗护理、护理、看护）等级（级别、层次、水平、分级） 照护服务（照护、医疗护理服务）能力急救医疗服务（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）级别（分级、等级、水平）;照护服务能力 EMS 级别 程度 等级 紧救医疗服务 级 级别

67665-0 EMS scene Narrative NEMSIS

Term Description

Location, other services present, number of patients
Source: Regenstrief LOINC

Fully-Specified Name

Component
EMS scene
Property
-
Time
Pt
System
^Patient
Scale
Nar
Method
NEMSIS

Additional Names

Short Name
EMS scene NEMSIS

Basic Attributes

Class
PANEL.NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50
Panel Type
Panel

Survey Question

Source
EScene

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Escena EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT Italian (Italy) Servizi Medici di Emergenza, luogo:-:Pt:^Paziente:Nar:NEMSIS
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN Chinese (China) 急救医疗服务现场:-:时间点:^患者:叙述型:NEMSIS
Synonyms: EMS 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 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.NEMSIS;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）.NEMSIS;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;NEMSIS 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 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 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）现场;急救医疗服务 事发地点 急诊医疗服务 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 紧救医疗服务 组 组合 组合医嘱 组合类 组套

67481-2 Documentation that this EMS Unit was the first EMS Unit for any EMS Agency on the Scene.

Fully-Specified Name

Component
First EMS unit on scene
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
First EMS unit on scene NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Documentation that this EMS Unit was the first EMS Unit for any EMS Agency on the Scene.
Source
EScene.01

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Primera unidad EMS en escena:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Prima unità di Servizi Medici di Emergenza sulla scena:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 现场的第一个急救医疗服务单元:发现:时间点:^患者:名义型:NEMSIS
Synonyms: EMS 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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） 急诊医疗服务 时刻;随机;随意;瞬间 现场的单元（单位、团队、小组、病房）;现场的急救医疗服务（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）单元 现场的第一个急救医疗服务小组;现场的首个急救医疗服务单元 紧救医疗服务

67489-5 Indicator of how many total patients were at the scene

Fully-Specified Name

Component
Total patients at the scene
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Total pts at scene NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Indicator of how many total patients were at the scene
Source
EScene.06

Normative Answer List LL1841-7

Answer Code Score Answer ID
Single 2707005 LA17717-2
Multiple 2707001 LA15382-7
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) 2707003 LA137-2

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Total de pacientes en la escena:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Totale pazienti alla scena:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 现场的全部患者:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 全体数量 全部 共计 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 总 总和 总数 总量 总额 时刻;随机;随意;瞬间 汇总 现场的全部病人;现场的所有患者

67490-3 Indicator if this event would be considered a mass casualty incident (overwhelmed existing EMS resources)

Fully-Specified Name

Component
Mass casualty incident
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Mass casualty incident NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Indicator if this event would be considered a mass casualty incident (overwhelmed existing EMS resources)
Source
EScene.07

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Incidente con víctimas masivas:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Mass casualty incident:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 大型伤亡事故:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 大规模伤亡事件;大规模伤亡事故;群死群伤事故 时刻;随机;随意;瞬间

67666-8 EMS situation Narrative NEMSIS

Term Description

Complaint
Source: Regenstrief LOINC

Fully-Specified Name

Component
EMS situation
Property
-
Time
Pt
System
^Patient
Scale
Nar
Method
NEMSIS

Additional Names

Short Name
EMS situation NEMSIS

Basic Attributes

Class
PANEL.NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50
Panel Type
Panel

Survey Question

Source
ESituation

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Situación EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT Italian (Italy) Servizi Medici di Emergenza, situazione:-:Pt:^Paziente:Nar:NEMSIS
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN Chinese (China) 急救医疗服务患者情况:-:时间点:^患者:叙述型:NEMSIS
Synonyms: EMS 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 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.NEMSIS;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）.NEMSIS;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;NEMSIS 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 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 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（病人、病号、病患）情况;急救医疗服务 病人情况;急救医疗服务 患者状况 急诊医疗服务 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 紧救医疗服务 组 组合 组合医嘱 组合类 组套

10154-3 Chief complaint Narrative - Reported

Term Description

Chief complaint records the patient's primary complaint (the patient's own description).
Source: Regenstrief LOINC

Fully-Specified Name

Component
Chief complaint
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Additional Names

Short Name
Chief complaint Reported

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.63

Member of these Panels

LOINC Long Common Name
69459-6 Care record summary panel
81898-9 Composite triage and nursing note - recommended IHE set
72231-4 Consultation note - recommended C-CDA R1.1 sections
81222-2 Consultation note - recommended C-CDA R2.0 and R2.1 sections
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
72229-8 Discharge summary - recommended C-CDA R1.1 sections
81219-8 Discharge summary - recommended C-CDA R2.0 sections
81218-0 Discharge summary - recommended C-CDA R2.1 sections
81242-0 Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7 Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8 Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
81244-6 Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0 History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
92575-0 Labor and delivery admission history and physical - recommended IHE set
57083-8 Labor and Delivery record panel
92574-3 Labor and delivery summary - recommended IHE set
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
82811-1 Nurse summary note - recommended sections
59843-3 Procedure note - recommended C-CDA R1.1 sections
81217-2 Procedure note - recommended C-CDA R2.0 and R2.1 sections
72225-6 Progress note - recommended C-CDA R1.1 sections
81216-4 Progress note - recommended C-CDA R2.0 and R2.1 sections
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Queja principal:Tipo:Punto temporal:^ Paciente:Narrativo:Reported
es-AR Spanish (Argentina) motivo de consulta principal:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
fr-BE French (Belgium) Plainte principale:Observation:Temps ponctuel:^Patient:Narratif:Rapporté
it-IT Italian (Italy) Disturbo principale:Osservazione:Pt:^Paziente:Nar:Riportato
Synonyms: Anamnesi Disturbo primario Lamenta Osservazione paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) belangrijkste klacht:bevinding:moment:^patiënt:tekstueel:rapportage
ru-RU Russian (Russian Federation) Основная жалоба:Находка:ТчкВрм:^Пациент:Опис:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Описательный Проблема;Заболевание Точка во времени;Момент
zh-CN Chinese (China) 主诉:发现:时间点:^患者:叙述型:报告法
Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 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 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 控诉;申诉;指控;不平;牢骚;委屈;意见;怨言;病痛;主诉 时刻;随机;随意;瞬间 病史与体格检查

69467-9 Possible injury

Term Description

Indicates that the most likely reason for the EMS event or patient encounter was related to an injury or traumatic event. This data element provides documentation to classify the EMS Reason for Encounter as either injury or non-injury related
based on mechanism and not on actual injury.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Possible injury
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NEMSIS

Additional Names

Short Name
Possible injury NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Possible injury
Source
ESituation.02

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Posible lesion:Tipo:Punto temporal:^ Paciente:Ordinal:NEMSIS
it-IT Italian (Italy) Possibile lesione:Osservazione:Pt:^Paziente:Ord:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 可能的损伤:发现:时间点:^患者:序数型:NEMSIS
Synonyms: 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 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 可能的损害;可能的伤害;可能的受伤处 时刻;随机;随意;瞬间

67492-9 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

Term Description

Chapters I through XIX contain the list of possible Diseases (Impressions) which can be documented as the ICD-10 code. Based on the ICD-10 Primary Symptom Code
Source: Regenstrief LOINC

Fully-Specified Name

Component
Primary problem
Property
Imp
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Primary problem Imp NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
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
Source
ESituation.11

Normative Answer List LL1892-0

Externally Defined
Yes
Code System
Code System OID
1.3.6.1.4.1.12009.10.1.1069
Link to External List
http://www.cdc.gov/nchs/icd.htm

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Problema principal:Interpretación:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Problema principale:Imp:Pt:^Paziente:Nom:NEMSIS
Synonyms: Impressione/interpretazione di studio National EMS Information System data - dati del Si paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 首要问题:印象:时间点:^患者:名义型:NEMSIS
Synonyms: 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 主要问题;第一位的问题 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 印象是一种诊断陈述，始终是对其他某种观察指标的解释或抽象（一系列检验项目结果、一幅图像或者整个某位病人），而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释 时刻;随机;随意;瞬间 难题;困难;棘手问题;麻烦;乱子;疑难问题;疑难

67776-5 Other symptoms identified by the patient or observed by EMS personnel based on the ICD-10 Primary Symptom Code

Term Description

Other symptoms identified by the patient or observed by EMS personnel based on the ICD-10 Primary Symptom Code
Source: Regenstrief LOINC

Fully-Specified Name

Component
Other symptoms
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Other symptoms NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Other symptoms identified by the patient or observed by EMS personnel based on the ICD-10 Primary Symptom Code
Source
ESituation.10

Normative Answer List LL1892-0

Externally Defined
Yes
Code System
Code System OID
1.3.6.1.4.1.12009.10.1.1069
Link to External List
http://www.cdc.gov/nchs/icd.htm

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Otros sintomas:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Altri sintomi:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 其他症状:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 其他的 其他的症状 其它 其它的 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 别的 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 另外的 时刻;随机;随意;瞬间 症状类

67493-7 The condition of the patient on EMS arrival at the scene

Fully-Specified Name

Component
Initial patient acuity
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Initial patient acuity NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The condition of the patient on EMS arrival at the scene
Source
ESituation.13

Normative Answer List LL1843-3

Answer Code Score Answer ID
Critical (red) 2813001 LA17696-8
Emergent (yellow) 2813003 LA17695-0
Lower acuity (green) 2813005 LA17694-3
Dead without resuscitation efforts (black) 2813007 LA17697-6
Non-acute/routine 2813009 LA32920-3

