Docstoc

Sets - HL7 Wiki

Document Sample
Sets - HL7 Wiki Powered By Docstoc
					 NEMSIS V3 Element Number                     Element Title                 Nulls
DAgency.01                  EMS Agency Unique State ID
DAgency.02                  EMS Agency Number
DAgency.03                  EMS Agency Name
DAgency.04                  EMS Agency State
DAgency.05                  EMS Agency Service Area States
DAgency.06                  EMS Agency Service Area County(s)
DAgency.07                  EMS Agency Census Tracts
DAgency.08                  EMS Agency Service Area Zip Codes
DAgency.09                  Primary Type of Service
DAgency.10                  Other Types of Service                          ARR
DAgency.11                  Level of Service
DAgency.12                  Organization Status
DAgency.13                  Organizational Type
DAgency.14                  EMS Agency Organizational Tax Status
DAgency.15                  Statistical Calendar Year
DAgency.16                  Total Primary Service Size Area
DAgency.17                  Total Service Area Population
DAgency.18                  911 EMS Call Center Volume per Year
DAgency.19                  EMS Dispatch Volume per Year
DAgency.20                  EMS Patient Transport Volume per Year
DAgency.21                  EMS Patient Contact Volume per Year
DAgency.22                  EMS Billable Calls per Year
DAgency.23                  EMS Agency Time Zone
DAgency.24                  EMS Agency Daylight Savings Time Use
DAgency.25                  National Provider Identifier                    ARR
DAgency.26                  Fire Department ID Number                       ARR
                            State Associated with the
DConfiguration.01           Certification/Licensure Levels
DConfiguration.02           State Certification Licensure Levels
DConfiguration.03           Procedures Permitted by the State
DConfiguration.04           Medications Permitted by the State
DConfiguration.05           EMS Agency Procedures
                            EMS Professional Level Permitted to Perform
DConfiguration.06           the
DConfiguration.07           EMS Agency Medications
                            Personnel Level Permitted to Administer the
DConfiguration.08           Medication
DConfiguration.09           EMS Agency Protocols
DConfiguration.10           EMS Agency Specialty Service Capability
DConfiguration.11           Billing Status
                            Emergency Medical Dispatch (EMD) Provided
DConfiguration.12           to EMS
DConfiguration.13           EMD Vendor                                      ARR
                            Patient Monitoring Capability(s) available to
DConfiguration.14           every
DContact.01                 Agency Contact Type                             ARR
DContact.02        Agency Contact Last Name                      ARR
DContact.03        Agency Contact First Name                     ARR
DContact.04        Agency Contact Middle Name/Initial
DContact.05        Agency Contact Address                        ARR
DContact.06        Agency Contact City                           ARR
DContact.07        Agency Contact State                          ARR
DContact.08        Agency Contact Zip Code                       ARR
DContact.09        Agency Contact Country
DContact.10        Agency Contact Telephone Number               ARR
DContact.11        Agency Contact Fax Number
DContact.12        Agency Contact Email Address                  ARR
DContact.13        EMS Agency Contact Web Address                ARR
DContact.14        Agency Medical Director Degree                ARR
                   Agency Medical Director Board Certification
DContact.15        Type                                          ARR
DCustom.01         Demographic Custom Data Element Title
                   Demographic Custom Data Element Potential
DCustom.02         Values
                   Demographic Custom Data Element
DCustom.03         Multiplicity

DCustom.04         Demographic Custom Data Element Usage

DCustom.05         Demographic Custom Data Element Values

DCustom.06         Demographic Custom Data Element Result
DDevice.01         Medical Device Serial Number
DDevice.02         Device Name or ID
DDevice.03         Medical Device Type
DDevice.04         Device Manufacturer
DDevice.05         Model Number
DDevice.06         Device Purchase Date
DLocation.01       EMS Location Type
DLocation.02       EMS Location Name
DLocation.03       EMS Location Number
DLocation.04       EMS Location GPS

DLocation.05       EMS Location US National Grid Coordinates
DLocation.06       EMS Location Address
DLocation.07       EMS Location City
DLocation.08       EMS Location State
DLocation.09       EMS Station or Location Zip Code
DLocation.10       EMS Location County
DLocation.11       EMS Location Country
DLocation.12       EMS Location Telephone Number
DProfessional.01   EMS Professional's Last Name
DProfessional.02   EMS Professional's First Name
DProfessional.03   EMS Professional's Middle Name/Initial
DProfessional.04   EMS Professional's Mailing Address
DProfessional.05   EMS Professional's City of Residence
DProfessional.06   EMS Professional's State
DProfessional.07   EMS Professional's Zip Code
DProfessional.08   EMS Professional's Country
DProfessional.09   EMS Professional's Work Telephone
DProfessional.10   EMS Professional's Home Telephone
DProfessional.11   EMS Professional's Email Address
DProfessional.12   EMS Professional's Date Of Birth                    ARR
DProfessional.13   EMS Professional's Gender                           ARR
DProfessional.14   EMS Professional's Race                             ARR
DProfessional.16   EMS Professional's Citizenship

DProfessional.17   EMS Professional's Highest Educational Degree
                   EMS Professional's Degree Subject/Field of
DProfessional.18   Study

DProfessional.19   EMS Professional's Motor Vehicle License Type
DProfessional.20   EMS Professional's Immunization Status

