PCC - Paramedicine Care Summary (PCS)
2.0.0-draft - ci-build International flag

PCC - Paramedicine Care Summary (PCS), published by IHE Patient Care Coordination. This guide is not an authorized publication; it is the continuous build for version 2.0.0-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/PCC.PCS/ and changes regularly. See the Directory of published versions

NEMSIS Mapping

Actors Roles

The Content Creator [PCC-1] transaction Provides a Document Bundle from a Content Creator to a Content Consumer.

Table: NEMSIS to PCS FHIR Mapping

NEMSIS Data Elements NEMSIS ID NEMSIS Cardinality PCS Cardinality FHIR Path
Patient Care Report Number eRecord.01 M [1..1]    
Software Creator eRecord.02 M [1..1]    
Software Name eRecord.03 M [1..1]    
Software Version eRecord.04 M [1..1]    
EMS Agency Unique State ID dAgency.01 M [1..1]   Organization.identifier
EMS Agency Number dAgency.02 M [1..1]   Organization.identifier
EMS Agency Name dAgency.03 RE [0..1]   Organization.name
EMS Agency State dAgency.04 M [1..1]   Organization.address
Custom Data Element Title eCustomConfiguration.01 M [1..1]   Observation Resource
Custom Definition eCustomConfiguration.02 M [1..1]   Observation Resource
Custom Data Type eCustomConfiguration.03 M [1..1]   Observation.value[x]
Custom Data Element Recurrence eCustomConfiguration.04 M [1..1]   Observation Resource
Custom Data Element Usage eCustomConfiguration.05 M [1..1]   Observation Resource
Custom Data Element Potential Values eCustomConfiguration.06 O [1..*]   Observation.value[x]
Custom Data Element Potential NOT Values (NV) eCustomConfiguration.07 O [1..*]   Observation.value[x].valueCodeableConcept
Custom Data Element Potential Pertinent Negative Values (PN) eCustomConfiguration.08 O [1..*]   Observation.dataAbsentReason
Custom Data Element Grouping ID eCustomConfiguration.09 O [1..1]   Observation.identifier
Patient Care Report Number eRecord.01 M [1..1]    
Software Creator eRecord.02 M [1..1]    
ESoftware Name eRecord.03 M [1..1]    
Software Version eRecord.04 M [1..1]    
EMS Agency Number eResponse.01 M [1..1]    
EMS Agency Name eResponse.02 RE [0..1]    
Incident Number eResponse.03 R [1..1]    
EMS Response Number eResponse.04 R [1..1]    
Type of Service Requested eResponse.05 M [1..1]    
Standby Purpose eResponse.06 O [0..1]    
Unit Transport and Equipment Capability eResponse.07 M [1..1]    
Type of Dispatch Delay eResponse.08 R [1..*]    
Type of Response Delay eResponse.09 R [1..*]    
Type of Scene Delay eResponse.10 R [1..*]    
Type of Transport Delay eResponse.11 R [1..*]    
Type of Turn-Around Delay eResponse.12 R [1..*]    
EMS Vehicle (Unit) Number eResponse.13 M [1..1]    
EMS Unit Call Sign eResponse.14 M [1..1]    
Vehicle Dispatch Location eResponse.16 O [0..1]    
Vehicle Dispatch GPS Location eResponse.17 O [0..1]    
Vehicle Dispatch Location US National Grid Coordinates eResponse.18 O [0..1]    
Beginning Odometer Reading of Responding Vehicle eResponse.19 O [0..1]    
On-Scene Odometer Reading of Responding Vehicle eResponse.20 O [0..1]    
Patient Destination Odometer Reading of Responding Vehicle eResponse.21 O [0..1]    