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Agudeza inicial del paciente:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Acuità iniziale del paziente:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 最初患者病情危急程度:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 时刻;随机;随意;瞬间 最初（最早、早期、初始、开始、起始）患者（病人、病患、病号）病情（疾病）危急（剧烈、严重、危及、紧急）程度;最初患者紧急程度;患者最初紧急程度;患者最初病情紧急程度

69542-9 Provider's Secondary Impressions

Term Description

The EMS personnel's impression of the patient's secondary problem or most significant condition which led
to the management given to the patient (treatments, medications, or procedures). Code list is represented in ICD-10-CM: Diagnoses Codes, see suggested NEMSIS list of provider impression codes.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Secondary problem
Property
Imp
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Secondary problem Imp NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Provider's Secondary Impressions
Source
ESituation.12

Normative Answer List LL1892-0

Externally Defined
Yes
Code System
Code System OID
1.3.6.1.4.1.12009.10.1.1069
Link to External List
http://www.cdc.gov/nchs/icd.htm

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Problema secundario:Interpretación:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Problema secondario:Imp:Pt:^Paziente:Nom:NEMSIS
Synonyms: Impressione/interpretazione di studio National EMS Information System data - dati del Si paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 次要问题:印象:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 印象是一种诊断陈述，始终是对其他某种观察指标的解释或抽象（一系列检验项目结果、一幅图像或者整个某位病人），而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释 时刻;随机;随意;瞬间 次级问题 难题;困难;棘手问题;麻烦;乱子;疑难问题;疑难

67843-3 EMS social history Narrative NEMSIS

Fully-Specified Name

Component
EMS social history
Property
-
Time
Pt
System
^Patient
Scale
Nar
Method
NEMSIS

Additional Names

Short Name
EMS social hx NEMSIS

Basic Attributes

Class
PANEL.NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50
Panel Type
Panel

Survey Question

Source
EHistory Social

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Historia social de EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT Italian (Italy) Servizi Medici di Emergenza, stile di vita:-:Pt:^Paziente:Nar:NEMSIS
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Servizi medici di emergenza, storia so Set di dati del Sistema Informativo del Servizio d
zh-CN Chinese (China) 急救医疗服务社会史:-:时间点:^患者:叙述型:NEMSIS
Synonyms: EMS 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 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.NEMSIS;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）.NEMSIS;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;NEMSIS 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 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 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）社会史 急诊医疗服务 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 社会历史 紧救医疗服务 组 组合 组合医嘱 组合类 组套

69757-3 Are there any indications of drug or alcohol use by the patient?

Fully-Specified Name

Component
Indications of drug or alcohol use by the patient
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NEMSIS

Additional Names

Short Name
Indications drug alcohol by pt NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Are there any indications of drug or alcohol use by the patient?

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Indicaciones de consumo de drogas o alcohol por parte del paciente.:Tipo:Punto temporal:^ Paciente:Ordinal:NEMSIS
it-IT Italian (Italy) Indiczaioni di uso di stupefacenti o alcol da parte del paziente:Osservazione:Pt:^Paziente:Ord:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 关于患者使用毒品或酒精的指征:发现:时间点:^患者:序数型:NEMSIS
Synonyms: 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 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 关于患者使用毒品或使用酒精（喝酒、饮酒、酒精饮用、喝酒情况、饮酒情况、酒精饮用情况、酒精使用情况）的适应症（适应证、指征）;关于患者毒品或酒精使用的指征;关于患者使用毒品或酒精的迹象;关于患者吸毒或饮酒的指征;关于患者吸毒或酗酒的指征 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 喝酒;饮酒;酒精饮用;喝酒情况;饮酒情况;酒精饮用情况;酒精使用情况 时刻;随机;随意;瞬间 毒品 毒品;麻醉药;麻醉品;麻药;兴奋剂;药品 毒品类 药品类 药物 药物类 适应证;指征;适应症类

67669-2 Indicators for the potential use of alcohol or drugs by the patient.

Fully-Specified Name

Component
Alcohol - drug use
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Alcohol - drug use NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Indicators for the potential use of alcohol or drugs by the patient.
Source
EHistory.17

Normative Answer List LL1819-3

Answer Code Score Answer ID
Unable to determine 2907033 LA11137-9
Alcohol containers/paraphernalia at scene 3117001 LA17323-9
Drug paraphernalia at scene 3117003 LA17324-7
Patient admits to alcohol use 3117005 LA17325-4
Patient admits to drug use 3117007 LA17326-2
Positive level known from law enforcement or hospital record 3117009 LA17327-0
Physical exam indicates suspected alcohol or drug use 3117013 LA32962-5

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Alcohol - consumo de drogas:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Alcol - uso di droghe:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 酒精 - 药物滥用:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 时刻;随机;随意;瞬间 毒品 毒品;麻醉药;麻醉品;麻药;兴奋剂;药品 毒品类 药品类 药物 药物（毒品、麻醉药、麻醉品、麻药、兴奋剂、药品）使用（利用、服用） 药物类

67667-6 EMS times Narrative NEMSIS

Term Description

Times recorded to assess delays
Source: Regenstrief LOINC

Fully-Specified Name

Component
EMS times
Property
-
Time
Pt
System
^Patient
Scale
Nar
Method
NEMSIS

Additional Names

Short Name
EMS times NEMSIS

Basic Attributes

Class
PANEL.NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50
Panel Type
Panel

Survey Question

Source
ETimes

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Tiempos de EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT Italian (Italy) Servizi Medici di Emergenza, tempi:-:Pt:^Paziente:Nar:NEMSIS
Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN Chinese (China) 急救医疗服务时间:-:时间点:^患者:叙述型:NEMSIS
Synonyms: EMS 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 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.NEMSIS;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）.NEMSIS;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;NEMSIS 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 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 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）时间;急救医疗服务 时间类 急诊医疗服务 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 紧救医疗服务 组 组合 组合医嘱 组合类 组套

69469-5 911 call to public safety answering point or other designated entity requesting EMS services [Date and time] Facility

Fully-Specified Name

Component
911 call to public safety answering point or other designated entity requesting EMS services
Property
TmStp
Time
Pt
System
Facility
Scale
Qn
Method

Additional Names

Short Name
911 call time Facility

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.64
Change Reason
Removed Method of NEMSIS since this is a general concept that can be used for various EMS protocols and is not specific to NEMSIS.

Survey Question

Source
ETimes.01

Member of these Panels

LOINC Long Common Name
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Llamada al 911 al punto de respuesta de seguridad pública u otra entidad designada que solicite servicios EMS:TmStp:Punto temporal:Instalaciones:Cuantitativo:
it-IT Italian (Italy) 118 chiamata a punto di risposta di pubblica sicurezza altro ente designato richiedendo Servizi Medici di Emergenza:TmStp:Pt:Struttura:Qn:
Synonyms: National EMS Information System data - dati del Si Punto nel tempo (episodio) Time stamp (Data e Ora)
ru-RU Russian (Russian Federation) 911 звонок в службы спасения пункт или другую специальную службу, запрашивающий СМП:TmStp:ТчкВрм:Учреждение:Колич:
Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени;Момент
zh-CN Chinese (China) 旨在请求急救医疗服务（EMS）打给紧急通信受理中心或其他指定实体的911电话:时间戳:时间点:设施:定量型:
Synonyms: EMS 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 其他的 其它 其它的 别的 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 另外的 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS） 急诊医疗服务 时刻;随机;随意;瞬间 紧救医疗服务

69471-1 Responding unit was notified by dispatch [Date and time] Vehicle

Fully-Specified Name

Component
Responding unit was notified by dispatch
Property
TmStp
Time
Pt
System
^Vehicle
Scale
Qn
Method

Additional Names

Short Name
Time respond unit notified by dispatch

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.64
Change Reason
Removed Method of NEMSIS since this is a general concept that can be used for various EMS protocols and is not specific to NEMSIS.

Survey Question

Source
ETimes.03

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) La unidad que respondió fue notificada por envío:TmStp:Punto temporal:^ Vehículo:Cuantitativo:
it-IT Italian (Italy) Unità di risposta è stata avvisata dal dispatch:TmStp:Pt:^Veicolo:Qn:
Synonyms: National EMS Information System data - dati del Si Punto nel tempo (episodio) Time stamp (Data e Ora)
ru-RU Russian (Russian Federation) Назначенная бригада уведомлена диспетчером:TmStp:ТчкВрм:^Транспортное средство:Колич:
Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени;Момент
zh-CN Chinese (China) 已通过调度通知了响应小组:时间戳:时间点:^机动车:定量型:
Synonyms: 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 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 已通过调度通知了响应单元（反应小组）;已通过派遣通知了响应小组;已通过分派通知了响应小组;已通过调度通知了反应小组 时刻;随机;随意;瞬间 车辆;机动车辆;交通工具;运输工具;车子

69472-9 Unit responded [Date and time] Vehicle

Fully-Specified Name

Component
Unit responded
Property
TmStp
Time
Pt
System
^Vehicle
Scale
Qn
Method

Additional Names

Short Name
Time unit responded

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.64
Change Reason
Removed Method of NEMSIS since this is a general concept that can be used for various EMS protocols and is not specific to NEMSIS.