DProfessional.21   EMS Professional's Foreign Language Ability
DProfessional.22   State EMS Certification Licensure Level          ARR
DProfessional.23   State EMS Current Certification Date
                   EMS Professional's Initial State/Licensure Issue
DProfessional.24   Date
                   EMS Professional's Current State/Licensure
DProfessional.25   Expiration
DProfessional.26   National Registry Credentialed
DProfessional.27   National Registry Certification Level
DProfessional.28   National Registry Certification Date
DProfessional.29   Total Length of Service in years.
DProfessional.30   Date Length of Service Documented
DStaff.01          Professional's Agency ID Number                  ARR
DStaff.02          State of Licensure                               ARR

DStaff.03          EMS Professional's State/Licensure ID Number        ARR
DStaff.04          EMS Professional's Employment Status                ARR
DStaff.05          Employment Status Date                              ARR
DStaff.06          Hire Date
DStaff.07          Primary EMS Job Role                                ARR
DStaff.08          Other Job Responsibilities                          ARR
DStaff.09          EMS Professional's Practice Level
                   Date of Professional's Certification or Licensure
DStaff.10          for
DVehicle.01        Unit/Vehicle Number                                 ARR
DVehicle.02        Vehicle Identification Number
DVehicle.03   Vehicle Type                                    ARR
DVehicle.04   Crew State Certification/Licensure Levels
              Number Of Each EMS Professional Level on
DVehicle.05   Normal
              Number Of Each EMS Professional Level on
DVehicle.06   Normal
              Number Of Each EMS Professional Level on
DVehicle.07   Normal
DVehicle.08   Vehicle Initial Cost
DVehicle.09   Vehicle Model Year                              ARR
DVehicle.10   Year Miles/Hours Accrued
DVehicle.11   Annual Vehicle Hours
DVehicle.12   Annual Vehicle Miles
EAirway.01    Indications for Invasive Airway                 ARR
              Date/Time Airway Device Placement
EAirway.02    Confirmation                                    ARR
EAirway.03    Airway Device Being Confirmed                   ARR
              Airway Device Placement Confirmed
EAirway.04    Method(s)                                       ARR
              Individual Determining Airway Device
EAirway.05    Placement                                       ARR
EAirway.06    Airway Complications Encountered                ARR

EAirway.07    Suspected Reasons for Failed Airway Procedure
              Decision to Manage the Patient with an
EAirway.08    Invasive Airway

EAirway.09    Date/Time Successful Invasive Airway in Place   ARR
              Date/Time Invasive Airway Placement
EAirway.10    Attempts
EArrest.01    Cardiac Arrest                                  ARR
EArrest.02    Cardiac Arrest Etiology                         ARR
EArrest.03    Resuscitation Attempted By EMS                  ARR
EArrest.04    Arrest Witnessed by                             ARR
EArrest.05    CPR Care Provided Prior to EMS Arrival          ARR
EArrest.06    Who Provided CPR Prior to EMS Arrival
EArrest.07    AED Use Prior to EMS Arrival                    ARR
EArrest.08    Who Used AED Prior to EMS Arrival
EArrest.09    Type of CPR Provided                            ARR
EArrest.10    Therapeutic Hypothermia Initiated               ARR

EArrest.11    First Monitored Arrest Rhythm of the Patient    ARR
EArrest.12    Any Return of Spontaneous Circulation           ARR

EArrest.13    Neurological Outcome at Hospital Discharge
EArrest.14    Time of Cardiac Arrest                          ARR
EArrest.15    Date/Time Resuscitation Discontinued            ARR
EArrest.16        Reason CPR/Resuscitation Discontinued        ARR
EArrest.17        Cardiac Rhythm on Arrival at Destination     ARR
EArrest.18        End of EMS Cardiac Arrest Event
EContact.16       Medical Director Compensation
                  EMS Medical Director Fellowship Trained
EContact.17       Status
ECrew.01          Crew Member ID                               ARR
ECrew.02          Crew Member Level                            ARR
ECrew.03          Crew Member Response Role                    ARR
ECustom.01        EMS Custom Data Element Title

ECustom.02        EMS Custom Data Element Potential Values
ECustom.03        EMS Custom Data Element Multiplicity
ECustom.04        EMS Custom Data Element Usage
ECustom.05        EMS Custom Data Element Values
ECustom.06        EMS Custom Data Element Result
EDevice.01        Event Date/Time
EDevice.02        Medical Device Event Name
EDevice.03        Waveform Graphic Type
EDevice.04        Waveform Graphic
EDevice.05        ECG Lead                                     ARR
EDevice.06        ECG Interpretation
EDevice.07        Type of Shock
EDevice.08        Shock or Pacing Energy
EDevice.09        Total Number of Shocks Delivered
EDevice.10        Pacing Rate
EDispatch.01      Complaint Reported by Dispatch
EDispatch.02      EMD Performed                                ARR
EDispatch.03      EMD Card Number
EDisposition.01   Destination/Transferred To, Name             ARR
EDisposition.02   Destination/Transferred To, Code             ARR
EDisposition.03   Destination Street Address
EDisposition.04   Destination City
EDisposition.05   Destination State                            ARR
EDisposition.06   Destination County                           ARR
EDisposition.07   Destination Zip Code                         ARR
EDisposition.08   Destination Country
EDisposition.09   Destination GPS Location
                  Disposition Location US National Grid
EDisposition.10   Coordinates
                  Number of Patients Transported in this EMS
EDisposition.11   Unit                                         ARR
EDisposition.12   Incident/Patient Disposition
EDisposition.13   How Patient Was Moved to Ambulance
EDisposition.14   Position of Patient During Transport
                  How Patient Was Transported From
EDisposition.15   Ambulance
EDisposition.16   EMS Transport Method                           ARR
EDisposition.17   Transport Mode from Scene                      ARR
EDisposition.18   Additional Transport Mode Descriptors          ARR
EDisposition.19   Condition of Patient at Destination            ARR
EDisposition.20   Reason for Choosing Destination                ARR
EDisposition.21   Type of Destination                            ARR
EDisposition.22   Destination Prearrival Activation              ARR

