NEMSIS v3.4.0 EMSDataSet Test Case


NEMSIS V3 Test Case for Pre-testing
ID:               2023-EMS-1-OpioidRelease_v340
Description:      Test case for opioid treat-and-release.
Expected Result:  PASS

Element Value
EMSDataSet - Root Tag For Dataset
Header - Header for file
DemographicGroup - Demographic information related to this agency
dAgency.01 - EMS Agency Unique State ID EMS Agency Unique State ID 501
dAgency.02 - EMS Agency Number EMS Agency Number 340-501
dAgency.04 - EMS Agency State EMS Agency State Arkansas
PatientCareReport - Container Tag to hold each instance of a patient care report (PCR)
eRecord - Patient Record Information
eRecord.01 - Patient Care Report Number [Your Patient Care Report Number]
eRecord.SoftwareApplicationGroup - Group Tag to hold information about the software used to generate patient care report
eRecord.02 - Software Creator [Your Software Creator]
eRecord.03 - Software Name [Your Software Name]
eRecord.04 - Software Version [Your Software Version]
eResponse - Unit Agency Information
eResponse.AgencyGroup - Group Tag to hold EMS agency number and name
eResponse.01 - EMS Agency Number 340-501
eResponse.02 - EMS Agency Name [Value from DEMDataSet]
eResponse.03 - Incident Number 340-20221007003
eResponse.04 - EMS Response Number 340-20221007M2003
eResponse.ServiceGroup - Group Tag to hold details about EMS category of service and the stand by reason
eResponse.05 - Type of Service Requested 911 Response (Scene)
eResponse.07 - Primary Role of the Unit Ground Transport
eResponse.08 - Type of Dispatch Delay Location (Inability to Obtain)
eResponse.09 - Type of Response Delay None/No Delay
eResponse.10 - Type of Scene Delay None/No Delay
eResponse.11 - Type of Transport Delay [NV = Not Applicable]
eResponse.12 - Type of Turn-Around Delay None/No Delay
eResponse.13 - EMS Vehicle (Unit) Number 501.183
eResponse.14 - EMS Unit Call Sign GA 11
eResponse.15 - Level of Care of This Unit ALS-Paramedic
eResponse.16 - Vehicle Dispatch Location Texarkana Arkansas Station
eResponse.17 - Vehicle Dispatch GPS Location 33.460,-94.002
eResponse.18 - Vehicle Dispatch Location US National Grid Coordinates 15SVT06880273
eResponse.19 - Beginning Odometer Reading of Responding Vehicle 189174.2
eResponse.20 - On-Scene Odometer Reading of Responding Vehicle 189177.8
eResponse.22 - Ending Odometer Reading of Responding Vehicle 189181.4
eResponse.23 - Response Mode to Scene Emergent (Immediate Response)
eResponse.24 - Additional Response Mode Descriptors Lights and No Sirens
eDispatch - Dispatch Information
eDispatch.01 - Complaint Reported by Dispatch Overdose/Poisoning/Ingestion
eDispatch.02 - EMD Performed Yes, With Pre-Arrival Instructions
eDispatch.03 - EMD Card Number 23C
eDispatch.04 - Dispatch Center Name or ID Texarkana Arkansas Police Department
eDispatch.05 - Dispatch Priority (Patient Acuity) Emergent
eDispatch.06 - Unit Dispatched CAD Record ID 20221007-1028
eCrew - Crew Member Information
eCrew.CrewGroup - Group Tag to hold crew information
eCrew.01 - Crew Member ID 7492 - Chase Grey
eCrew.02 - Crew Member Level 2009 Advanced Emergency Medical Technician (AEMT)