Survey Question

Source
ETimes.05

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) La unidad respondió:TmStp:Punto temporal:^ Vehículo:Cuantitativo:
it-IT Italian (Italy) L'unità ha risposto:TmStp:Pt:^Veicolo:Qn:
Synonyms: National EMS Information System data - dati del Si Punto nel tempo (episodio) Time stamp (Data e Ora)
ru-RU Russian (Russian Federation) Бригада ответила:TmStp:ТчкВрм:^Транспортное средство:Колич:
Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени;Момент
zh-CN Chinese (China) 小组响应:时间戳:时间点:^机动车:定量型:
Synonyms: 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 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 小组（单元、团队）响应（反应、应答）;小组作出（做出）响应 时刻;随机;随意;瞬间 车辆;机动车辆;交通工具;运输工具;车子

69473-7 Responding unit arrived on the scene [Date and time] Vehicle

Fully-Specified Name

Component
Responding unit arrived on the scene
Property
TmStp
Time
Pt
System
^Vehicle
Scale
Qn
Method

Additional Names

Short Name
Time respond unit arrived on scene

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.64
Change Reason
Removed Method of NEMSIS since this is a general concept that can be used for various EMS protocols and is not specific to NEMSIS.

Survey Question

Source
ETimes.06

Member of these Panels

LOINC Long Common Name
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) La unidad de respuesta llegó a la escena.:TmStp:Punto temporal:^ Vehículo:Cuantitativo:
it-IT Italian (Italy) Unità di risposta è arrivata sulla scena:TmStp:Pt:^Veicolo:Qn:
Synonyms: National EMS Information System data - dati del Si Punto nel tempo (episodio) Time stamp (Data e Ora)
ru-RU Russian (Russian Federation) Назначенная бригада прибыла на место происшествия:TmStp:ТчкВрм:^Транспортное средство:Колич:
Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени;Момент
zh-CN Chinese (China) 响应小组到达现场:时间戳:时间点:^机动车:定量型:
Synonyms: 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 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 响应单元（反应小组）到达现场 时刻;随机;随意;瞬间 车辆;机动车辆;交通工具;运输工具;车子

69474-5 Responding unit arrived at the patient's side [Date and time] Vehicle

Fully-Specified Name

Component
Responding unit arrived at the patient's side
Property
TmStp
Time
Pt
System
^Vehicle
Scale
Qn
Method

Additional Names

Short Name
Time respond unit at pt's side

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.64
Change Reason
Removed Method of NEMSIS since this is a general concept that can be used for various EMS protocols and is not specific to NEMSIS.

Survey Question

Source
ETimes.07

Member of these Panels

LOINC Long Common Name
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) La unidad de respuesta llegó al lado del paciente:TmStp:Punto temporal:^ Vehículo:Cuantitativo:
it-IT Italian (Italy) Unità di risposta è arrivata a fianco al paziente:TmStp:Pt:^Veicolo:Qn:
Synonyms: National EMS Information System data - dati del Si Punto nel tempo (episodio) Time stamp (Data e Ora)
ru-RU Russian (Russian Federation) Назначенная бригада прибыла к местоположению пациента:TmStp:ТчкВрм:^Транспортное средство:Колич:
Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени;Момент
zh-CN Chinese (China) 响应小组达到患者身边:时间戳:时间点:^机动车:定量型:
Synonyms: 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 S 型 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 响应单元（反应小组）达到患者（病人、病患、病号）身边（身旁） 时刻;随机;随意;瞬间 车辆;机动车辆;交通工具;运输工具;车子 边;边侧;一侧;一边;侧面

69475-2 Responding unit left the scene with a patient [Date and time] Vehicle

Fully-Specified Name

Component
Responding unit left the scene with a patient
Property
TmStp
Time
Pt
System
^Vehicle
Scale
Qn
Method

Additional Names

Short Name
Time respond unit left scene

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.64
Change Reason
Removed Method of NEMSIS since this is a general concept that can be used for various EMS protocols and is not specific to NEMSIS.

Survey Question

Source
ETimes.09

Member of these Panels

LOINC Long Common Name
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) La unidad de respuesta abandonó la escena con un paciente.:TmStp:Punto temporal:^ Vehículo:Cuantitativo:
it-IT Italian (Italy) Unità di risposta ha lasciato la scena con un paziente:TmStp:Pt:^Veicolo:Qn:
Synonyms: National EMS Information System data - dati del Si Punto nel tempo (episodio) Time stamp (Data e Ora)
ru-RU Russian (Russian Federation) Назначенная бригада покинула место происшествия с пациентом:TmStp:ТчкВрм:^Транспортное средство:Колич:
Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени;Момент
zh-CN Chinese (China) 响应小组随同一位患者离开现场:时间戳:时间点:^机动车:定量型:
Synonyms: A 型 L LT 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 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 向左 向左侧 响应单元（反应小组）随同（陪同）一位患者（病人、病患、病号）离开现场 左 左侧（Left，LT，L） 左向 左边 时刻;随机;随意;瞬间 车辆;机动车辆;交通工具;运输工具;车子

69476-0 Responding unit arrived with the patient at the destination or transfer point [Date and time] Vehicle

Fully-Specified Name

Component
Responding unit arrived with the patient at the destination or transfer point
Property
TmStp
Time
Pt
System
^Vehicle
Scale
Qn
Method

Additional Names

Short Name
Time respond unit arrived

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.64
Change Reason
Removed Method of NEMSIS since this is a general concept that can be used for various EMS protocols and is not specific to NEMSIS.

Survey Question

Source
ETimes.11

Member of these Panels

LOINC Long Common Name
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) La unidad de respuesta llegó con el paciente al destino o punto de transferencia.:TmStp:Punto temporal:^ Vehículo:Cuantitativo:
it-IT Italian (Italy) Unità di risposta è arrivata con il paziente al punto di destinazione o di trasferimento:TmStp:Pt:^Veicolo:Qn:
Synonyms: National EMS Information System data - dati del Si Punto nel tempo (episodio) Time stamp (Data e Ora)
ru-RU Russian (Russian Federation) Назначенная бригада с пациентом в месте назначения или месте передачи:TmStp:ТчкВрм:^Транспортное средство:Колич:
Synonyms: Time Stamp (Дата и Время) Количественный Пункт назначения Точка во времени;Момент
zh-CN Chinese (China) 响应小组随同患者一起到达目的地或者移交地点:时间戳:时间点:^机动车:定量型:
Synonyms: 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 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 响应单元（反应小组）随同（陪同）患者（病人、病患、病号）一起到达目的地（终点、目的、目标）或者移交（转移、转送、转介、转院、交接）（位置、机构、设施、地方、场所） 时刻;随机;随意;瞬间 移位;转院;转;移交;交接 终点;目的;目标 车辆;机动车辆;交通工具;运输工具;车子

69477-8 Unit was back in service and available for response [Date and time] Vehicle

Fully-Specified Name

Component
Unit was back in service and available for response
Property
TmStp
Time
Pt
System
^Vehicle
Scale
Qn
Method

Additional Names

Short Name
Time unit back in service

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.64
Change Reason
Removed Method of NEMSIS since this is a general concept that can be used for various EMS protocols and is not specific to NEMSIS.

Survey Question

Source
ETimes.13

Member of these Panels

LOINC Long Common Name
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) La unidad volvió a estar en servicio y disponible para responder:TmStp:Punto temporal:^ Vehículo:Cuantitativo:
it-IT Italian (Italy) Unità era nuovamento in servizio e disponibile per rispondere:TmStp:Pt:^Veicolo:Qn:
Synonyms: National EMS Information System data - dati del Si Punto nel tempo (episodio) Time stamp (Data e Ora)
ru-RU Russian (Russian Federation) Бригада свободна и доступна для назначений:TmStp:ТчкВрм:^Транспортное средство:Колич:
Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени;Момент
zh-CN Chinese (China) 小组已返回待命并可作出响应:时间戳:时间点:^机动车:定量型:
Synonyms: 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 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 小组（服务小组、单元、团队）已返回岗位待命并可作出响应（反应、应答） 时刻;随机;随意;瞬间 车辆;机动车辆;交通工具;运输工具;车子

69470-3 Dispatch was notified by the 911 call taker [Date and time] Facility

Fully-Specified Name

Component
Dispatch was notified by the 911 call taker
Property
TmStp
Time
Pt
System
Facility
Scale
Qn
Method

Additional Names

Short Name
Time dispatch notified by 911

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.64
Change Reason
Removed Method of NEMSIS since this is a general concept that can be used for various EMS protocols and is not specific to NEMSIS.