EDisposition.23   Destination Prearrival Activation Date/Time    ARR
EDisposition.24   Disposition Instructions Provided
EExam.01          Estimated Body Weight in Kilograms             ARR
EExam.02          Length Based Tape Measure                      ARR
EExam.03          Date/Time of Assessment                        ARR
EExam.04          Skin Assessment
EExam.05          Head Assessment
EExam.06          Face Assessment
EExam.07          Neck Assessment
EExam.08          Chest/Lungs Assessment
EExam.09          Heart Assessment
EExam.10          Abdomen Assessment
EExam.11          Abdominal Exam Finding Location
EExam.12          Pelvis/Genitourinary Assessment
EExam.13          Back and Spine Assessment

EExam.14          Back and Spine Assessment Finding Location
EExam.15          Extremities Assessment
EExam.16          Extremity Assessment Finding Location
EExam.17          Eye Assessment
EExam.18          Eye Assessment Finding Location
EExam.19          Mental Status Assessment
EExam.20          Neurological Assessment
EHistory.01       Barriers to Patient Care                       ARR

EHistory.02       Last Name of Patient's Primary Practitioner

EHistory.03       First Name of Patient's Primary Practitioner

EHistory.04       Middle Name of Patient's Primary Practitioner
EHistory.05       Advance Directives                            ARR
EHistory.08       Medication Allergies                          ARR
EHistory.09       Environmental/Food Allergies
EHistory.10       Medical/Surgical History
EHistory.11       Medical History Obtained From
EHistory.12       Immunization History
EHistory.13       Immunization Date
EHistory.14       Current Medications                           ARR
EHistory.15       Current Medication Dose
EHistory.16   Current Medication Dosage Unit

EHistory.17   Current Medication Administration Route

EHistory.18   Presence of Emergency Information Form
EHistory.19   Alcohol/Drug Use Indicators                   ARR
EHistory.20   Pregnancy
EHistory.21   Last Oral Intake
EInjury.01    Cause of Injury                               ARR
EInjury.02    Intent of the Injury                          ARR
EInjury.03    Mechanism of Injury                           ARR
EInjury.04    Trauma Center Criteria                        ARR
              Vehicular, Pedestrian, or Other Injury Risk
EInjury.05    Factor                                        ARR
              Main Area of the Vehicle impacted by the
EInjury.06    collision
EInjury.07    Location of Patient in Vehicle
EInjury.08    Use of Occupant Safety Equipment              ARR
EInjury.09    Airbag Deployment
EInjury.10    Height of Fall (feet)

EInjury.11    OSHA Personal Protective Equipment Used

EInjury.12    ACN System/Company Providing ACN Data
EInjury.13    ACN Incident ID
EInjury.14    ACN Call Back Phone Number
EInjury.15    ACN Incident Date/Time
EInjury.16    ACN Incident Location
EInjury.17    ACN Incident Vehicle Body Type
EInjury.18    ACN Incident Vehicle Manufacturer
EInjury.19    ACN Incident Vehicle Make
EInjury.20    ACN Incident Vehicle Model
EInjury.21    ACN Incident Vehicle Model Year
EInjury.22    ACN Incident Multiple Impacts
EInjury.23    ACN Incident Delta Velocity
EInjury.24    ACN High Probability of Injury
EInjury.25    ACN Incident PDOF
EInjury.26    ACN Incident Rollover
EInjury.27    ACN Vehicle Seat Location
EInjury.28    Seat Occupied
EInjury.29    ACN Incident Seatbelt Use
EInjury.30    ACN Incident Airbag Deployed
ELab.01       Date/Time Laboratory or Imaging Result
ELab.02       Study/Result Prior to this Units EMS Care
ELab.03       Laboratory Result Type
ELab.04       Laboratory Result
ELab.05       Imaging Study Type
ELab.06           Imaging Study Results
EMedications.01   Date/Time Medication Administered               ARR
                  Medication Administered Prior to this Units
EMedications.02   EMS Care
EMedications.03   Medication Given                                ARR
EMedications.04   Medication Administered Route
EMedications.05   Medication Dosage
EMedications.06   Medication Dosage Units
EMedications.07   Response to Medication                          ARR
EMedications.08   Medication Complication                         ARR