Ending Odometer Reading of Responding Vehicle eResponse.22 O [0..1]    
Response Mode to Scene eResponse.23 M [1..1]    
Additional Response Mode Descriptors eResponse.24 R [1..*]    
Dispatch Reason eDispatch.01 M [1..1]    
EMD Performed eDispatch.02 R [1..1]    
EMD Card Number eDispatch.03 O [0..1]    
Dispatch Center Name or ID eDispatch.04 O [0..1]    
Dispatch Priority (Patient Acuity) eDispatch.05 O [0..1]    
Unit Dispatched CAD Record ID eDispatch.06 O [0..1]    
Crew Member ID eCrew.01 RE [0..1]    
Crew Member Level eCrew.02 RE [0..1]    
Crew Member Response Role eCrew.03 RE [0..*]    
EPSAP Call Date/Time eTimes.01 R [1..1]    
Dispatch Notified Date/Time eTimes.02 O [0..1]    
Unit Notified by Dispatch Date/Time eTimes.03 M [1..1]    
Dispatch Acknowledged Date/Time eTimes.04 O [0..1]    
Unit En Route Date/Time eTimes.05 R [1..1]    
Unit Arrived on Scene Date/Time eTimes.06 R [1..1]    
Arrived at Patient Date/Time eTimes.07 R [1..1]    
Transfer of EMS Patient Care Date/Time eTimes.08 RE [0..1]    
Unit Left Scene Date/Time eTimes.09 R [1..1]    
Arrival at Destination Landing Area Date/Time eTimes.10 O [0..1]    
Patient Arrived at Destination Date/Time eTimes.11 R [1..1]    
Destination Patient Transfer of Care Date/Time eTimes.12 R [1..1]    
EUnit Back in Service Date/Time eTimes.13 M [1..1]    
Unit Canceled Date/Time eTimes.14 O [0..1]    
Unit Back at Home Location Date/Time eTimes.15 O [0..1]    
EMS Call Completed Date/Time eTimes.16 O [0..1]    
Unit Arrived at Staging Area Date/Time eTimes.17 O [0..1]    
EMS Patient ID ePatient.01 O [0..1]    
Last Name ePatient.02 RE [0..1]    
First Name ePatient.03 RE [0..1]    
Middle Initial/Name ePatient.04 O [0..1]    
Patient’s Home Address ePatient.05 O [0..1]    
Patient’s Home City ePatient.06 O [0..1]    
Patient’s Home County ePatient.07 R [1..1]    
Patient’s Home State ePatient.08 R [1..1]    
Patient’s Home ZIP Code ePatient.09 R [1..1]    
Patient’s Country of Residence ePatient.10 O [0..1]    
Patient Home Census Tract ePatient.11 O [0..1]    
Social Security Number ePatient.12 O [0..1]    
Gender ePatient.13 R [1..1]    
Race ePatient.14 R [1..*]    
Age ePatient.15 R [1..1]    
Age Units ePatient.16 R [1..1]    
Date of Birth ePatient.17 RE [0..1]    
Patient’s Phone Number ePatient.18 O [0..*]    
Patient’s Email Address ePatient.19 O [0..*]    
State Issuing Driver’s License ePatient.20 O [0..1]    
Driver’s License Number ePatient.21 O [0..1]    
Alternate Home Residence ePatient.22 RE [0..1]    
Primary Method of Payment ePayment.01 R [1..1]    
Physician Certification Statement ePayment.02 O [0..1]    
Date Physician Certification Statement Signed ePayment.03 O [0..1]    
Reason for Physician Certification Statement ePayment.04 O [0..*]    
Healthcare Provider Type Signing Physician Certification Statement ePayment.05 O [0..1]    
Last Name of Individual Signing Physician Certification Statement ePayment.06 O [0..1]    
First Name of Individual Signing Physician Certification Statement ePayment.07 O [0..1]    
Patient Resides in Service Area ePayment.08 O [0..1]    
Insurance Company ID ePayment.09 O [0..1]    