eCrew.03 - Crew Member Response Role Driver/Pilot-Response
Other Patient Caregiver-At Scene
eCrew.CrewGroup - Group Tag to hold crew information
eCrew.01 - Crew Member ID 86240 - Kaden Li Jie Huang
eCrew.02 - Crew Member Level 2009 Paramedic
eCrew.03 - Crew Member Response Role Primary Patient Caregiver-At Scene
eTimes - Call Event Times Information
eTimes.01 - PSAP Call Date/Time October 7, 2022, 22:18:01 GMT-05:00
eTimes.02 - Dispatch Notified Date/Time October 7, 2022, 22:18:01 GMT-05:00
eTimes.03 - Unit Notified by Dispatch Date/Time October 7, 2022, 22:22:17 GMT-05:00
eTimes.04 - Dispatch Acknowledged Date/Time October 7, 2022, 22:22:58 GMT-05:00
eTimes.05 - Unit En Route Date/Time October 7, 2022, 22:24:20 GMT-05:00
eTimes.06 - Unit Arrived on Scene Date/Time October 7, 2022, 22:29:48 GMT-05:00
eTimes.07 - Arrived at Patient Date/Time October 7, 2022, 22:30:31 GMT-05:00
eTimes.08 - Transfer of EMS Patient Care Date/Time [NV = Not Applicable]
eTimes.09 - Unit Left Scene Date/Time October 7, 2022, 22:55:06 GMT-05:00
eTimes.11 - Patient Arrived at Destination Date/Time [NV = Not Applicable]
eTimes.12 - Destination Patient Transfer of Care Date/Time [NV = Not Applicable]
eTimes.13 - Unit Back in Service Date/Time October 7, 2022, 23:00:20 GMT-05:00
eTimes.15 - Unit Back at Home Location Date/Time October 7, 2022, 23:00:20 GMT-05:00
eTimes.16 - EMS Call Completed Date/Time October 7, 2022, 23:05:12 GMT-05:00
ePatient - Patient Information
ePatient.01 - EMS Patient ID 48URFH
ePatient.PatientNameGroup - Group Tag to hold patient's name
ePatient.02 - Last Name Huffman
ePatient.03 - First Name Linzi
ePatient.05 - Patient's Home Address 437 Iroquois Trail
ePatient.06 - Patient's Home City City of Shreveport
ePatient.07 - Patient's Home County Caddo Parish
ePatient.08 - Patient's Home State Louisiana
ePatient.09 - Patient's Home ZIP Code 71107
ePatient.10 - Patient's Country of Residence US
ePatient.11 - Patient Home Census Tract 22017020500
ePatient.12 - Social Security Number 435348328
ePatient.13 - Gender Female
ePatient.14 - Race White
ePatient.AgeGroup - Group Tag to hold patient's age information
ePatient.15 - Age 22
ePatient.16 - Age Units Years
ePatient.17 - Date of Birth December 9, 1999
ePatient.20 - State Issuing Driver's License Louisiana
ePatient.21 - Driver's License Number 386414
ePayment - Insurance/Payment Information
ePayment.01 - Primary Method of Payment Not Billed (for any reason)
ePayment.08 - Patient Resides in Service Area Not a Resident Within EMS Service Area
ePayment.50 - CMS Service Level ALS, Level 1
ePayment.SupplyItemGroup - Group Tag to hold information about the supply used on the patient by the EMS Crew during the EMS event.
ePayment.55 - Supply Item Used Name Naloxone Kit
ePayment.56 - Number of Supply Item(s) Used 1
ePayment.SupplyItemGroup - Group Tag to hold information about the supply used on the patient by the EMS Crew during the EMS event.
ePayment.55 - Supply Item Used Name Surgical Mask
ePayment.56 - Number of Supply Item(s) Used 2
ePayment.SupplyItemGroup - Group Tag to hold information about the supply used on the patient by the EMS Crew during the EMS event.