EMedications.09   Medication Crew (Healthcare Professionals) ID   ARR
                  EMS or Healthcare Professional Type
EMedications.10   Administering                                   ARR
EMedications.11   Medication Authorization
EMedications.12   Medication Authorizing Physician
ENarrative.01     Patient Care Report Narrative                   ARR
EOther.01         Review Requested
                  Potential System of Care/Specialty/Registry
EOther.02         Patient                                         ARR
EOther.03         Personal Protective Equipment Used
EOther.04         EMS Professional (Crew Member) ID
                  Suspected Intentional, or Unintentional
EOther.05         Disaster                                        ARR
                  Suspected EMS Work Related Exposure, Injury,
EOther.06         or                                              ARR
                  Type of Suspected EMS Blood/Body Fluid
EOther.07         Exposure,                                       ARR
EOther.08         Who Generated this Report?
EOther.09         External Electronic Documents
EOther.10         File Attachment Type
EOther.11         File Attachment Image
EOther.12         Signature Type
EOther.13         Relationship to the Patient of the Patient
EOther.14         Signature Status
EOther.15         Signature Graphic
EOther.16         Date/Time of Signature
EOther.17         Signature Last Name
EOther.18         Signature First Name
EOutcome.01       Emergency Department Disposition                ARR
EOutcome.02       Hospital Disposition                            ARR
EOutcome.03       External Report ID/Number Type
EOutcome.04       External Report ID/Number
EOutcome.05       Emergency Department Chief Complaint
EOutcome.06       First ED Systolic Blood Pressure
                  Emergency Department Recorded Cause of
EOutcome.07       Injury
EOutcome.08   Emergency Department Procedures
EOutcome.09   Emergency Department Diagnosis
EOutcome.10   Hospital Admission Date/Time
EOutcome.11   Hospital Procedures
EOutcome.12   Hospital Diagnosis
EOutcome.13   Total ICU Length of Stay
EOutcome.14   Total Ventilator Days
EOutcome.15   Hospital Discharge Date/Time
EPatient.01   EMS Patient ID
EPatient.02   Last Name                                       ARR
EPatient.03   First Name                                      ARR
EPatient.04   Middle Initial/Name
EPatient.05   Patient's Home Address
EPatient.06   Patient's Home City
EPatient.07   Patient's Home County                           ARR
EPatient.08   Patient's Home State
EPatient.09   Patient's Home Zip Code                         ARR
EPatient.10   Patient's Home Country
EPatient.11   Patient Home Census Tract
EPatient.12   Social Security Number
EPatient.13   Gender                                          ARR
EPatient.14   Race                                            ARR
EPatient.15   Age                                             ARR
EPatient.16   Age Units                                       ARR
EPatient.17   Date of Birth
EPatient.18   Primary or Home Telephone Number
EPatient.19   Patient's Email Address
EPatient.20   State Issuing Driver's License
EPatient.21   Driver's License Number
EPayment.01   Primary Method of Payment                       ARR
EPayment.02   Physician Certification Statement

EPayment.03   Date Physician Certification Statement Signed

EPayment.04   Reason for Physician Certification Statement

EPayment.05   Healthcare Provider Type Signing Physician
              First Name of Individual Signing Physician
EPayment.06   Certification
              Last Name of Individual Signing Physician
EPayment.07   Certification
EPayment.08   Residency Status of the Patient
EPayment.09   Insurance Company ID/Name
EPayment.10   Insurance Company Billing Priority
EPayment.11   Insurance Company Address
EPayment.12   Insurance Company City
EPayment.13   Insurance Company State
EPayment.14      Insurance Company Zip Code
EPayment.15      Insurance Company Country
EPayment.16      Insurance Group ID/Name
EPayment.17      Insurance Policy ID Number
EPayment.18      Last Name of the Insured
EPayment.19      First Name of the Insured
EPayment.20      Middle Initial/Name of the Insured
EPayment.21      Relationship to the Insured
EPayment.22      Closest Relative/Guardian Last Name
EPayment.23      Closest Relative/ Guardian First Name

EPayment.24      Closest Relative/ Guardian Middle Initial/Name

EPayment.25      Closest Relative/ Guardian Street Address
EPayment.26      Closest Relative/ Guardian City
EPayment.27      Closest Relative/ Guardian State
EPayment.28      Closest Relative/ Guardian Zip Code
EPayment.29      Closest Relative/ Guardian Country

EPayment.30      Closest Relative/ Guardian Phone Number
EPayment.31      Closest Relative/ Guardian Relationship
EPayment.32      Patient's Employer
EPayment.33      Patient's Employer's Address
EPayment.34      Patient's Employer's City
EPayment.35      Patient's Employer's State
EPayment.36      Patient's Employer's Zip Code
EPayment.37      Patient's Employer's Country
EPayment.38      Patient's Work Telephone Number
EPayment.39      Response Urgency
EPayment.40      Patient Transport Assessment
EPayment.41      Specialty Care Transport Care Provider
EPayment.42      Ambulance Transport Code
EPayment.43      Ambulance Transport Reason Code
EPayment.44      Round Trip Purpose Description
EPayment.45      Stretcher Purpose Description
EPayment.46      Ambulance Conditions Indicator
EPayment.47      Mileage to Closest Hospital Facility