Survey Question

Source
ETimes.02

Member of these Panels

LOINC Long Common Name
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) La persona que recibe la llamada al 911 notificó el envío:TmStp:Punto temporal:Instalaciones:Cuantitativo:
it-IT Italian (Italy) Dispatch avvisato dall'operatore del numero di emergenza:TmStp:Pt:Struttura:Qn:
Synonyms: National EMS Information System data - dati del Si Punto nel tempo (episodio) Time stamp (Data e Ora)
ru-RU Russian (Russian Federation) Диспетчер был уведомлен принявшим по 911 звонок:TmStp:ТчкВрм:Учреждение:Колич:
Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени;Момент
zh-CN Chinese (China) 911 电话接线员已通知的调度:时间戳:时间点:设施:定量型:
Synonyms: 911 呼叫中心客服专员已通知的调度;911 紧急电话接线员已通知的调度;911 电话接线员已通知的调遣;911 电话接线员已通知的派遣 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 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间

8716-3 Vital signs

Term Description

The Vital signs section includes blood pressure, body temperature, heart rate, and respiratory rate. It may also include other clinical findings, such as height, weight, body mass index, head circumference, and pulse oximetry. In particular, notable vital signs or physical findings such as the most recent, maximum and/or minimum, baseline, or relevant trends may be included.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Vital signs
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Observed

Additional Names

Short Name
Vital signs

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.73
Common Test Rank Get Info
576

Member of these Panels

LOINC Long Common Name
69459-6 Care record summary panel
81898-9 Composite triage and nursing note - recommended IHE set
72231-4 Consultation note - recommended C-CDA R1.1 sections
81222-2 Consultation note - recommended C-CDA R2.0 and R2.1 sections
72232-2 Continuity of Care Document - recommended C-CDA R1.1 sections
81214-9 Continuity of Care Document - recommended C-CDA R2.0 and R2.1 sections
48769-4 Continuity of Care panel
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
72229-8 Discharge summary - recommended C-CDA R1.1 sections
81219-8 Discharge summary - recommended C-CDA R2.0 sections
81218-0 Discharge summary - recommended C-CDA R2.1 sections
81242-0 Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7 Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8 Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0 History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
81245-3 Interval document - recommended CDP Set 1 R1.0 and R1.1 sections
92575-0 Labor and delivery admission history and physical - recommended IHE set
57083-8 Labor and Delivery record panel
82315-3 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 sections
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
82811-1 Nurse summary note - recommended sections
82308-8 Oncology plan of care and summary - recommended CDA R1.2 sections
74293-2 Oncology plan of care and summary - recommended CDA set
72225-6 Progress note - recommended C-CDA R1.1 sections
81216-4 Progress note - recommended C-CDA R2.0 and R2.1 sections
81223-0 Referral note - recommended C-CDA R2.0 and R2.1 sections
81221-4 Transfer summary note - recommended C-CDA R2.0 sections
81614-0 Transfer summary note - recommended C-CDA R2.1 sections

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Vitalparameter:Befund:Zeitpunkt:^Patient:Freitext:Beobachtet
es-MX Spanish (Mexico) Signos vitales:Tipo:Punto temporal:^ Paciente:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:signos vitales:Narrativo:observado
fr-BE French (Belgium) Signes vitaux:Observation:Temps ponctuel:^Patient:Narratif:Observé
it-IT Italian (Italy) Segni vitali:Osservazione:Pt:^Paziente:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) vitale functies:bevinding:moment:^patiënt:tekstueel:observatie
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Sinais vitais:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Жизненно важные функции:Находка:ТчкВрм:^Пациент:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 生命体征:发现:时间点:^患者:叙述型:观察法
Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查小节 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 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 时刻;随机;随意;瞬间 生命体征类;生命征象 病史与体格检查 观测法

8480-6 Systolic blood pressure

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Intravascular systolic
Property
Pres
Time
Pt
System
Arterial system
Scale
Qn
Method

Additional Names

Short Name
BP sys

Basic Attributes

Class
BP.ATOM
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.73
Common Test Rank Get Info
3

Member of these Panels

LOINC Long Common Name
35094-2 Blood pressure panel
39294-4 Children's preventive health services attachment Set
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
86636-8 Family planning report - FPAR 2.0 set
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
94137-7 HEDIS 2020 Value Sets
96068-2 HEDIS MY 2020 Value Sets
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set
74293-2 Oncology plan of care and summary - recommended CDA set
75854-0 PCORnet common data model set - version 1.0 [PCORnet]
85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]
62611-9 PhenX domain - Respiratory
89694-4 Pulmonary Embolism Severity Index panel [PESI]
100230-2 Routine prenatal assessment panel
55417-0 Short blood pressure panel
81671-0 Tissue perfusion assessment panel
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
34566-0 Vital signs with method details panel
72513-5 Vital signs with smoking status and pain scale [VSP]
34565-2 Vital signs, weight and height panel
67795-5 Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7 Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
85353-1 Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
82611-5 Wearable device external physiologic monitoring panel

Member of these Groups Get Info

LOINC Group Group Name
LG33053-6 Intravascular systolic|Pres|Pt|Chal:None

Language Variants Get Info

Tag Language Translation
de-AT German (Austria) Synonyms: Blutdruck systolisch
de-DE German (Germany) Intravaskulär systolisch:Druck:Zeitpunkt:Arterielles System:Quantitativ:
es-AR Spanish (Argentina) sistólico intravascular:presión:punto en el tiempo:sistema arterial:cuantitativo:
es-MX Spanish (Mexico) Sistólica intravascular:Pres:Punto temporal:Sistema arterial:Cuantitativo:
fr-CA French (Canada) Intravasculaire systolique:Pression:Temps ponctuel:Système artériel:Quantitatif:
it-IT Italian (Italy) Sistolica intravascolare:Pres:Pt:Sistema arterioso:Qn:
Synonyms: Pressione Pressione arteriosa - atomica Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) intravasculaire systolische bloeddruk:druk:moment:arterieel vaatstelsel:kwantitatief:
pt-BR Portuguese (Brazil) Intravascular sistólica:Pres:Pt:Sistema arterial:Qn:
Synonyms: ; BP sys; Pressure; Point in time; Random; Art sys; Quantitative; QNT; Quant; Quan; IV; Intravenous; BLOOD PRESSURE MEASUREMENTS.ATOM; BLOOD PRESSURE MEASUREMENTS.ATOM; BP systolic; Blood pressure systolic; Sys BP; SBP
ru-RU Russian (Russian Federation) Интраваскулярный систолический:Давл:ТчкВрм:Артериальная система:Колич:
Synonyms: Давление Количественный Точка во времени;Момент
zh-CN Chinese (China) 血管内心脏收缩期:压力或压强:时间点:动脉系统:定量型:
Synonyms: 一般血压;血压.原子型;血压指标.原子型 压力;压强 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 血管内收缩期;血管内心缩期 血管内的

Example Units

Unit Source
mm[Hg] Example UCUM Units
mm Hg REGENSTRIEF

8462-4 Diastolic blood pressure

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Intravascular diastolic
Property
Pres
Time
Pt
System
Arterial system
Scale
Qn
Method

Additional Names

Short Name
BP dias

Basic Attributes

Class
BP.ATOM
Type
Clinical
First Released
Version 1.0h(2)
Last Updated
Version 2.73
Change Reason
Release 2.69: UnitsAndRange: Added missing delimiter;
Common Test Rank Get Info
2

Member of these Panels

LOINC Long Common Name
43152-8 Blood pressure device panel
35094-2 Blood pressure panel
39294-4 Children's preventive health services attachment Set
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
86636-8 Family planning report - FPAR 2.0 set
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
94137-7 HEDIS 2020 Value Sets
96068-2 HEDIS MY 2020 Value Sets
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
74293-2 Oncology plan of care and summary - recommended CDA set
75854-0 PCORnet common data model set - version 1.0 [PCORnet]
85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]
62611-9 PhenX domain - Respiratory
100230-2 Routine prenatal assessment panel
55417-0 Short blood pressure panel
81671-0 Tissue perfusion assessment panel
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
34566-0 Vital signs with method details panel
72513-5 Vital signs with smoking status and pain scale [VSP]
34565-2 Vital signs, weight and height panel
67795-5 Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7 Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
85353-1 Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
82611-5 Wearable device external physiologic monitoring panel

Member of these Groups Get Info

LOINC Group Group Name
LG33056-9 Intravascular diastolic|Pres|Pt|Chal:None

Language Variants Get Info

Tag Language Translation
de-AT German (Austria) Synonyms: Blutdruck diastolisch
de-DE German (Germany) Intravaskulär diastolisch:Druck:Zeitpunkt:Arterielles System:Quantitativ:
es-AR Spanish (Argentina) diastólico intravascular:presión:punto en el tiempo:sistema arterial:cuantitativo:
es-MX Spanish (Mexico) Diastólica intravascular:Pres:Punto temporal:Sistema arterial:Cuantitativo:
fr-CA French (Canada) Intravasculaire diastolique:Pression:Temps ponctuel:Système artériel:Quantitatif:
it-IT Italian (Italy) Diastolica intravascolare:Pres:Pt:Sistema arterioso:Qn:
Synonyms: Pressione Pressione arteriosa - atomica Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) intravasculaire diastolische bloeddruk:druk:moment:arterieel vaatstelsel:kwantitatief:
pt-BR Portuguese (Brazil) Intravascular diastólica:Pres:Pt:Sistema arterial:Qn:
Synonyms: ; BP dias; Dias; Diast; Pressure; Point in time; Random; Art sys; Quantitative; QNT; Quant; Quan; IV; Intravenous; Diastoli; BLOOD PRESSURE MEASUREMENTS.ATOM; BLOOD PRESSURE MEASUREMENTS.ATOM; Blood pressure diastolic; BP diastolic; Dias BP; DBP
ru-RU Russian (Russian Federation) Интраваскулярный диастолический:Давл:ТчкВрм:Артериальная система:Колич:
Synonyms: Внутрисосудистый диастолический Давление Количественный Точка во времени;Момент
zh-CN Chinese (China) 血管内心脏舒张期:压力或压强:时间点:动脉系统:定量型:
Synonyms: 一般血压;血压.原子型;血压指标.原子型 压力;压强 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 血管内心舒期;血管内舒张期 血管内的

Example Units

Unit Source
mm[Hg] Example UCUM Units
mm Hg REGENSTRIEF

8867-4 Heart rate

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Heart rate
Property
NRat
Time
Pt
System
XXX
Scale
Qn
Method

Additional Names

Short Name
Heart rate
Consumer Name Alpha Get Info
Heart rate

Basic Attributes

Class
HRTRATE.ATOM
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.73
Common Test Rank Get Info
18