Insurance Company Name ePayment.10 O [0..1]    
Insurance Company Billing Priority ePayment.11 O [0..1]    
Insurance Company Address ePayment.12 O [0..1]    
Insurance Company City ePayment.13 O [0..1]    
Insurance Company State ePayment.14 O [0..1]    
Insurance Company ZIP Code ePayment.15 O [0..1]    
Insurance Company Country ePayment.16 O [0..1]    
Insurance Group ID ePayment.17 O [0..1]    
Insurance Policy ID Number ePayment.18 O [0..1]    
Last Name of the Insured ePayment.19 O [0..1]    
First Name of the Insured ePayment.20 O [0..1]    
Middle Initial/Name of the Insured ePayment.21 O [0..1]    
Relationship to the Insured ePayment.22 O [0..1]    
Insurance Group Name ePayment.58 O [0..1]    
Insurance Company Phone Number ePayment.59 O [0..*]    
Date of Birth of the Insured ePayment.60 O [0..1]    
Closest Relative/Guardian Last Name ePayment.23 O [0..1]    
Closest Relative/ Guardian First Name ePayment.24 O [0..1]    
Closest Relative/ Guardian Middle Initial/Name ePayment.25 O [0..1]    
Closest Relative/ Guardian Street Address ePayment.26 O [0..1]    
Closest Relative/ Guardian City ePayment.27 O [0..1]    
Closest Relative/ Guardian State ePayment.28 O [0..1]    
Closest Relative/ Guardian ZIP Code ePayment.29 O [0..1]    
Closest Relative/ Guardian Country ePayment.30 O [0..1]    
Closest Relative/ Guardian Phone Number ePayment.31 O [0..*]    
Closest Relative/ Guardian Relationship ePayment.32 O [0..1]    
Patient’s Employer ePayment.33 O [0..1]    
Patient’s Employer’s Address ePayment.34 O [0..1]    
Patient’s Employer’s City ePayment.35 O [0..1]    
Patient’s Employer’s State ePayment.36 O [0..1]    
Patient’s Employer’s ZIP Code ePayment.37 O [0..1]    
Patient’s Employer’s Country ePayment.38 O [0..1]    
Patient’s Employer’s Primary Phone Number ePayment.39 O [0..1]    
Response Urgency ePayment.40 O [0..1]    
Patient Transport Assessment ePayment.41 O [0..*]    
Specialty Care Transport Care Provider ePayment.42 O [0..*]    
Ambulance Transport Reason Code ePayment.44 O [0..*]    
Round Trip Purpose Description ePayment.45 O [0..1]    
Stretcher Purpose Description ePayment.46 O [0..1]    
Ambulance Conditions Indicator ePayment.47 O [0..*]    
Mileage to Closest Hospital Facility ePayment.48 O [0..1]    
LS Assessment Performed and Warranted ePayment.49 O [0..1]    
CMS Service Level ePayment.50 R [1..1]    
EMS Condition Code ePayment.51 O [0..*]    
CMS Transportation Indicator ePayment.52 O [0..*]    
Transport Authorization Code ePayment.53 O [0..1]    
Prior Authorization Code Payer ePayment.54 O [0..1]    
Supply Item Used Name ePayment.55 O [0..1]    
Number of Supply Item(s) Used ePayment.56 O [0..1]    
Payer Type ePayment.57 O [0..1]    
First EMS Unit on Scene eScene.01 R [1..1]    
Other EMS or Public Safety Agencies at Scene eScene.02 O [0..1]    
Other EMS or Public Safety Agency ID Number eScene.03 O [0..1]    
Type of Other Service at Scene eScene.04 O [0..1]    
First Other EMS or Public Safety Agency at Scene to Provide Patient Care eScene.24 O [0..1]    
Date/Time Initial Responder Arrived on Scene eScene.05 O [0..1]    