EPayment.48      ALS Assessment Performed and Warranted
EPayment.49      CMS Service Level                                ARR
EPayment.50      EMS Condition Code                               ARR
EPayment.51      CMS Transportation Indicator
EPayment.52      Transport Authorization Code
EPayment.53      Prior Authorization Code Payor
EPayment.54      Supply Item Used Name
EPayment.55      Number of Supply Item(s) Used
EProcedures.01   Date/Time Procedure Performed                    ARR
                 Procedure Performed Prior to this Units EMS
EProcedures.02   Care                                          ARR
EProcedures.03   Procedure                                     ARR
EProcedures.04   Size of Procedure Equipment
EProcedures.05   Number of Procedure Attempts                  ARR
EProcedures.06   Procedure Successful                          ARR
EProcedures.07   Procedure Complication                        ARR
EProcedures.08   Response to Procedure                         ARR
EProcedures.09   Procedure Crew Members ID                     ARR
                 EMS or Healthcare Professional Type
EProcedures.10   Performing the                                ARR
EProcedures.11   Procedure Authorization
EProcedures.12   Procedure Authorizing Physician
EProcedures.13   IV Site Location                              ARR
EProtocols.01    Protocols Used                                ARR
EProtocols.02    Protocol Age Category                         ARR
ERecord.01       Patient Care Report Number
ERecord.02       Software Creator
ERecord.03       Software Name
ERecord.04       Software Version
EResponse.01     EMS Agency Number
EResponse.02     EMS Agency Name                               ARR
EResponse.03     Incident Number
EResponse.04     EMS Vehicle (Unit) Response Number
EResponse.05     Type of Service Requested
EResponse.06     Standby Purpose                               Not defined
EResponse.07     Primary Role of the Unit
EResponse.08     Type of Dispatch Delay                        ARR
EResponse.09     Type of Response Delay                        ARR
EResponse.10     Type of Scene Delay                           ARR
EResponse.11     Type of Transport Delay                       ARR
EResponse.12     Type of Turn-Around Delay                     ARR
EResponse.13     EMS Vehicle (Unit) Number
EResponse.14     Vehicle Dispatch Location
EResponse.15     Vehicle Dispatch GPS Location

EResponse.16     Vehicle Dispatch US National Grid Location
                 Beginning Odometer Reading of Responding
EResponse.17     Vehicle
                 On-Scene Odometer Reading of Responding
EResponse.18     Vehicle
                 Patient Destination Odometer Reading of
EResponse.19     Responding
                 Ending Odometer Reading of Responding
EResponse.20     Vehicle
EResponse.21     Response Mode to Scene
EResponse.22     Additional Response Mode Descriptors          ARR
EScene.01       First EMS Unit on Scene                        ARR

EScene.02       Other EMS or Public Safety Agencies at Scene

EScene.03       Other Public Safety or EMS Agency ID Number
EScene.04       Type of Other Service at Scene

EScene.05       Date/Time Initial Responder Arrived on Scene
EScene.06       Number of Patients at Scene                    ARR
EScene.07       Mass Casualty Incident                         ARR
EScene.08       Incident Location Type                         ARR
EScene.09       Incident Facility Code                         ARR
EScene.10       Scene GPS Location
EScene.11       Scene US National Grid Coordinates
EScene.12       Incident Facility or Location Name
EScene.13       Incident Address Type                          ARR
EScene.14       Address Number or Mile Post
EScene.15       Scene Street Prefix
EScene.16       Incident Street Address
EScene.17       Street Type
EScene.18       Scene Street Suffix
EScene.19       Scene Apartment, Suite, or Room
EScene.20       Incident City                                  ARR
EScene.21       Incident State                                 ARR
EScene.22       Incident ZIP Code                              ARR
EScene.23       Scene Cross Street or Directions
EScene.24       Incident County                                ARR
EScene.25       Incident Country
EScene.26       Incident Census Tract

ESituation.01   Date/Time of Symptom Onset/Last Normal         ARR
ESituation.02   Possible Injury
ESituation.03   Complaint Type                                 ARR
ESituation.04   Complaint                                      ARR
ESituation.05   Duration of Complaint                          ARR
ESituation.06   Time Units of Duration of Complaint            ARR
ESituation.07   Chief Complaint Anatomic Location              ARR
ESituation.08   Chief Complaint Organ System                   ARR
ESituation.09   Primary Symptom                                ARR
ESituation.10   Other Associated Symptoms                      ARR
ESituation.11   Providers Primary Impression                   ARR
ESituation.12   Provider's Secondary Impressions               ARR
ESituation.13   Patient's Initial Condition at Scene           ARR
ESituation.14   Work-Related Illness/Injury                    ARR
ESituation.15   Patient's Occupational Industry
ESituation.16   Patient's Occupation
ETimes.01       PSAP Call Date/Time                            ARR
ETimes.02    Dispatch Notified Date/Time
ETimes.03    Unit Notified by Dispatch Date/Time
ETimes.04    Dispatch Acknowledged Date/Time
ETimes.05    Unit En Route Date/Time                          ARR
ETimes.06    Unit Arrived on Scene Date/Time                  ARR
ETimes.07    Arrived at Patient Date/Time                     ARR
ETimes.08    Transfer of EMS Patient Care Date/Time           ARR
ETimes.09    Unit Left Scene Date/Time                        ARR
ETimes.10    Arrival at Destination Landing Area
ETimes.11    Patient Arrived at Destination Date/Time         ARR