ePayment.55 - Supply Item Used Name Bag Valve Mask
ePayment.56 - Number of Supply Item(s) Used 1
eScene - Incident Scene Information
eScene.01 - First EMS Unit on Scene [NV = Not Applicable]
eScene.06 - Number of Patients at Scene Single
eScene.07 - Mass Casualty Incident No
eScene.08 - Triage Classification for MCI Patient [NV = Not Applicable]
eScene.09 - Incident Location Type Y92.0 - Non-institutional (private) residence as the place of occurrence of the external cause
eScene.10 - Incident Facility Code [NV = Not Applicable]
eScene.11 - Scene GPS Location 33.440,-93.973
eScene.12 - Scene US National Grid Coordinates 15SVT09550049
eScene.15 - Incident Street Address 5709 Capitol Hill Road
eScene.17 - Incident City City of Texarkana
eScene.18 - Incident State Arkansas
eScene.19 - Incident ZIP Code 71854
eScene.21 - Incident County Miller County
eScene.22 - Incident Country US
eScene.23 - Incident Census Tract 05091020900
eSituation - Situation Information
eSituation.01 - Date/Time of Symptom Onset October 7, 2022, 21:58:35 GMT-05:00
eSituation.02 - Possible Injury No
eSituation.PatientComplaintGroup - Group Tag to hold information about patient's complaint
eSituation.03 - Complaint Type Chief (Primary)
eSituation.04 - Complaint Unconscious
eSituation.05 - Duration of Complaint 20
eSituation.06 - Time Units of Duration of Complaint Minutes
eSituation.07 - Chief Complaint Anatomic Location General/Global
eSituation.08 - Chief Complaint Organ System CNS/Neuro
eSituation.09 - Primary Symptom R40.20 - Unspecified coma
eSituation.10 - Other Associated Symptoms R06 - Abnormalities of breathing
eSituation.11 - Provider's Primary Impression F11 - Opioid related disorders
eSituation.12 - Provider's Secondary Impressions [NV = Not Recorded]
eSituation.13 - Initial Patient Acuity Emergent (Yellow)
eSituation.WorkRelatedGroup - Group Tag to hold patient details if the illness or injury is work related
eSituation.14 - Work-Related Illness/Injury No
eSituation.18 - Date/Time Last Known Well October 7, 2022, 21:00:00 GMT-05:00
eInjury - Injury Information
eInjury.01 - Cause of Injury [NV = Not Applicable]
eInjury.02 - Mechanism of Injury [NV = Not Applicable]
eInjury.03 - Trauma Center Criteria [NV = Not Applicable]
eInjury.04 - Vehicular, Pedestrian, or Other Injury Risk Factor [NV = Not Applicable]
eArrest - Cardiac Arrest Information
eArrest.01 - Cardiac Arrest No
eArrest.02 - Cardiac Arrest Etiology [NV = Not Applicable]
eArrest.03 - Resuscitation Attempted By EMS [NV = Not Applicable]
eArrest.04 - Arrest Witnessed By [NV = Not Applicable]
eArrest.05 - CPR Care Provided Prior to EMS Arrival [NV = Not Recorded]
eArrest.07 - AED Use Prior to EMS Arrival [NV = Not Applicable]
eArrest.09 - Type of CPR Provided [NV = Not Applicable]
eArrest.11 - First Monitored Arrest Rhythm of the Patient [NV = Not Applicable]
eArrest.12 - Any Return of Spontaneous Circulation [NV = Not Applicable]
eArrest.14 - Date/Time of Cardiac Arrest [NV = Not Applicable]
eArrest.16 - Reason CPR/Resuscitation Discontinued [NV = Not Applicable]
eArrest.17 - Cardiac Rhythm on Arrival at Destination [NV = Not Applicable]
eArrest.18 - End of EMS Cardiac Arrest Event [NV = Not Applicable]
eHistory - Patient History Information
eHistory.01 - Barriers to Patient Care Unconscious
State of Emotional Distress
eHistory.06 - Medication Allergies [PN = Unable to Complete]
eHistory.08 - Medical/Surgical History F11.13 - Opioid abuse with withdrawal
F13.13 - Sedative, hypnotic or anxiolytic abuse with withdrawal
eHistory.09 - Medical History Obtained From Bystander/Other
eHistory.CurrentMedsGroup - Group Tag to hold info about patient's medication
eHistory.12 - Current Medications [PN = Unable to Complete]
eHistory.17 - Alcohol/Drug Use Indicators Drug Paraphernalia at Scene
Patient Admits to Drug Use
Smell of Alcohol on Breath
eHistory.18 - Pregnancy No
eHistory.19 - Last Oral Intake October 7, 2022, 18:00:00 GMT-05:00
eNarrative - Call Event Narrative
eNarrative.01 - Patient Care Report Narrative Responded to overdose call for unresponsive patient. Patient was visiting friend's house. Friend reported that patient took heroin and fentanyl. Patient returned to consciousness after two doses of IN naloxone. Patient refused transport.