Number of Patients at Scene eScene.06 R [1..1]    
Mass Casualty Incident eScene.07 R [1..1]    
Triage Classification for MCI Patient eScene.08 R [1..1]    
Incident Location Type eScene.09 R [1..1]    
Incident Facility Code eScene.10 RE [0..1]    
Scene GPS Location eScene.11 O [0..1]    
Scene US National Grid Coordinates eScene.12 O [0..1]    
EIncident Facility or Location Name eScene.13 O [0..1]    
Mile Post or Major Roadway eScene.14 RE [0..1]    
Incident Street Address eScene.15 RE [0..1]    
Incident Apartment, Suite, or Room eScene.16 RE [0..1]    
Incident City eScene.17 RE [0..1]    
Incident State eScene.18 R [1..1]    
Incident ZIP Code eScene.19 R [1..1]    
Scene Cross Street or Directions eScene.20 RE [0..1]    
Incident County eScene.21 R [1..1]    
Incident Country eScene.22 O [0..1]    
Incident Census Tract eScene.23 O [0..1]    
Date/Time of Symptom Onset eSituation.01 R [1..1]    
Possible Injury eSituation.02 R [1..1]    
Complaint Type eSituation.03 RE [0..1]    
Complaint eSituation.04 RE [0..1]    
Duration of Complaint eSituation.05 RE [0..1]    
Time Units of Duration of Complaint eSituation.06 RE [0..1]    
Chief Complaint Anatomic Location eSituation.07 R [1..1]    
Chief Complaint Organ System eSituation.08 R [1..1]    
Primary Symptom eSituation.09 R [1..1]    
Other Associated Symptoms eSituation.10 R [1..1]    
Provider’s Primary Impression eSituation.11 R [1..1]    
Provider’s Secondary Impressions eSituation.12 R [1..1]    
Initial Patient Acuity eSituation.13 R [1..1]    
Work-Related Illness/Injury eSituation.14 RE [0..1]    
Patient’s Occupational Industry eSituation.15 O [0..1]    
Patient’s Occupation eSituation.16 O [0..1]    
Patient Activity eSituation.17 RE [0..1]    
Date/Time Last Known Well eSituation.18 R [1..1]    
Justification for Transfer or Encounter eSituation.19 RE [0..1]    
Reason for Interfacility Transfer/Medical Transport eSituation.20 R [1..1]    
Cause of Injury eInjury.01 R [1..*]    
Mechanism of Injury eInjury.02 RE [0..*]    
Trauma Triage Criteria (Steps 1 and 2) eInjury.03 R [1..*]    
Trauma Triage Criteria (Steps 3 and 4) eInjury.04 R [1..*]    
EMain Area of the Vehicle Impacted by the Collision eInjury.05 O [0..1]    
Location of Patient in Vehicle eInjury.06 O [0..1]    
Use of Occupant Safety Equipment eInjury.07 RE [0..*]    
Airbag Deployment eInjury.08 O [0..*]    
Height of Fall (feet) eInjury.09 O [0..1]    
OSHA Personal Protective Equipment Used eInjury.10 O [0..*]    
ACN System/Company Providing ACN Data eInjury.11 O [0..1]    
ACN Incident ID eInjury.12 O [0..1]    
ACN Call Back Phone Number eInjury.13 O [0..*]    
Date/Time of ACN Incident eInjury.14 O [0..1]    
ACN Incident Location eInjury.15 O [0..1]    
ACN Incident Vehicle Body Type eInjury.16 O [0..1]    
ACN Incident Vehicle Manufacturer eInjury.17 O [0..1]    
ACN Incident Vehicle Make eInjury.18 O [0..1]    
ACN Incident Vehicle Model eInjury.19 O [0..1]    
ACN Incident Vehicle Model Year eInjury.20 O [0..1]    
ACN Incident Multiple Impacts eInjury.21 O [0..1]    
ACN Incident Delta Velocity eInjury.22 O [0..*]    
ACN High Probability of Injury eInjury.23 O [0..1]    