ETimes.12    Destination Patient Transfer of Care Date/Time   ARR
ETimes.13    Unit Back in Service Date/Time
ETimes.14    Unit Cancelled Date/Time
ETimes.15    Unit Back at Home Location Date/Time
ETimes.16    EMS Call Completed Date/Time
EVitals.01   Date/Time Vital Signs Taken                      ARR
EVitals.02   Obtained Prior to this Units EMS Care            ARR
EVitals.03   Cardiac Rhythm and Electrocardiography           ARR
EVitals.04   ECG Type                                         ARR
EVitals.05   Method of ECG Interpretation                     ARR
EVitals.06   SBP (Systolic Blood Pressure)                    ARR
EVitals.07   DBP (Diastolic Blood Pressure)                   ARR
EVitals.08   Method of Blood Pressure Measurement
EVitals.09   Mean Arterial Pressure
EVitals.10   Heart Rate                                       ARR
EVitals.11   Method of Heart Rate Measurement
EVitals.12   Pulse Oximetry                                   ARR
EVitals.13   Pulse Rhythm
EVitals.14   Respiratory Rate                                 ARR
EVitals.15   Respiratory Effort
EVitals.16   Carbon Dioxide (CO2)                             ARR
EVitals.17   Carbon Monoxide (CO)
EVitals.18   Blood Glucose Level                              ARR
EVitals.19   Glasgow Coma Score-Eye                           ARR
EVitals.20   Glasgow Coma Score-Verbal                        ARR
EVitals.21   Glasgow Coma Score-Motor                         ARR
EVitals.22   Glasgow Coma Score-Qualifier                     ARR
EVitals.23   Total Glasgow Coma Score                         ARR
EVitals.24   Temperature                                      ARR
EVitals.25   Temperature Method
EVitals.26   Level of Responsiveness (APVU)                   ARR
EVitals.27   Pain Score                                       ARR
EVitals.28   Pain Scale Type                                  ARR
EVitals.29   Stroke Scale Score                               ARR
EVitals.30   Stroke Scale Type                                ARR
EVitals.31   Reperfusion Checklist                            ARR
EVitals.32   APGAR
EVitals.33   Revised Trauma Score
                                    183
                               No known reported
                                    None drug allergies by order Medication allergy
                                        No anticoagulants or bleeding disorder
                                             Contraindication noted
                                                 Denied
Unable to Complete Refused Exam finding not present
C
C   R

C   R   E
C   R   E
C   R   E
C   R   E
C   R   E
C   R   E
C   R   E

C   R   E
C   R   E


C   R   E

C   R   E

C   R   E
C   R   E




C   R       K

C   R           P   A




C   R           P   A
C   R       P
C   R




        E
C   R   I   D   M
C   R
C   R
          C   R   I   D




Not defined
C   R


C   R   E
C   R   E


C   R   E

C   R   E

C   R   E
C
C   R

C   R
C   R
C   R
C   R

C   R
C   R

C   R
C   R

C   R

C   R
C
C        R
    44       41 19   1   3   2   2   2   1
Medication alreadT taken   STRING   :ProcObs lst   STRING
                                                            C        C         3
                                                            CR       CR       17
                                                            CRE      CRE      18
                                                            CRID     CRID      1
                                                            CRIDMT   CRIDMT    1
                                                            CRK      CRK       1
                                                            CRP      CRP       1
                                                            CRPA     CRPA      2
                                                            E        E         1
C      Obs    CObs     C
CR     Obs    CRObs    CR

CRE    Obs    CREObs   CRE
CRE    Obs    CREObs   CRE
CRE    Obs    CREObs   CRE
CRE    Obs    CREObs   CRE
CRE    Obs    CREObs   CRE
CRE    Obs    CREObs   CRE
CRE    Obs    CREObs   CRE

CRE    Obs    CREObs CRE
CRE    Obs    CREObs CRE


CRE    Obs    CREObs CRE

CRE    Obs    CREObs CRE

CRE    Obs    CREObs CRE
CRE    Obs    CREObs CRE




CRK    Obs    CRKObs CRK

CRPA   Proc   CRPAProcCRPA




CRPA   Med    CRPAMedCRPA
CRP   Obs   CRPObs CRP
CR    Obs   CRObs CR




E     Obs   EObs   E
T   CRIDMT Med          CRIDMT
                 CRIDMTMed
CR   Demo   CRDemo CR
CR   Demo   CRDemo CR
CRID   Proc   CRIDProc CRID
CR    Obs   CRObs   CR


CRE   Obs   CREObs CRE
CRE   Obs   CREObs CRE


CRE   Obs   CREObs CRE

CRE   Obs   CREObs CRE

CRE   Obs   CREObs CRE
C     Obs   CObs   C
CR    Obs   CRObs CR

CR    Obs   CRObs   CR
CR    Obs   CRObs   CR
CR    Obs   CRObs   CR
CR    Obs   CRObs   CR

CR    Obs   CRObs   CR
CR    Obs   CRObs   CR

CR    Obs   CRObs   CR
CR    Obs   CRObs   CR

CR    Obs   CRObs   CR

CR    Obs   CRObs   CR
    C    Obs   CObs    C
    CR   Obs   CRObs   CR
1
lst
      Row Labels    Count of lst
                             490
      CObs                       3
      CRDemo                     2
      CREObs                   18
      CRIDMTMed                  1
      CRIDProc                   1
      CRKObs                     1
      CRObs                    15
      CRPAMed                    1
      CRPAProc                   1
      CRPObs                     1
      EObs                       1
      (blank)
      Grand Total            535
CObs
CRObs