Member of these Panels

LOINC Long Common Name
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set
74293-2 Oncology plan of care and summary - recommended CDA set
62611-9 PhenX domain - Respiratory
89544-1 Pulmonary Embolism Rule-out Criteria panel PERC
89694-4 Pulmonary Embolism Severity Index panel [PESI]
89549-0 Revised Geneva Score panel
55417-0 Short blood pressure panel
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
34566-0 Vital signs with method details panel
72513-5 Vital signs with smoking status and pain scale [VSP]
34565-2 Vital signs, weight and height panel
67795-5 Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7 Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
85353-1 Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
82611-5 Wearable device external physiologic monitoring panel
89546-6 Wells pulmonary embolism risk calculator panel

Member of these Groups Get Info

LOINC Group Group Name
LG33055-1 Heart rate|NRat|Pt|Chal:None

Language Variants Get Info

Tag Language Translation
de-AT German (Austria) Synonyms: Puls
de-DE German (Germany) Herzfrequenz:Anzahl pro Zeit:Zeitpunkt:XXX:Quantitativ:
es-AR Spanish (Argentina) latido cardíaco:índice numérico:punto en el tiempo:XXX:cuantitativo:
es-MX Spanish (Mexico) Ritmo cardiaco:NRat:Punto temporal:No especificado:Cuantitativo:
it-IT Italian (Italy) Frequenza cardiaca:NRat:Pt:XXX:Qn:
Synonyms: Frequenza cardiaca - atomica Indice numerico Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) hartslagfrequentie:aantal/tijd:moment:XXX:kwantitatief:
pt-BR Portuguese (Brazil) Frequência cardíaca:NRat:Pt:XXX:Qn:
Synonyms: ; nRate; Number rate; Count/time; Point in time; Random; Misc; Miscellaneous; Unspecified; Other; Quantitative; QNT; Quant; Quan; Pulse; Heart beat; HEART RATE.ATOM; HEART RATE.ATOM
ru-RU Russian (Russian Federation) Частота сердечных сокращений:КолСкор:ТчкВрм:XXX:Колич:
Synonyms: Количественный Количество скорость Точка во времени;Момент
zh-CN Chinese (China) 心率:计数型速率:时间点:XXX:定量型:
Synonyms: 一般心率 不明的;其他;将在相应消息内其他部分之中加以详细说明;未作详细说明的;未作说明的;未做说明的标本;未加规定的;未加说明的标本;杂项 单位时间内的数量或计数;数量/时间;数量型速率;数量型速率或计数型速率;数量型速率或计数型速率(单位时间);数量或计数型速率;计数/时间;计数型速率(单位时间);数量或计数型速率(单位时间) 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 心搏率;心跳速率 时刻;随机;随意;瞬间 速度

Example Units

Unit Source
{beats}/min;{counts/min} Example UCUM Units
bpm REGENSTRIEF

9279-1 Respiratory rate

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Breaths
Property
NRat
Time
Pt
System
Respiratory system
Scale
Qn
Method

Additional Names

Short Name
Resp rate

Basic Attributes

Class
RESP.ATOM
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.73
Common Test Rank Get Info
12

Member of these Panels

LOINC Long Common Name
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
75885-4 IEEE 11073 Rosetta panel
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set
80346-0 Nursing physiologic assessment panel
74293-2 Oncology plan of care and summary - recommended CDA set
62611-9 PhenX domain - Respiratory
89694-4 Pulmonary Embolism Severity Index panel [PESI]
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
34566-0 Vital signs with method details panel
72513-5 Vital signs with smoking status and pain scale [VSP]
34565-2 Vital signs, weight and height panel
67795-5 Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7 Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
85353-1 Vital signs, weight, height, head circumference, oxygen saturation and BMI panel

Member of these Groups Get Info

LOINC Group Group Name
LG33054-4 Breaths|NRat|Pt|Chal:None

Language Variants Get Info

Tag Language Translation
de-AT German (Austria) Synonyms: Atemfrequenz
de-DE German (Germany) Atemfrequenz:Anzahl pro Zeit:Zeitpunkt:Respiratorisches System:Quantitativ:
es-AR Spanish (Argentina) respiraciones:índice numérico:punto en el tiempo:aparato respiratorio:cuantitativo:
es-MX Spanish (Mexico) Respiraciones:NRat:Punto temporal:Sistema respiratorio:Cuantitativo:
it-IT Italian (Italy) Respiri:NRat:Pt:Apparato respiratorio:Qn:
Synonyms: Indice numerico Punto nel tempo (episodio) Respiratorio - atomico
pt-BR Portuguese (Brazil) Respirações:NRat:Pt:Sistema Respiratório:Qn:
Synonyms: ; nRate; Number rate; Count/time; Point in time; Random; Lungs; Breathing; RS; Quantitative; QNT; Quant; Quan; Respiratory rate
ru-RU Russian (Russian Federation) Дыхание:КолСкор:ТчкВрм:Дыхательная система:Колич:
Synonyms: Количественный Количество скорость Точка во времени;Момент
zh-CN Chinese (China) 呼吸:计数型速率:时间点:呼吸系统:定量型:
Synonyms: 一般呼吸类指标;一般呼吸系统类指标;呼吸类指标.原子型 单位时间内的数量或计数;数量/时间;数量型速率;数量型速率或计数型速率;数量型速率或计数型速率(单位时间);数量或计数型速率;计数/时间;计数型速率(单位时间);数量或计数型速率(单位时间) 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 呼吸 呼吸类 呼吸类指标 呼吸系统 呼吸系统类 呼吸道标本（样品、样本）;呼吸系统标本（样品、样本） 时刻;随机;随意;瞬间

Example Units

Unit Source
{breaths}/min;{counts/min} Example UCUM Units
/MIN REGENSTRIEF

59408-5 Oxygen saturation in Arterial blood by Pulse oximetry

Part Descriptions

LP21258-6   Oxygen saturation
Oxygen saturation (sO2) is defined as the ratio of oxyhemoglobin to "active" hemoglobin (oxyhemoglobin + deoxyhemoglobin). Some say the term oxygen saturation has been erroneously redefined with a denominator of "total" instead of "active" hemoglobin, an ambiguity that can sometimes create confusion when viewing reported values from different instruments (Anesth Analg. 2007 Dec;105(6 Suppl):S5-9.) Oxygen saturation is commonly measured by blood gas analyzers and pulse oximetry. Source: Regenstrief LOINC

Reference Information

Type Source Reference
Mapping Guidance Regenstrief Help Functional oxygen saturation (SO2) Mapper’s Guide for the Top 2000 plus LOINC Laboratory Observations

Fully-Specified Name

Component
Oxygen saturation
Property
MFr
Time
Pt
System
BldA
Scale
Qn
Method
Pulse oximetry

Additional Names

Short Name
SaO2 % BldA PulseOx

Basic Attributes

Class
PULM
Type
Clinical
First Released
Version 2.32
Last Updated
Version 2.73
Common Test Rank Get Info
79

Member of these Panels

LOINC Long Common Name
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
75885-4 IEEE 11073 Rosetta panel
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
74293-2 Oncology plan of care and summary - recommended CDA set
55415-4 Oxygen saturation and therapy panel
43146-0 Oxygen saturation device panel
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
67795-5 Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7 Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
85353-1 Vital signs, weight, height, head circumference, oxygen saturation and BMI panel

Member of these Groups Get Info

LOINC Group Group Name
LG33051-0 Oxygen saturation|MFr|Pt|Chal:None

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Sauerstoffsättigung:Massenfraktion:Zeitpunkt:Blut arteriell:Quantitativ:Pulsoximetrie
Synonyms: O2-Sättigung
es-MX Spanish (Mexico) Saturación de oxígeno:Sr.:Punto temporal:BldA:Cuantitativo:Pulse oximetry
es-ES Spanish (Spain) Saturación de Oxígeno:Fracción de masa:Punto temporal:Sangre arterial:Qn:Oximetría de pulso
Synonyms: Cuantitativo
fr-CA French (Canada) Saturation en oxygène:Fraction de masse:Temps ponctuel:Sang artériel:Quantitatif:Oxymétrie pulsée
fr-BE French (Belgium) Saturation en oxygène:Fraction de masse:Temps ponctuel:Sang artériel:Quantitatif:Oxymétrie pulsée
Synonyms: O2 SatO2
it-IT Italian (Italy) Saturazione dell'ossigeno:MFr:Pt:Sangue art:Qn:Pulsossimetria
Synonyms: Frazione di massa Gestione ventilazione polmonare Punto nel tempo (episodio) Sangue arterioso
nl-NL Dutch (Netherlands) zuurstofverzadiging:massafractie:moment:arterieel bloed:kwantitatief:pulsoxymetrie
Synonyms: zuurstofsaturatiemeting
pl-PL Polish (Poland) Wysycenie tlenem:frakcja masowa:punkt w czasie:krew tętnicza:ilościowy:pulsoksymetria
pt-BR Portuguese (Brazil) Saturação de Oxigênio::Pt:SgArt:Qn:Oximetria de pulso
ru-RU Russian (Russian Federation) Кислородом сатурация:МассДол:ТчкВрм:КрА:Колич:Пульсоксиметрия
Synonyms: Количественный Кровь артериальная Массовая доля Насыщение кислородом Оксигемометрия;Гемоксиметрия Точка во времени;Момент
tr-TR Turkish (Turkey) Oksijen satürasyonu:KütlFr:Zmlı:KanArt:Kant:Puls oksimetri
Synonyms: Oksijen doymuşluğu
zh-CN Chinese (China) 氧饱和度:质量分数:时间点:动脉全血:定量型:脉搏血氧定量法
Synonyms: MFr O2;tO2;总氧;氧气 SaO2 动脉血 动脉血O2饱和度 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 肺部测量指标与呼吸机管理 脉搏血氧测定法;脉搏血氧定量;脉搏血氧测定;脉搏血氧仪 血氧测定法 饱和 饱和状态 饱和程度