ACN Incident PDOF eInjury.24 O [0..1]    
ACN Incident Rollover eInjury.25 O [0..1]    
ACN Vehicle Seat Location eInjury.26 O [0..1]    
Seat Occupied eInjury.27 O [0..1]    
ACN Incident Seatbelt Use eInjury.28 O [0..1]    
ACN Incident Airbag Deployed eInjury.29 O [0..1]    
Cardiac Arrest eArrest.01 R [1..1]    
Cardiac Arrest Etiology eArrest.02 R [1..1]    
Resuscitation Attempted By EMS eArrest.03 R [1..*]    
Arrest Witnessed By eArrest.04 R [1..*]    
AED Use Prior to EMS Arrival eArrest.07 R [1..1]    
Type of CPR Provided eArrest.09 R [1..*]    
Therapeutic Hypothermia by EMS eArrest.10 O [0..1]    
First Monitored Arrest Rhythm of the Patient eArrest.11 R [1..1]    
Any Return of Spontaneous Circulation eArrest.12 R [1..*]    
Neurological Outcome at Hospital Discharge eArrest.13 O [0..1]    
Date/Time of Cardiac Arrest eArrest.14 R [1..1]    
Date/Time Resuscitation Discontinued eArrest.15 RE [0..1]    
Reason CPR/Resuscitation Discontinued eArrest.16 R [1..1]    
Cardiac Rhythm on Arrival at Destination eArrest.17 R [1..*]    
End of EMS Cardiac Arrest Event eArrest.18 R [1..1]    
Date/Time of Initial CPR eArrest.19 O [0..1]    
Who First Initiated CPR eArrest.20 R [1..1]    
Who First Applied the AED eArrest.21 R [1..1]    
Who First Defibrillated the Patient eArrest.22 R [1..1]    
Barriers to Patient Care eHistory.01 R [1..*]    
Last Name of Patient’s Practitioner eHistory.02 O [0..1]    
First Name of Patient’s Practitioner eHistory.03 O [0..1]    
Middle Name/Initial of Patient’s Practitioner eHistory.04 O [0..1]    
Advance Directives eHistory.05 RE [0..*]    
Medication Allergies eHistory.06 RE [0..*]    
EEnvironmental/Food Allergies eHistory.07 O [0..*]    
Medical/Surgical History eHistory.08 RE [0..*]    
EMedical History Obtained From eHistory.09 O [0..*]    
The Patient’s Type of Immunization eHistory.10 O [0..1]    
Immunization Year eHistory.11 O [0..1]    
Current Medications eHistory.12 RE [0..1]    
Current Medication Dose eHistory.13 O [0..1]    
Current Medication Dosage Unit eHistory.14 O [0..1]    
Current Medication Administration Route eHistory.15 O [0..1]    
Current Medication Frequency eHistory.20 O [0..1]    
Presence of Emergency Information Form eHistory.16 O [0..1]    
Alcohol/Drug Use Indicators eHistory.17 R [1..*]    
Pregnancy eHistory.18 O [0..1]    
Last Oral Intake eHistory.19 O [0..1]    
Patient Care Report Narrative eNarrative.01 RE [0..1]    
Date/Time Vital Signs Taken eVitals.01 R [1..1]    
Obtained Prior to this Unit’s EMS Care eVitals.02 R [1..1]    
Cardiac Rhythm / Electrocardiography (ECG) eVitals.03 R [1..*]    
ECG Type eVitals.04 R [1..1]    
Method of ECG Interpretation eVitals.05 R [1..*]    
SBP (Systolic Blood Pressure) eVitals.06 R [1..1]    
DBP (Diastolic Blood Pressure) eVitals.07 RE [0..1]    
Method of Blood Pressure Measurement eVitals.08 RE [0..1]    
Mean Arterial Pressure eVitals.09 O [0..1]    
Heart Rate eVitals.10 R [1..1]    
Method of Heart Rate Measurement eVitals.11 O [0..1]    
Pulse Oximetry eVitals.12 R [1..1]    
Pulse Rhythm eVitals.13 O [0..1]    
Respiratory Rate eVitals.14 R [1..1]    