CREObs
CREObs
CREObs
CREObs
CREObs
CREObs
CREObs

CREObs
CREObs


CREObs

CREObs

CREObs
CREObs




CRKObs

CRPAProc




CRPAMed
CRPObs
CRObs




EObs
CRIDMTMed
CRDemo
CRDemo
CRIDProc
CRObs


CREObs
CREObs


CREObs

CREObs

CREObs
CObs
CRObs

CRObs
CRObs
CRObs
CRObs

CRObs
CRObs

CRObs
CRObs

CRObs

CRObs
CObs
CRObs
1   C         3   Negative Action Value Sets
2   CR       17   One                            Negative action value level one
3   CRE      18   Unable to Complete
4   CRID      1   Two                            Negative action value level two
5   CRIDMT    1   Unable to Complete
6   CRK       1   Refused
7   CRP       1   Three                          Negative action value level three   c
8   CRPA      2   Unable to Complete                                                 r
9   E         1   Refused                                                            e
                  Exam finding not present                                           k
                  Four                                                               p
                  Unable to Complete                                                 a
                  Refused                                                            i
                  Contraindication noted                                             d
                  Denied by order                                                    m
                  Five                                                               t
                  Contraindication noted
                  Refused
                  Contraindication noted
                  Denied by order
                  Medication allergy
                  Medication already taken
                  Six
                  Contraindication noted
                  Refused
                  No known drug allergies
                  Seven
                  Contraindication noted
                  Refused
                  None reported
                  Eight
                  Contraindication noted
                  Refused
                  None reported
                  No anticoagulants or bleeding disorder
                  Nine
                  Exam finding not present
Null Values                              HL7 map    HL7 values
Not Applicable                           NA         MSK
Not Recorded                             NI
Not Reported                             NI         NA

Negative Action Values                              NI
Unable to Complete
Refused                                             UNK
Exam finding not present                 NAV?        ASKU
No known drug allergies                  negation    NASK
None reported                            negation    NAV
No anticoagulants or bleeding disorder   negation    QS
Contraindication noted                               TRC
Denied by order
Medication allergy                                  INV
Medication already taken                              DER
                                                      OTH
                                                       NINF
                                                       PINF
                                                      UNC
Masked

Not applicable

No information (most general value)

Applicable but not known
Asked but unknown
Not asked
Temporarily unavailable
Sufficient quantity
Trace

Value not permitted in value set
To be derived
Other
Negative infinity
Postitive infinity
Not yet encoded
                  Negative Action Value Sets
1   C         3   One
2   CR       39   Unable to Complete
3   CRID      1   Two
4   CRIDMT    1   Unable to Complete
                  Refused
                  Three                        c
                  Unable to Complete           r
                  Refused                      e
                  Contraindication noted       k
                  Denied by order              p
                  Four                         a
                  Contraindication noted       i
                  Refused                      d
                  Contraindication noted       m
                  Denied by order              t
                  Medication allergy
                  Medication already taken
Null Values                              HL7 map                     HL7 values
Not Applicable                           NA                          MSK
Not Recorded                             NI
Not Reported                             NI                          NA

Negative Action Values                                               NI
Unable to Complete
Refused                                                              UNK
Exam finding not present                 NAV?                         ASKU
No known drug allergies                  negation                     NASK
None reported                            negation ask why not null    NAV
No anticoagulants or bleeding disorder   negation ask, break          QS
Contraindication noted                                                TRC
Denied by order
Medication allergy                                                   INV
Medication already taken                                               DER
                                                                       OTH
                                                                        NINF
                                                                        PINF
                                                                       UNC
Masked

Not applicable

No information (most general value)

Applicable but not known
Asked but unknown
Not asked
Temporarily unavailable
Sufficient quantity
Trace

Value not permitted in value set
To be derived
Other
Negative infinity
Postitive infinity
Not yet encoded
STRING   :ProcObs
CRPA     Proc
CRID     Proc           Count of STRING                 Column Labels
C        Obs            Row Labels                      Demo                Med        Obs
CR       Obs
CRE      Obs            C                                                                3
CRE      Obs            CR                                              2               15
CRE      Obs            CRE                                                             18
CRE      Obs            CRID
CRE      Obs            CRIDMT                                                     1
CRE      Obs            CRK                                                              1
CRE      Obs            CRP                                                              1
CRE      Obs            CRPA                                                       1
CRE      Obs            E                                                                1
CRE      Obs            (blank)
CRE      Obs            Grand Total                                     2          2    39
CRE      Obs
CRE      Obs            Negative Action Values
CRK      Obs        c   Unable to Complete                                  null
CRP      Obs        r   Refused                                             null
CR       Obs        e   Exam finding not present                            null

