PCC - mobile Paramedicine Summary of Care (mPSC)
2.0.0-draft - ci-build
PCC - mobile Paramedicine Summary of Care (mPSC), 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
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] |