eVitals - Patient Vital Sign Information
eVitals.VitalGroup - Group Tag to hold eVitals information
eVitals.01 - Date/Time Vital Signs Taken October 7, 2022, 22:31:00 GMT-05:00
eVitals.02 - Obtained Prior to this Unit's EMS Care No
eVitals.CardiacRhythmGroup - Group Tag to hold information of the type and method used for ECG interpretation associated with the cardiac rhythm.
eVitals.03 - Cardiac Rhythm / Electrocardiography (ECG) [NV = Not Recorded]
eVitals.04 - ECG Type [NV = Not Recorded]
eVitals.05 - Method of ECG Interpretation [NV = Not Recorded]
eVitals.BloodPressureGroup - Group Tag to hold the details of patient's blood pressure.
eVitals.06 - SBP (Systolic Blood Pressure) 103
eVitals.07 - DBP (Diastolic Blood Pressure) 68
eVitals.08 - Method of Blood Pressure Measurement Cuff-Manual Auscultated
eVitals.HeartRateGroup - Group Tag to hold the details of patient's heart rate.
eVitals.10 - Heart Rate 32
eVitals.11 - Method of Heart Rate Measurement Palpated
eVitals.12 - Pulse Oximetry 92
eVitals.13 - Pulse Rhythm Regular
eVitals.14 - Respiratory Rate 6
eVitals.15 - Respiratory Effort Shallow
eVitals.16 - End Tidal Carbon Dioxide (ETCO2) [PN = Unable to Complete]
eVitals.17 - Carbon Monoxide (CO) [PN = Unable to Complete]
eVitals.18 - Blood Glucose Level 104
eVitals.GlasgowScoreGroup - Group Tag to hold the details of patient's glasgow scale
eVitals.19 - Glasgow Coma Score-Eye 1 - No eye movement when assessed (All Age Groups)
eVitals.20 - Glasgow Coma Score-Verbal 1 - No verbal/vocal response (All Age Groups)
eVitals.21 - Glasgow Coma Score-Motor 2 - Extension to pain (All Age Groups)
eVitals.22 - Glasgow Coma Score-Qualifier [NV = Not Recorded]
eVitals.23 - Total Glasgow Coma Score 4
eVitals.TemperatureGroup - Group Tag to hold information about patient's body temperature.
eVitals.24 - Temperature 35.9
eVitals.25 - Temperature Method Temporal Artery
eVitals.26 - Level of Responsiveness (AVPU) Unresponsive
eVitals.PainScaleGroup - Group Tag to hold the scale of patient's pain and the type of pain scale used.
eVitals.27 - Pain Scale Score [PN = Unable to Complete]
eVitals.StrokeScaleGroup - Group Tag to hold the results of patient's stroke scale and the type of stroke pain scale used.
eVitals.29 - Stroke Scale Score [PN = Unable to Complete]
eVitals.30 - Stroke Scale Type [NV = Not Applicable]
eVitals.31 - Reperfusion Checklist [PN = Unable to Complete]
eVitals.VitalGroup - Group Tag to hold eVitals information
eVitals.01 - Date/Time Vital Signs Taken October 7, 2022, 22:31:45 GMT-05:00
eVitals.02 - Obtained Prior to this Unit's EMS Care No
eVitals.CardiacRhythmGroup - Group Tag to hold information of the type and method used for ECG interpretation associated with the cardiac rhythm.
eVitals.03 - Cardiac Rhythm / Electrocardiography (ECG) [NV = Not Recorded]
eVitals.04 - ECG Type [NV = Not Recorded]
eVitals.05 - Method of ECG Interpretation [NV = Not Recorded]
eVitals.BloodPressureGroup - Group Tag to hold the details of patient's blood pressure.
