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] |