E        Obs        k   No known drug allergies                             none


CR       Obs        p   None reported                                       none

                        No anticoagulants or bleeding
CRE      Obs        a   disorder                                            none
CRE      Obs        i   Contraindication noted                              neg
CRE      Obs        d   Denied by order                                     neg
CRE      Obs        m   Medication allergy                                  neg
CRE      Obs        t   Medication already taken                            neg
C        Obs            Null Values
CR       Obs            Not Applicable                                      null
CR       Obs            Not Recorded                                        null
CR       Obs            Not Reported                                        null
CR       Obs
CR       Obs
CR       Obs
CR       Obs
CR       Obs
CR       Obs
CR       Obs
CR       Obs
C        Obs
CR       Obs
CRPA     Med
CRIDMT   Med
CR       Demo
CR       Demo
Proc (blank) Grand Total
         490         490
                         3
                      17
                      18
   1                     1
                         1
                         1
                         1
   1                     2
                         1

     2      490              535


NI                all              null: NI; add detail to obs.text
ASKU (NT)         all              null: ASKU
NAV               obs              null: NAV
                                   q= allergy; negate; a=none
                  obs              normal: q=allergy; a=assert; rel to drug
                                   obs: q= allergy; negate; a=none
                                   proc: no code; just negate
                  all              med: no relationship; just negate
                                   obs: q= hist10; negate; a=bleeding disorder
                                   proc: NA
                  med proc         med: relationship to anticoags; negate
                  med proc         negate with relationship to act with this code
                  med proc         negate with relationship to act with this code
                  med              negate with relationship to act with this code
                  med              negate with relationship to act with this code

NA                                 null: NA
NI                                 null: NI; add detail to obs.text
NI                                 null: NI; add detail to obs.text
HL7 values
MSK        Masked

NA        Not applicable

NI        No information (most general value)

UNK       Applicable but not known
 ASKU     Asked but unknown
 NASK     Not asked
 NAV      Temporarily unavailable
 QS       Sufficient quantity
 TRC      Trace

INV       Value not permitted in value set
  DER     To be derived
  OTH     Other
   NINF   Negative infinity
   PINF   Postitive infinity
  UNC     Not yet encoded
     NEMSIS Negative Action Values   Type   NullFlavorCase
 1   Unable to Complete              null   NI        observation
 2   Unable to Complete              null   NI        medication
 3   Unable to Complete              null   NI        procedure
 4   Refused                         null   ASKU (NT) observation
 5   Refused                         neg              observation
 6   Refused                         null   ASKU (NT) medication history
 7   Refused                         neg              medication given
 8   Refused                         null   ASKU (NT) procedure history
 9   Refused                         neg              procedure performed
10   Exam finding not present        null   NAV       observation
11   No known drug allergies         none             observation: negation value
12   None reported                   none             observation: alcohol
13   None reported                   none             observation: history (condition)
14   None reported                   none             medication
15   None reported                   none             procedure
     No anticoagulants or bleeding
16   disorder                        none                medication
     No anticoagulants or bleeding
17   disorder                        none                observation

18 Contraindication noted            neg                 medication, procedure

19 Denied by order                   neg                 medication, procedure
20 Medication allergy                neg                 medication
21 Medication already taken          neg                 medication
   Null Values
22 Not Applicable                    null   NA
23 Not Recorded                      null   NI
24 Not Reported                      null   NI
Solution
Observation.value = null (NI); obs.text = "unable to complete"
put null value in observation.text = "unable to complete"
put null value in observation.text = "unable to complete"
Observation.value = null (ASKU)
Observation.value = null (ASKU); with a relationship to an act with this code
Observation.value = null (ASKU)
negate specific medication with a relationship to an act with this code
Observation.value = null (ASKU)
negate specific procedure with a relationship to an act with this code
Observation.value = null (NAV)
q= allergy; negate; a="no known drug allergies"
q= alcohol/drug ind; a="none"
observation.value = "none"
observation.value = "none"
observation.value = "none"
Negate med code = 372862008 anticoagulant (Type:= substance) or 81839001
anticoagulant (Type:= pharmaceutical / biologic product)
Negate observation value = 64779008 bleeding disorder (Type:= clinical finding). There is
no single coherent IDC-10 code for bleeding disorder

negate specific procedure or medication with a relationship to an act with this code

negate specific procedure or medication with a relationship to an act with this code
negate specific medication with a relationship to an act with this code
negate specific medication with a relationship to an act with this code

null: NA
null: NI; add detail to obs.text or proc.text
null: NI; add detail to obs.text or proc.text
Modeling pattern                                        code needed   to create
                                                        ?
add Boolean observation to section; optional            ?             q: E meds
add Boolean observation to section; optional            ?             q: E procedures
                                                        no
                                                        yes           NAV code set
add Boolean observation to section; optional            no            q: current meds
                                                        yes           NAV code set
add Boolean observation to section; optional            no            q: history of procedures
                                                        yes           NAV code set
                                                        no
normal: q=allergy?; a=assert; relation to SBADM (DEF)   yes
                                                        yes           add to value set
add Boolean observation to section; optional            yes           q: history of conditions
add Boolean observation to section; optional            yes
add Boolean observation to section; optional            yes           q: history of procedures

split: this is only for medication                      no            add sct code

split: this is only for disorder                        no            add sct code

                                                        yes           NAV code set

                                                        yes           NAV code set
                                                        yes           NAV code set
                                                        yes           NAV code set

see solutions to other null values above
see solutions to other null values above
see solutions to other null values above

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:5
posted:10/26/2011
language:English
pages:90