eVitals.06 - SBP (Systolic Blood Pressure) 100
eVitals.07 - DBP (Diastolic Blood Pressure) 66
eVitals.08 - Method of Blood Pressure Measurement Cuff-Manual Auscultated
eVitals.HeartRateGroup - Group Tag to hold the details of patient's heart rate.
eVitals.10 - Heart Rate 30
eVitals.11 - Method of Heart Rate Measurement Palpated
eVitals.12 - Pulse Oximetry 92
eVitals.14 - Respiratory Rate 6
eVitals.15 - Respiratory Effort Shallow
eVitals.16 - End Tidal Carbon Dioxide (ETCO2) [PN = Unable to Complete]
eVitals.17 - Carbon Monoxide (CO) [PN = Unable to Complete]
eVitals.18 - Blood Glucose Level [NV = Not Recorded]
eVitals.GlasgowScoreGroup - Group Tag to hold the details of patient's glasgow scale
eVitals.19 - Glasgow Coma Score-Eye 1 - No eye movement when assessed (All Age Groups)
eVitals.20 - Glasgow Coma Score-Verbal 1 - No verbal/vocal response (All Age Groups)
eVitals.21 - Glasgow Coma Score-Motor 2 - Extension to pain (All Age Groups)
eVitals.22 - Glasgow Coma Score-Qualifier [NV = Not Recorded]
eVitals.23 - Total Glasgow Coma Score 4
eVitals.26 - Level of Responsiveness (AVPU) Unresponsive
eVitals.PainScaleGroup - Group Tag to hold the scale of patient's pain and the type of pain scale used.
eVitals.27 - Pain Scale Score [PN = Unable to Complete]
eVitals.StrokeScaleGroup - Group Tag to hold the results of patient's stroke scale and the type of stroke pain scale used.
eVitals.29 - Stroke Scale Score [PN = Unable to Complete]
eVitals.30 - Stroke Scale Type [NV = Not Applicable]
eVitals.31 - Reperfusion Checklist [PN = Unable to Complete]
eVitals.VitalGroup - Group Tag to hold eVitals information
eVitals.01 - Date/Time Vital Signs Taken October 7, 2022, 22:34:30 GMT-05:00
eVitals.02 - Obtained Prior to this Unit's EMS Care No
eVitals.CardiacRhythmGroup - Group Tag to hold information of the type and method used for ECG interpretation associated with the cardiac rhythm.
eVitals.03 - Cardiac Rhythm / Electrocardiography (ECG) [NV = Not Recorded]
eVitals.04 - ECG Type [NV = Not Recorded]
eVitals.05 - Method of ECG Interpretation [NV = Not Recorded]
eVitals.BloodPressureGroup - Group Tag to hold the details of patient's blood pressure.
eVitals.06 - SBP (Systolic Blood Pressure) 104
eVitals.07 - DBP (Diastolic Blood Pressure) 68
eVitals.08 - Method of Blood Pressure Measurement Cuff-Manual Auscultated
eVitals.HeartRateGroup - Group Tag to hold the details of patient's heart rate.
eVitals.10 - Heart Rate 38
eVitals.11 - Method of Heart Rate Measurement Palpated
eVitals.12 - Pulse Oximetry 93
eVitals.14 - Respiratory Rate 10
eVitals.15 - Respiratory Effort Shallow
eVitals.16 - End Tidal Carbon Dioxide (ETCO2) [PN = Unable to Complete]
eVitals.17 - Carbon Monoxide (CO) [PN = Unable to Complete]
eVitals.18 - Blood Glucose Level [NV = Not Recorded]
eVitals.GlasgowScoreGroup - Group Tag to hold the details of patient's glasgow scale
eVitals.19 - Glasgow Coma Score-Eye 1 - No eye movement when assessed (All Age Groups)
eVitals.20 - Glasgow Coma Score-Verbal 1 - No verbal/vocal response (All Age Groups)
eVitals.21 - Glasgow Coma Score-Motor 2 - Extension to pain (All Age Groups)
eVitals.22 - Glasgow Coma Score-Qualifier [NV = Not Recorded]
eVitals.23 - Total Glasgow Coma Score 4
eVitals.26 - Level of Responsiveness (AVPU) Unresponsive
eVitals.PainScaleGroup - Group Tag to hold the scale of patient's pain and the type of pain scale used.