Example Units

Unit Source
% Example UCUM Units

67520-7 Stroke scale score

Fully-Specified Name

Component
Stroke scale overall interpretation
Property
Imp
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Stroke scale interpretation NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
Stroke Scale Score
Source
EVitals.29

Normative Answer List LL1846-6

Answer Code Score Answer ID
Positive Copyright http://snomed.info/sct ID:10828004 Positive (qualifier value) 3329005 LA6576-8
Negative Copyright http://snomed.info/sct ID:260385009 Negative (qualifier value) 3329001 LA6577-6
Non-conclusive 3329003 LA17109-2

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Interpretación general de la escala de carrera:Interpretación:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Scala ictus interpretazione complessiva:Imp:Pt:^Paziente:Nom:NEMSIS
Synonyms: Impressione/interpretazione di studio National EMS Information System data - dati del Si paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 卒中量表总体解释:印象:时间点:^患者:名义型:NEMSIS
Synonyms: 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 全面;整体;总体情况 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 判读;解释说明;说明;释义;阐明 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 卒中（脑卒中、中风）量表类型总体解释;卒中量表整体解释;卒中量表全面解释;卒中量表总体（整体、宏观、大体、概括）解释（说明、阐释、诠释） 印象是一种诊断陈述，始终是对其他某种观察指标的解释或抽象（一系列检验项目结果、一幅图像或者整个某位病人），而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释 时刻;随机;随意;瞬间

56840-2 Pain score

Fully-Specified Name

Component
Pain severity verbal numeric scale
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Pain severity verbal numeric scale Score

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.50

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Escala numérica verbal de gravedad del dolor:Puntaje:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Dolore, scala numerica verbale gravità:Punteggio:Pt:^Paziente:Qn:
Synonyms: Anamnesi Gravità del dolore paziente Punto nel tempo (episodio) Scala numerica verbale di gravità del dolore
pt-BR Portuguese (Brazil) Intensidade da dor em escala numérica verbal:Achado:Pt:^Paciente:Qn:
Synonyms: Finding; Findings; Point in time; Random; Quantitative; QNT; Quant; Quan
zh-CN Chinese (China) 疼痛严重程度语言数字量表:评分:时间点:^患者:定量型:
Synonyms: 分值;得分;分数 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 疼;痛;痛苦;悲痛;苦恼 疼痛严重度;疼痛严重性 疼痛严重度语言数字量表;疼痛严重性语言数字量表;疼痛严重程度语言（言语）数字（数字化、数值化、数字型、数值型）量表 病史与体格检查

Example Units

Unit Source
{score} Example UCUM Units

67775-7 Level of responsiveness (AVPU)

Fully-Specified Name

Component
Level of responsiveness
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Level of responsiveness

Basic Attributes

Class
TRAUMA
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.70
Change Reason
Release 2.70: METHOD_TYP: Removed Method since this is a general concept and not specific to NEMSIS.; ANSWER_LIST_TYPE: Normative binding for NEMSIS use-case was moved to form data (in the context of the NEMSIS panel).; SURVEY_QUEST_SRC: Moved to Observation ID in Form field within the context of the NEMSIS panel.;

Example Answer List LL1845-8

Answer Code Score Answer ID
Alert 3326001 LA9340-6
Verbal 3326003 LA17108-4
Painful 3326005 LA17107-6
Unresponsive Copyright http://snomed.info/sct ID:422768004 unresponsive (finding) 3326007 LA9343-0

Member of these Panels

LOINC Long Common Name
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Nivel de respuesta:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT Italian (Italy) Livello di reattività:Osservazione:Pt:^Paziente:Ord:
Synonyms: Osservazione paziente Punto nel tempo (episodio) Trauma
ru-RU Russian (Russian Federation) Уровень реагирования:Находка:ТчкВрм:^Пациент:Пор:
Synonyms: Порядковый Точка во времени;Момент
zh-CN Chinese (China) 响应度:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 创伤（外伤、损伤）;外伤;损伤 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 响应水平;响应程度;反应程度;灵敏度;应答水平 时刻;随机;随意;瞬间 程度 等级 级 级别

2339-0 Blood glucose level

Part Descriptions

LP14635-4   Glucose
Glucose (C6H12O6) is a simple monosaccharide and monomer of carbohydrates. Glucose provides energy for cellular processes and aids metabolism within the body. When food is ingested, the carbohydrates within the food are broken down into glucose molecules. Blood glucose content is significant in determining an individual's overall state of health. An elevated blood glucose level is called hyperglycemia and a deficient blood glucose level is called hypoglycemia. When an individual is hyperglycemic and cannot properly regulate their blood glucose level they are considered diabetic. Type 1 diabetes is caused by the immune system attacking pancreatic beta cells (cells that produce insulin) and Type 2 diabetes is caused by insulin resistance. [MedlinePlus Encyclopedia:003482] Source: Regenstrief LOINC

Reference Information

Type Source Reference
Webcontent Lab Tests Online®Copyright Copyright © 2021 Lab Tests Online. All rights reserved. Glucose Tests

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Glucose
Property
MCnc
Time
Pt
System
Bld
Scale
Qn
Method

Additional Names

Short Name
Glucose Bld-mCnc
Display Name
Glucose (Bld) [Mass/Vol]
Consumer Name Alpha Get Info
Glucose, Blood

Basic Attributes

Class
CHEM
Type
Laboratory
First Released
Version 1.0
Last Updated
Version 2.73
Order vs. Observation
Both
Common Test Rank Get Info
52

Member of these Panels

LOINC Long Common Name
101655-9 Basic metabolic and hematocrit panel - Blood
51990-0 Basic metabolic panel - Blood
104076-5 Basic metabolic with hemoglobin and hematocrit panel - Blood
101866-2 Gas and electrolytes point of care panel - Venous blood
75885-4 IEEE 11073 Rosetta panel
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Member of these Groups Get Info

LOINC Group Group Name
LG7967-5 Glucose|MCnc|Pt|ANYBldSerPl
LG49883-8 Glucose|Pt|Bld|180.156 g/mole

Language Variants Get Info

Tag Language Translation
de-AT German (Austria) Synonyms: Glucose /B
de-DE German (Germany) Glucose:Massenkonzentration:Zeitpunkt:Blut:Quantitativ:
Synonyms: Glukose
el-GR Greek (Greece) Γλυκόζη:Συγκέντρωση μάζας:Χρονική στιγμή:Αίμα:Ποσοτική:
es-MX Spanish (Mexico) Glucosa:Concentración de masa:Punto temporal:Sangre:Cuantitativo:
es-AR Spanish (Argentina) glucosa:concentración de masa:punto en el tiempo:sangre:cuantitativo:
es-ES Spanish (Spain) Glucosa:Concentración de masa:Punto temporal:Sangre:Qn:
Synonyms: Cuantitativo
et-EE Estonian (Estonia) Glükoos:MCnc:Pt:B:Qn:
Synonyms: Juhuslik Kvantitatiivne Veri
fr-CA French (Canada) Glucose:Concentration de masse:Temps ponctuel:Sang:Quantitatif:
fr-FR French (France) Glucose:Masse/Volume:Ponctuel:Sang:Numérique:
fr-BE French (Belgium) Glucose:Concentration de masse:Temps ponctuel:Sang:Quantitatif:
it-IT Italian (Italy) Glucosio:MCnc:Pt:Sangue:Qn:
Synonyms: Chimica Concentrazione di Massa Punto nel tempo (episodio) Sangue
ko-KR Korean (Korea, Republic Of) 포도당:질량농도:검사시점:전혈:정량:
nl-NL Dutch (Netherlands) glucose:massa/volume:moment:bloed:kwantitatief:
pl-PL Polish (Poland) Glukoza:stężenie masowe:punkt w czasie:krew:ilościowy:
pt-BR Portuguese (Brazil) Glicose:MCnc:Pt:SgTotal:Qn:
Synonyms: Glu; Gluc; Glucoseur; Mass concentration; Level; Point in time; Random; Blood; WB; Whole blood; Quantitative; QNT; Quant; Quan; Chemistry
ru-RU Russian (Russian Federation) Глюкоза:МассКонц:ТчкВрм:Кр:Колич:
Synonyms: Количественный Кровь Массовая концентрация Точка во времени;Момент
tr-TR Turkish (Turkey) Glukoz:KütlKons:Zmlı:Kan:Kant:
uk-UA Ukrainian (Ukraine) Глюкоза:Масова Концентрація:МоментЧасу:Кров:Кількісно:
Synonyms: Blood; Chemistry; Endocrine; Endocrinology; Glu; Gluc; Glucoseur; Level; Mass concentration; Point in time; QNT; Quan; Quant; Quantitative; Random; UniversalLabOrders; WB; Whole blood
zh-CN Chinese (China) 葡萄糖:质量浓度:时间点:全血:定量型:
Synonyms: Glu;Gluc;右旋糖;葡糖 化学;化学检验项目;化学检验项目类;化学类;化学试验;非刺激耐受型化学检验项目;非刺激耐受型化学检验项目类;非刺激耐受型化学试验;非刺激耐受型化学试验类 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 水平;浓度;质量浓度(单位体积) 血;血液