Respiratory Effort eVitals.15 O [0..1]    
End Tidal Carbon Dioxide (ETCO2) eVitals.16 R [1..1]    
Carbon Monoxide (CO) eVitals.17 RE [0..1]    
Blood Glucose Level eVitals.18 R [1..1]    
Glasgow Coma Score-Eye eVitals.19 R [1..1]    
Glasgow Coma Score-Verbal eVitals.20 R [1..1]    
Glasgow Coma Score-Motor eVitals.21 R [1..1]    
Glasgow Coma Score-Qualifier eVitals.22 R [1..*]    
Total Glasgow Coma Score eVitals.23 RE [0..1]    
Temperature eVitals.24 RE [0..1]    
Temperature Method eVitals.25 O [0..1]    
Level of Responsiveness (AVPU) eVitals.26 R [1..1]    
Pain Scale Score eVitals.27 R [1..1]    
Pain Scale Type eVitals.28 RE [0..1]    
Stroke Scale Score eVitals.29 R [1..1]    
Stroke Scale Type eVitals.30 R [1..1]    
Reperfusion Checklist eVitals.31 R [1..1]    
APGAR eVitals.32 O [0..1]    
Revised Trauma Score eVitals.33 O [0..1]    
Date/Time of Laboratory or Imaging Result eLabs.01 O [0..1]    
Study/Result Prior to this Unit’s EMS Care eLabs.02 O [0..1]    
Laboratory Result Type eLabs.03 O [0..1]    
Laboratory Result eLabs.04 O [0..1]    
Imaging Study Type eLabs.05 O [0..1]    
Imaging Study Results eLabs.06 O [0..1]    
Imaging Study File or Waveform Graphic Type eLabs.07 O [0..1]    
Imaging Study File or Waveform Graphic eLabs.08 O [0..1]    
Estimated Body Weight in Kilograms eExam.01 RE [0..1]    
Length Based Tape Measure eExam.02 RE [0..1]    
Date/Time of Assessment eExam.03 O [0..1]    
Skin Assessment eExam.04 O [0..*]    
Head Assessment eExam.05 O [0..*]    
Face Assessment eExam.06 O [0..*]    
Neck Assessment eExam.07 O [0..*]    
Heart Assessment eExam.09 O [0..*]    
Abdominal Assessment Finding Location eExam.10 O [0..1]    
Abdomen Assessment eExam.11 O [0..*]    
Pelvis/Genitourinary Assessment eExam.12 O [0..*]    
Back and Spine Assessment Finding Location eExam.13 O [0..1]    
Back and Spine Assessment eExam.14 O [0..*]    
Extremity Assessment Finding Location eExam.15 O [0..1]    
Extremities Assessment eExam.16 O [0..*]    
Eye Assessment Finding Location eExam.17 O [0..1]    
Eye Assessment eExam.18 O [0..*]    
Lung Assessment Finding Location eExam.22 O [0..1]    
Lung Assessment eExam.23 O [0..*]    
Chest Assessment Finding Location eExam.24 O [0..1]    
Chest Assessment eExam.25 O [0..*]    
Mental Status Assessment eExam.19 O [0..*]    
Neurological Assessment eExam.20 O [0..*]    
Stroke/CVA Symptoms Resolved eExam.21 RE [0..1]    
Protocols Used eProtocols.01 R [1..1]    
Protocol Age Category eProtocols.02 RE [0..1]    
Date/Time Medication Administered eMedications.01 R [1..1]    
Medication Administered Prior to this Unit’s EMS Care eMedications.02 R [1..1]    
Medication Administered eMedications.03 R [1..1]    
Medication Administered Route eMedications.04 R [1..1]    
Medication Dosage eMedications.05 R [1..1]    
Medication Dosage Units eMedications.06 R [1..1]    
Response to Medication eMedications.07 R [1..1]    
Medication Complication eMedications.08 R [1..1]    
Medication Crew (Healthcare Professionals) ID eMedications.09 RE [0..1]    
Role/Type of Person Administering Medication eMedications.10 R [1..1]    
Medication Authorization eMedications.11 O [0..1]    