eVitals.27 - Pain Scale Score [PN = Unable to Complete]
eVitals.StrokeScaleGroup - Group Tag to hold the results of patient's stroke scale and the type of stroke pain scale used.
eVitals.29 - Stroke Scale Score [PN = Unable to Complete]
eVitals.30 - Stroke Scale Type [NV = Not Applicable]
eVitals.31 - Reperfusion Checklist [PN = Unable to Complete]
eVitals.VitalGroup - Group Tag to hold eVitals information
eVitals.01 - Date/Time Vital Signs Taken October 7, 2022, 22:38:00 GMT-05:00
eVitals.02 - Obtained Prior to this Unit's EMS Care No
eVitals.CardiacRhythmGroup - Group Tag to hold information of the type and method used for ECG interpretation associated with the cardiac rhythm.
eVitals.03 - Cardiac Rhythm / Electrocardiography (ECG) [NV = Not Recorded]
eVitals.04 - ECG Type [NV = Not Recorded]
eVitals.05 - Method of ECG Interpretation [NV = Not Recorded]
eVitals.BloodPressureGroup - Group Tag to hold the details of patient's blood pressure.
eVitals.06 - SBP (Systolic Blood Pressure) 110
eVitals.07 - DBP (Diastolic Blood Pressure) 72
eVitals.08 - Method of Blood Pressure Measurement Cuff-Manual Auscultated
eVitals.HeartRateGroup - Group Tag to hold the details of patient's heart rate.
eVitals.10 - Heart Rate 58
eVitals.11 - Method of Heart Rate Measurement Palpated
eVitals.12 - Pulse Oximetry 95
eVitals.14 - Respiratory Rate 12
eVitals.15 - Respiratory Effort Normal
eVitals.16 - End Tidal Carbon Dioxide (ETCO2) [PN = Unable to Complete]
eVitals.17 - Carbon Monoxide (CO) [PN = Unable to Complete]
eVitals.18 - Blood Glucose Level [NV = Not Recorded]
eVitals.GlasgowScoreGroup - Group Tag to hold the details of patient's glasgow scale
eVitals.19 - Glasgow Coma Score-Eye 4 - Opens Eyes spontaneously (All Age Groups)
eVitals.20 - Glasgow Coma Score-Verbal 4 - Confused (>2 Years); Cries but is consolable, inappropriate interactions
eVitals.21 - Glasgow Coma Score-Motor 6 - Obeys commands (>2Years); Appropriate response to stimulation
eVitals.22 - Glasgow Coma Score-Qualifier [NV = Not Recorded]
eVitals.23 - Total Glasgow Coma Score 14
eVitals.26 - Level of Responsiveness (AVPU) Alert
eVitals.PainScaleGroup - Group Tag to hold the scale of patient's pain and the type of pain scale used.
eVitals.27 - Pain Scale Score [NV = Not Recorded]
eVitals.StrokeScaleGroup - Group Tag to hold the results of patient's stroke scale and the type of stroke pain scale used.
eVitals.29 - Stroke Scale Score [PN = Unable to Complete]
eVitals.30 - Stroke Scale Type [NV = Not Applicable]
eVitals.31 - Reperfusion Checklist [PN = Unable to Complete]
eVitals.VitalGroup - Group Tag to hold eVitals information
eVitals.01 - Date/Time Vital Signs Taken October 7, 2022, 22:50:00 GMT-05:00
eVitals.02 - Obtained Prior to this Unit's EMS Care No
eVitals.CardiacRhythmGroup - Group Tag to hold information of the type and method used for ECG interpretation associated with the cardiac rhythm.
eVitals.03 - Cardiac Rhythm / Electrocardiography (ECG) [NV = Not Recorded]
eVitals.04 - ECG Type [NV = Not Recorded]
eVitals.05 - Method of ECG Interpretation [NV = Not Recorded]
eVitals.BloodPressureGroup - Group Tag to hold the details of patient's blood pressure.