Example Units

Unit Source
mg/dL Example UCUM Units
mg/dL REGENSTRIEF

19911-7 Carbon monoxide level

Part Descriptions

LP72464-8   Diffusion capacity.carbon monoxide
Diffusing capacity (DLCO) is the carbon monoxide uptake from a single inspiration in a standard time (usually 10 sec). Since air consists of very minute or trace quantities of carbon monoxide (CO), 10 seconds is considered to be the standard time for inhalation, then rapidly blow it out (exhale). The exhaled gas is tested to determine how much of the tracer gas was absorbed during the breath. This will pick up diffusion impairments, for instance in pulmonary fibrosis. This must be corrected for anemia (because rapid CO diffusion is dependent on hemoglobin in RBC's; a low hemoglobin concentration, anemia, will reduce DLCO) and pulmonary hemorrhage (excess RBC's in the interstitium or alveoli can absorb CO and artificially increase the DLCO capacity). Atmospheric pressure and/or altitude will also affect measured DLCO, and so a correction factor is needed to adjust for standard pressure. Online calculators are available to correct for hemoglobin levels and altitude and/or pressure where the measurement was taken. Copyright Text is available under the Creative Commons Attribution/Share-Alike License. See http://creativecommons.org/licenses/by-sa/3.0/ for details. Source: Wikipedia, Wikipedia

Fully-Specified Name

Component
Diffusion capacity.carbon monoxide
Property
FldConduct
Time
Pt
System
Respiratory system
Scale
Qn
Method

Additional Names

Short Name
Diff cap.CO

Basic Attributes

Class
PULM
Type
Clinical
First Released
Version 1.0l
Last Updated
Version 2.73
Common Test Rank Get Info
6840

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Capacidad de difusión monóxido de carbono:FldConduct:Punto temporal:Sistema respiratorio:Cuantitativo:
es-AR Spanish (Argentina) capacidad de difusión.monóxido de carbono:conductancia de líquidos:punto en el tiempo:aparato respiratorio:cuantitativo:
it-IT Italian (Italy) Capacità di diffusione.monossido di carbonio:FldConduct:Pt:Apparato respiratorio:Qn:
Synonyms: Conduttanza di Fluido Gestione ventilazione polmonare Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Capacidade de difusão.Monóxido de Carbono:FldConduct:Pt:Sistema Respiratório:Qn:
Synonyms: ; Diff cap.CO; DLCO; DL; Fluid conductance; Point in time; Random; Lungs; Breathing; RS; Quantitative; QNT; Quant; Quan; PULMONARY
ru-RU Russian (Russian Federation) Диффузионная способность.углерод монооксид:ЖдкПровод:ТчкВрм:Дыхательная система:Колич:
Synonyms: Жидкость проводимость;Жидкость проницаемость Количественный Точка во времени;Момент
zh-CN Chinese (China) 弥散量.一氧化碳:液体传导性:时间点:呼吸系统:定量型:
Synonyms: (弥散容量 CO 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 呼吸道标本（样品、样本）;呼吸系统标本（样品、样本） 弥散容量 弥散量（弥散容量）.一氧化碳（CO）;弥散容量.一氧化碳;一氧化碳弥散量 时刻;随机;随意;瞬间 液体传导;液体导率;液体电导率 肺部测量指标与呼吸机管理

Example Units

Unit Source
cm3/min/mm[Hg] Example UCUM Units

19889-5 Carbon dioxide level

Part Descriptions

LP15150-3   Carbon dioxide
CO2 content is a measurement of total CO2 in the blood. Most of it is in the form of bicarbonate (HCO3) controlled by the kidney. A small amount (5%) of CO2 is dissolved in the blood as insoluble carbonic acid (H2CO3). Changes in CO2 content generally relate to metabolic issues, renal function and unusual losses (diarrhea). Respiratory disease can ultimately effect CO2 content, but only slightly and only if prolonged. (Operational Medicine 2001, Arterial Blood Gas, Brookside Associates Medical Education Division) Source: Regenstrief Institute

Fully-Specified Name

Component
Carbon dioxide/Gas.total.at end expiration
Property
VFr
Time
Pt
System
Exhl gas
Scale
Qn
Method

Additional Names

Short Name
CO2 VFr ExG

Basic Attributes

Class
PULM
Type
Clinical
First Released
Version 1.0l
Last Updated
Version 2.73
Common Test Rank Get Info
7774

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Dióxido de carbono / gas total al final de la expiración:VFr:Punto temporal:Gas exhl:Cuantitativo:
es-AR Spanish (Argentina) dióxido de carbono/gas.total.al final de la espiración:fracción de volumen:punto en el tiempo:aire espirado:cuantitativo:
it-IT Italian (Italy) Diossido di carbonio/Gas.totale.a fine espirazione:VFr:Pt:Exhl gas:Qn:
Synonyms: Biossido di carbonio Frazione di Volume Gas esalato Gestione ventilazione polmonare Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Dióxido de carbono/Gas.total.no final da expiração:VFr:Pt:Gas exalado:Qn:
Synonyms: ; CO2; Carbonic anhydride; End tidal CO2; Fr; Volume fraction; Volfr; Percent; Point in time; Random; ExG; Breath; Exhaled gas; Quantitative; QNT; Quant; Quan; Gases; PULMONARY
ru-RU Russian (Russian Federation) Углерода диоксид/Газ.общий.в конце выдоха:ОбФр:ТчкВрм:Выд газ:Колич:
Synonyms: Выдыхаемый воздух Количественный Объемная фракция Точка во времени;Момент Углекислый газ
zh-CN Chinese (China) 二氧化碳/气体.总计.呼气末时:体积分数:时间点:呼出的气体:定量型:
Synonyms: cCO2;CO2;CO2CT;ctCO2;tCO2;TOTAL CO2;总 CO2;总二氧化碳;碳酐;碳酸酐 全体数量 全部 共计 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 吐气 呼 呼出 呼出;呼出气体 呼出气;呼出的空气 容积分数 总 总和 总数 总量 总额 时刻;随机;随意;瞬间 气 气体.总计.呼气末（终点、终末、结束、末期）时（的时候、之时）;呼气末气体总计 气体类 汇总 空气 肺部测量指标与呼吸机管理

Example Units

Unit Source
% Example UCUM Units

67519-9 The cardiac rhythm and other electrocardiography findings associated with the patient

Fully-Specified Name

Component
Cardiac rhythm
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Cardiac rhythm NEMSIS

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Text
The cardiac rhythm and other electrocardiography findings associated with the patient
Source
EVitals.03

Normative Answer List LL1795-5

Answer Code Score Answer ID
Agonal/idioventricular 9901001 LA17083-9
Asystole 9901003 LA17068-0
Atrial fibrillation Copyright http://snomed.info/sct ID:49436004 Atrial fibrillation (disorder) 9901007 LA17084-7
Atrial flutter Copyright http://snomed.info/sct ID:5370000 Atrial flutter (disorder) 9901009 LA17085-4
AV block-1st degree Copyright http://snomed.info/sct ID:270492004 first degree atrioventricular block (disorder) 9901011 LA17086-2
AV block-2nd degree-type 1 Copyright http://snomed.info/sct ID:195042002 Second degree atrioventricular block (disorder) 9901013 LA17087-0
AV block-2nd degree-type 2 Copyright http://snomed.info/sct ID:195042002 Second degree atrioventricular block (disorder) 9901015 LA17088-8
AV block-3rd degree Copyright http://snomed.info/sct ID:27885002 complete atrioventricular block (disorder) 9901017 LA17089-6
Junctional 9901019 LA17090-4
Left bundle branch block 9901021 LA17091-2
Sinus rhythm 9901047 LA17718-0
Paced rhythm 9901033 LA17093-8
PEA 9901035 LA17070-6
Premature atrial contractions 9901037 LA17094-6
Premature ventricular contractions 9901039 LA17095-3
Right bundle branch block 9901041 LA17096-1
Sinus arrhythmia 9901043 LA17097-9
Sinus bradycardia 9901045 LA17098-7
Sinus tachycardia 9901049 LA17099-5
Supraventricular tachycardia 9901059 LA17100-1
Torsades de points 9901061 LA17101-9
Unknown AED non-shockable rhythm 9901063 LA17071-4
Unknown AED shockable rhythm 9901065 LA17072-2
Ventricular fibrillation Copyright http://snomed.info/sct ID:71908006 ventricular fibrillation (disorder) 9901067 LA17073-0
Ventricular tachycardia with pulse 9901069 LA17708-1
Ventricular tachycardia-pulseless 9901071 LA17074-8
Artifact 9901005 LA12904-1
Non-STEMI inferior ischemia 9901025 LA18206-5
Non-STEMI anterior ischemia 9901023 LA18205-7
Non-STEMI lateral ischemia 9901027 LA18207-3
Non-STEMI posterior ischemia 9901029 LA18208-1
Non-STEMI septal ischemia 9901030 LA32915-3
STEMI-anterior ischemia 9901051 LA17703-2
STEMI-inferior ischemia 9901053 LA17704-0
STEMI-lateral ischemia 9901055 LA17705-7
STEMI-posterior ischemia 9901057 LA17706-5
STEMI septal ischemia 9901058 LA32916-1
Other (not listed) 9901031 LA17059-9