Medication Authorizing Physician eMedications.12 O [0..1]    
Date/Time Procedure Performed eProcedures.01 R [1..1]    
Procedure Performed Prior to this Unit’s EMS Care eProcedures.02 R [1..1]    
Procedure eProcedures.03 R [1..1]    
Size of Procedure Equipment eProcedures.04 O [0..1]    
Number of Procedure Attempts eProcedures.05 R [1..1]    
Procedure Successful eProcedures.06 R [1..1]    
Procedure Complication eProcedures.07 R [1..*]    
Response to Procedure eProcedures.08 R [1..1]    
Procedure Crew Members ID eProcedures.09 RE [0..1]    
Role/Type of Person Performing the Procedure eProcedures.10 R [1..1]    
Procedure Authorization eProcedures.11 O [0..1]    
Procedure Authorizing Physician eProcedures.12 O [0..1]    
Vascular Access Location eProcedures.13 RE [0..1]    
Indications for Invasive Airway eAirway.01 RE [0..*]    
Date/Time Airway Device Placement Confirmation eAirway.02 RE [0..1]    
Airway Device Being Confirmed eAirway.03 RE [0..1]    
Airway Device Placement Confirmed Method eAirway.04 RE [0..*]    
Tube Depth eAirway.05 O [0..1]    
Type of Individual Confirming Airway Device Placement eAirway.06 RE [0..1]    
Crew Member ID eAirway.07 RE [0..1]    
Airway Complications Encountered eAirway.08 RE [0..*]    
Suspected Reasons for Failed Airway Management eAirway.09 O [0..1]    
Date/Time Decision to Manage the Patient with an Invasive Airway eAirway.10 O [0..1]    
Date/Time Invasive Airway Placement Attempts Abandoned eAirway.11 O [0..1]    
Medical Device Serial Number eDevice.01 O [0..1]    
Date/Time of Event (per Medical Device) eDevice.02 O [0..1]    
Medical Device Event Type eDevice.03 O [0..*]    
Medical Device Waveform Graphic Type eDevice.04 O [0..1]    
Medical Device Waveform Graphic eDevice.05 O [0..1]    
Medical Device Mode (Manual, AED, Pacing, CO2, O2, etc) eDevice.06 O [0..1]    
Medical Device ECG Lead eDevice.07 O [0..*]    
Medical Device ECG Interpretation eDevice.08 O [0..1]    
Type of Shock eDevice.09 O [0..1]    
Shock or Pacing Energy eDevice.10 O [0..1]    
Total Number of Shocks Delivered eDevice.11 O [0..1]    
Pacing Rate eDevice.12 O [0..1]    
Destination/Transferred To, Name eDisposition.01 RE [0..1]    
Destination/Transferred To, Code eDisposition.02 RE [0..1]    
Destination Street Address eDisposition.03 O [0..1]    
Destination City eDisposition.04 O [0..1]    
Destination State eDisposition.05 R [1..1]    
Destination County eDisposition.06 R [1..1]    
Destination ZIP Code eDisposition.07 R [1..1]    
Destination Country eDisposition.08 O [0..1]    
Destination GPS Location eDisposition.09 O [0..1]    
Destination Location US National Grid Coordinates eDisposition.10 O [0..1]    
Number of Patients Transported in this EMS Unit eDisposition.11 RE [0..1]    
Unit Disposition eDisposition.27 M [1..1]    
Patient Evaluation/Care eDisposition.28 R [1..1]    
Crew Disposition eDisposition.29 R [1..1]    
Transport Disposition eDisposition.30 R [1..1]    
Reason for Refusal/Release eDisposition.31 O [0..*]    
How Patient Was Moved to Ambulance eDisposition.13 O [0..*]    
Position of Patient During Transport eDisposition.14 O [0..*]    