eVitals.06 - SBP (Systolic Blood Pressure) 116
eVitals.07 - DBP (Diastolic Blood Pressure) 74
eVitals.08 - Method of Blood Pressure Measurement Cuff-Manual Auscultated
eVitals.HeartRateGroup - Group Tag to hold the details of patient's heart rate.
eVitals.10 - Heart Rate 58
eVitals.11 - Method of Heart Rate Measurement Palpated
eVitals.12 - Pulse Oximetry 96
eVitals.14 - Respiratory Rate 15
eVitals.15 - Respiratory Effort Normal
eVitals.16 - End Tidal Carbon Dioxide (ETCO2) [PN = Unable to Complete]
eVitals.17 - Carbon Monoxide (CO) [PN = Unable to Complete]
eVitals.18 - Blood Glucose Level [NV = Not Recorded]
eVitals.GlasgowScoreGroup - Group Tag to hold the details of patient's glasgow scale
eVitals.19 - Glasgow Coma Score-Eye [NV = Not Recorded]
eVitals.20 - Glasgow Coma Score-Verbal [NV = Not Recorded]
eVitals.21 - Glasgow Coma Score-Motor [NV = Not Recorded]
eVitals.22 - Glasgow Coma Score-Qualifier [NV = Not Recorded]
eVitals.23 - Total Glasgow Coma Score [NV = Not Recorded]
eVitals.26 - Level of Responsiveness (AVPU) [NV = Not Recorded]
eVitals.PainScaleGroup - Group Tag to hold the scale of patient's pain and the type of pain scale used.
eVitals.27 - Pain Scale Score [NV = Not Recorded]
eVitals.StrokeScaleGroup - Group Tag to hold the results of patient's stroke scale and the type of stroke pain scale used.
eVitals.29 - Stroke Scale Score [PN = Unable to Complete]
eVitals.30 - Stroke Scale Type [NV = Not Applicable]
eVitals.31 - Reperfusion Checklist [PN = Unable to Complete]
eExam - Patient Exam Information
eExam.01 - Estimated Body Weight in Kilograms 52
eExam.AssessmentGroup - Group Tag to hold assessment information
eExam.03 - Date/Time of Assessment October 7, 2022, 22:31:00 GMT-05:00
eExam.04 - Skin Assessment Cyanotic
eExam.08 - Chest/Lungs Assessment Breath Sounds-Decreased Left
Breath Sounds-Decreased Right
eExam.EyeGroup - Group Tag to hold eye assessment findings information
eExam.17 - Eye Assessment Finding Location Bilateral
eExam.18 - Eye Assessment Non-Reactive
1-mm
eExam.19 - Mental Status Assessment Unresponsive
eProtocols - Medical Protocols Information
eProtocols.ProtocolGroup - Group Tag to hold eProtocol information
eProtocols.01 - Protocols Used Medical-Opioid Poisoning/Overdose
eProtocols.02 - Protocol Age Category General
eMedications - Intervention Medications Information
eMedications.MedicationGroup - Group Tag to hold eMedication information
eMedications.01 - Date/Time Medication Administered October 7, 2022, 22:31:30 GMT-05:00
eMedications.02 - Medication Administered Prior to this Unit's EMS Care No
eMedications.03 - Medication Given 7806 - oxygen
eMedications.04 - Medication Administered Route Re-breather mask
eMedications.DosageGroup - Group Tag to hold info about the medication dosage given to the patient
eMedications.05 - Medication Dosage 12
eMedications.06 - Medication Dosage Units Liters Per Minute (LPM [gas])
eMedications.07 - Response to Medication Unchanged
eMedications.08 - Medication Complication None
eMedications.09 - Medication Crew (Healthcare Professionals) ID 7492 - Chase Grey
eMedications.10 - Role/Type of Person Administering Medication 2009 Advanced Emergency Medical Technician (AEMT)
eMedications.11 - Medication Authorization Protocol (Standing Order)
eMedications.MedicationGroup - Group Tag to hold eMedication information
eMedications.01 - Date/Time Medication Administered October 7, 2022, 22:32:00 GMT-05:00
eMedications.02 - Medication Administered Prior to this Unit's EMS Care No
eMedications.03 - Medication Given 7242 - naloxone
eMedications.04 - Medication Administered Route Intranasal