Member of these Panels

LOINC Long Common Name
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Ritmo cardiaco:Tipo:Punto temporal:^ Paciente:Nominal:NEMSIS
it-IT Italian (Italy) Ritmo cardiaco:Osservazione:Pt:^Paziente:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 心律:发现:时间点:^患者:名义型:NEMSIS
Synonyms: 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 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 心脏节律;心肌节律 时刻;随机;随意;瞬间

9267-6 Glasgow coma score eye opening

Fully-Specified Name

Component
Glasgow coma score.eye opening
Property
Fcn
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
GCS eye

Basic Attributes

Class
FUNCTION
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.73
Common Test Rank Get Info
2970

Normative Answer List LL355-9

Answer Code Score Answer ID
No eye opening 1 1 LA6553-7
Eye opening to pain 2 2 LA6554-5
Eye opening to verbal command 3 3 LA6555-2
Eyes open spontaneously 4 4 LA6556-0

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
35088-4 Glasgow coma scale
75885-4 IEEE 11073 Rosetta panel
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) puntuación de la escala de coma de Glasgow.apertura ocular:función:punto en el tiempo:^paciente:ordinal:
es-MX Spanish (Mexico) Puntaje de coma de Glasgow. Apertura de ojos:Fcn:Punto temporal:^ Paciente:Ordinal:
it-IT Italian (Italy) Punteggio del coma di Glasgow.apertura occhi:Fcn:Pt:^Paziente:Ord:
Synonyms: Apertura occhi in punteggio del coma di Glasgow Funzione Occhio in punteggio del coma di Glasgow paziente Punto nel tempo (episodio) Status funzionale (es., Glasgow)
ru-RU Russian (Russian Federation) Glasgow кома шкала.глаза открывание:Функц:ТчкВрм:^Пациент:Пор:
Synonyms: Итог Порядковый Точка во времени;Момент Функция
zh-CN Chinese (China) 格拉斯哥昏迷分值.睁眼:功能:时间点:^患者:序数型:
Synonyms: FCN GCS;格拉斯哥昏迷分值;Glasgow coma score;格拉斯哥昏迷分数.眼睛;格拉斯哥昏迷得分.眼睛;格拉斯哥昏迷评分.眼睛 GCS;格拉斯哥昏迷分值;Glasgow coma score;格拉斯哥昏迷分数.睁眼;格拉斯哥昏迷得分.睁眼;格拉斯哥昏迷评分.睁眼 体格功能;体格检查功能;功能;躯体功能;身体功能 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 分值;分数;得分 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 时刻;随机;随意;瞬间 目;眼;眼部

9268-4 Glasgow coma score motor

Fully-Specified Name

Component
Glasgow coma score.motor
Property
Fcn
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
GCS motor

Basic Attributes

Class
FUNCTION
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.73
Common Test Rank Get Info
2971

Normative Answer List LL357-5

Answer Code Score Answer ID
No motor response 1 1 LA6562-8
Extension to pain 2 2 LA6563-6
Flexion to pain 3 3 LA6564-4
Withdrawal from pain 4 4 LA6565-1
Localizing pain 5 5 LA6566-9
Obeys commands 6 6 LA6567-7

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
35088-4 Glasgow coma scale
75885-4 IEEE 11073 Rosetta panel
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) puntuación de la escala de coma de Glasgow.respuesta motriz:función:punto en el tiempo:^paciente:ordinal:
es-MX Spanish (Mexico) Puntuación de coma de Glasgow motor:Fcn:Punto temporal:^ Paciente:Ordinal:
it-IT Italian (Italy) Punteggio del coma di Glasgow.motorio:Fcn:Pt:^Paziente:Ord:
Synonyms: Funzione paziente Punteggio motorio del coma di Glasgow Punto nel tempo (episodio) Status funzionale (es., Glasgow)
ru-RU Russian (Russian Federation) Glasgow кома шкала.моторика:Функц:ТчкВрм:^Пациент:Пор:
Synonyms: Итог Порядковый Точка во времени;Момент Функция
zh-CN Chinese (China) 格拉斯哥昏迷分值.运动:功能:时间点:^患者:序数型:
Synonyms: FCN GCS;格拉斯哥昏迷分值;Glasgow coma score;格拉斯哥昏迷分数.运动;格拉斯哥昏迷得分.运动;格拉斯哥昏迷评分.运动 体格功能;体格检查功能;功能;躯体功能;身体功能 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 分值;分数;得分 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 时刻;随机;随意;瞬间

9270-0 Glasgow coma score verbal

Fully-Specified Name

Component
Glasgow coma score.verbal
Property
Fcn
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
GCS verbal

Basic Attributes

Class
FUNCTION
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.27

Normative Answer List LL356-7

Answer Code Score Answer ID
No verbal response (>2 yrs); no vocal response (<=2 yrs) 1 1 LA6557-8
Incomprehensible sounds 2 2 LA6558-6
Inappropriate words 3 3 LA6559-4
Confused 4 4 LA6560-2
Oriented 5 5 LA6561-0

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
35088-4 Glasgow coma scale
75885-4 IEEE 11073 Rosetta panel
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) puntuación de la escala de coma de Glasgow.respuesta verbal:función:punto en el tiempo:^paciente:ordinal:
es-MX Spanish (Mexico) Puntuación de coma de Glasgow verbal:Fcn:Punto temporal:^ Paciente:Ordinal:
it-IT Italian (Italy) Punteggio del coma di Glasgow.verbale:Fcn:Pt:^Paziente:Ord:
Synonyms: Funzione paziente Punteggio verbale del coma di Glasgow Punto nel tempo (episodio) Status funzionale (es., Glasgow)
ru-RU Russian (Russian Federation) Glasgow кома шкала.вербалика:Функц:ТчкВрм:^Пациент:Пор:
Synonyms: Итог Порядковый Точка во времени;Момент Функция
zh-CN Chinese (China) 格拉斯哥昏迷分值.言语:功能:时间点:^患者:序数型:
Synonyms: FCN GCS;格拉斯哥昏迷分值;Glasgow coma score;格拉斯哥昏迷分数.言语;格拉斯哥昏迷得分.言语;格拉斯哥昏迷评分.言语;格拉斯哥昏迷分值.语言 体格功能;体格检查功能;功能;躯体功能;身体功能 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 分值;分数;得分 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 时刻;随机;随意;瞬间

55285-1 Glasgow coma score qualifier

Fully-Specified Name

Component
Glasgow coma score special circumstances
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
GCS special circumstances

Basic Attributes

Class
FUNCTION
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.27

Example Answer List LL1852-4

Answer Code Score Answer ID
Initial GCS has legitimate values without interventions such as intubation and sedation 3322003 LA17102-7
Eye obstruction prevents eye assessment 3322001 LA17103-5
Patient chemically sedated 3322007 LA17104-3
Patient chemically paralyzed 3322005 LA17105-0
Patient intubated 3322009 LA17106-8

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set
89263-8 Special circumstances associated observations panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Circunstancias especiales del puntaje de coma de Glasgow:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Punteggio del coma di Glasgow, circostanze speciali:Tipo:Pt:^Paziente:Nom:
Synonyms: Circostanze speciali in punteggio del coma di Glas paziente Punto nel tempo (episodio) Status funzionale (es., Glasgow)
ru-RU Russian (Russian Federation) Glasgow кома шкала специальные обстоятельства:Тип:ТчкВрм:^Пациент:Ном:
Synonyms: Итог Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 格拉斯哥昏迷分值特殊情况:类型:时间点:^患者:名义型:
Synonyms: FCN GCS;格拉斯哥昏迷分值;Glasgow coma score;格拉斯哥昏迷分数特殊情况;格拉斯哥昏迷得分特殊情况;格拉斯哥昏迷评分特殊情况 体格功能;体格检查功能;功能;躯体功能;身体功能 分值;分数;得分 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 型 时刻;随机;随意;瞬间

9269-2 Glasgow coma score total

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Glasgow coma score.total
Property
Fcn
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
GCS total

Basic Attributes

Class
FUNCTION
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.73
Change Reason
We made an administrative decision to define the total scores from arious survey instruments as Quantitative rather than ordinal. There is no intention to change the existing meaning
Common Test Rank Get Info
1036

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
35088-4 Glasgow coma scale
75885-4 IEEE 11073 Rosetta panel
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set
96789-3 Sequential Organ Failure Assessment SOFA

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) puntuación de la escala de coma de Glasgow.total:función:punto en el tiempo:^paciente:ordinal:
es-MX Spanish (Mexico) Puntaje de coma de Glasgow total:Fcn:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Punteggio del coma di Glasgow.totale:Fcn:Pt:^Paziente:Qn:
Synonyms: Funzione paziente Punteggio totale del coma di Glasgow Punto nel tempo (episodio) Status funzionale (es., Glasgow)
ru-RU Russian (Russian Federation) Glasgow кома шкала.итог:Функц:ТчкВрм:^Пациент:Колич:
Synonyms: Итог Количественный Точка во времени;Момент Функция
zh-CN Chinese (China) 格拉斯哥昏迷评分.总计:功能:时间点:^患者:定量型:
Synonyms: FCN GCS;格拉斯哥昏迷分值;Glasgow coma score;格拉斯哥昏迷分数.总和;格拉斯哥昏迷得分.总分;格拉斯哥昏迷分值.总计 体格功能;体格检查功能;功能;躯体功能;身体功能 全体数量 全部 共计 分值;分数;得分 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 总 总和 总数 总量 总额 时刻;随机;随意;瞬间 汇总

Example Units

Unit Source
{score} Example UCUM Units