How Patient Was Moved From Ambulance deDisposition.15 O [0..*]    
EMS Transport Method eDisposition.16 R [1..1]    
Transport Mode from Scene eDisposition.17 R [1..1]    
Additional Transport Mode Descriptors eDisposition.18 R [1..*]    
Final Patient Acuity eDisposition.19 R [1..1]    
Reason for Choosing Destination eDisposition.20 R [1..*]    
Type of Destination eDisposition.21 R [1..1]    
Hospital In-Patient Destination eDisposition.22 R [1..1]    
Hospital Capability eDisposition.23 R [1..*]    
Destination Team Pre-Arrival Alert or Activation eDisposition.24 R [1..1]    
Date/Time of Destination Prearrival Alert or Activation eDisposition.25 R [1..1]    
Disposition Instructions Provided eDisposition.26 O [0..*]    
Level of Care Provided per Protocol eDisposition.32 R [1..1]    
Emergency Department Disposition eOutcome.01 R [1..1] N/A QORE Profile
Hospital Disposition eOutcome.02 R [1..1] N/A QORE Profile
External Report ID/Number Type eOutcome.03 O [0..1] N/A QORE Profile
External Report ID/Number eOutcome.04 O [0..1] N/A QORE Profile
Other Report Registry Type eOutcome.05 O [0..1] N/A QORE Profile
Emergency Department Procedures eOutcome.09 R [1..1] N/A QORE Profile
Date/Time Emergency Department Procedure Performed eOutcome.19 R [1..1] N/A QORE Profile
Emergency Department Diagnosis eOutcome.10 R [1..*] N/A QORE Profile
Date/Time of Hospital Admission eOutcome.11 R [1..1] N/A QORE Profile
Hospital Procedures eOutcome.12 R [1..1] N/A QORE Profile
Date/Time Hospital Procedure Performed eOutcome.20 R [1..1] N/A QORE Profile
Hospital Diagnosis eOutcome.13 R [1..*] N/A QORE Profile
Date/Time of Hospital Discharge eOutcome.16 R [1..1] N/A QORE Profile
Date/Time of Emergency Department Admission eOutcome.18 R [1..1] N/A QORE Profile
Custom Data Element Result eCustomResults.01 M [1..*]    
Custom Element ID Referenced eCustomResults.02 M [1..1]    
CorrelationID of PatientCareReport Element or Group eCustomResults.03 O [0..1]    
Review Requested eOther.01 O [0..1]    
Potential System of Care/Specialty/Registry Patient eOther.02 O [0..1]    
Personal Protective Equipment Used eOther.03 O [0..1]    
EMS Professional (Crew Member) ID eOther.04 O [0..1]    
Suspected EMS Work Related Exposure, Injury, or Death eOther.05 RE [0..1]    
The Type of Work-Related Injury, Death or Suspected Exposure eOther.06 RE [0..1]    
Natural, Suspected, Intentional, or Unintentional Disaster eOther.07 O [0..1]    
Crew Member Completing this Report eOther.08 RE [0..1]    
External Electronic Document Type eOther.09 O [0..1]    
File Attachment Type eOther.10 O [0..1]    
File Attachment Image eOther.11 O [0..1]    
File Attachment Name eOther.22 O [0..1]    
Type of Person Signing eOther.12 O [0..1]    
Signature Reason eOther.13 O [0..1]    
Type Of Patient Representative eOther.14 O [0..1]    
Signature Status eOther.15 O [0..1]    
Signature File Name eOther.16 O [0..1]    
Signature File Type eOther.17 O [0..1]    
Signature Graphic eOther.18 O [0..1]    
Date/Time of Signature eOther.19 O [0..1]    
Signature Last Name eOther.20 O [0..1]    
Signature First Name deOther.21 O [0..1]