eMedications.DosageGroup - Group Tag to hold info about the medication dosage given to the patient
eMedications.05 - Medication Dosage 4
eMedications.06 - Medication Dosage Units Milligrams (mg)
eMedications.07 - Response to Medication Unchanged
eMedications.08 - Medication Complication None
eMedications.09 - Medication Crew (Healthcare Professionals) ID 7492 - Chase Grey
eMedications.10 - Role/Type of Person Administering Medication 2009 Advanced Emergency Medical Technician (AEMT)
eMedications.11 - Medication Authorization Protocol (Standing Order)
eMedications.MedicationGroup - Group Tag to hold eMedication information
eMedications.01 - Date/Time Medication Administered October 7, 2022, 22:35:00 GMT-05:00
eMedications.02 - Medication Administered Prior to this Unit's EMS Care No
eMedications.03 - Medication Given 7242 - naloxone
eMedications.04 - Medication Administered Route Intranasal
eMedications.DosageGroup - Group Tag to hold info about the medication dosage given to the patient
eMedications.05 - Medication Dosage 4
eMedications.06 - Medication Dosage Units Milligrams (mg)
eMedications.07 - Response to Medication Improved
eMedications.08 - Medication Complication None
eMedications.09 - Medication Crew (Healthcare Professionals) ID 86240 - Kaden Li Jie Huang
eMedications.10 - Role/Type of Person Administering Medication 2009 Paramedic
eMedications.11 - Medication Authorization Protocol (Standing Order)
eProcedures - Intervention Procedures Information
eProcedures.ProcedureGroup - Group Tag to hold eProcedures information
eProcedures.01 - Date/Time Procedure Performed [NV = Not Applicable]
eProcedures.02 - Procedure Performed Prior to this Unit's EMS Care [NV = Not Applicable]
eProcedures.03 - Procedure [NV = Not Applicable]
eProcedures.05 - Number of Procedure Attempts [NV = Not Applicable]
eProcedures.06 - Procedure Successful [NV = Not Applicable]
eProcedures.07 - Procedure Complication [NV = Not Applicable]
eProcedures.08 - Response to Procedure [NV = Not Applicable]
eProcedures.10 - Role/Type of Person Performing the Procedure [NV = Not Applicable]
eDisposition - Patient Disposition Information
eDisposition.DestinationGroup - Group Tag to hold info about the Destination and the Disposition details
eDisposition.01 - Destination/Transferred To, Name [NV = Not Applicable]
eDisposition.02 - Destination/Transferred To, Code [NV = Not Applicable]
eDisposition.05 - Destination State [NV = Not Applicable]
eDisposition.06 - Destination County [NV = Not Applicable]
eDisposition.07 - Destination ZIP Code [NV = Not Applicable]
eDisposition.11 - Number of Patients Transported in this EMS Unit [NV = Not Applicable]
eDisposition.12 - Incident/Patient Disposition Patient Treated, Released (AMA)
eDisposition.16 - EMS Transport Method [NV = Not Applicable]
eDisposition.17 - Transport Mode from Scene [NV = Not Recorded]
eDisposition.18 - Additional Transport Mode Descriptors [NV = Not Recorded]
eDisposition.19 - Final Patient Acuity Lower Acuity (Green)
eDisposition.20 - Reason for Choosing Destination [NV = Not Applicable]
eDisposition.21 - Type of Destination [NV = Not Applicable]
eDisposition.22 - Hospital In-Patient Destination [NV = Not Applicable]
eDisposition.23 - Hospital Capability [NV = Not Applicable]
eDisposition.HospitalTeamActivationGroup - Group Tag to hold info about the destination team pre-arrival activation
eDisposition.24 - Destination Team Pre-Arrival Alert or Activation [NV = Not Applicable]
eDisposition.25 - Date/Time of Destination Prearrival Alert or Activation [NV = Not Applicable]
eDisposition.26 - Disposition Instructions Provided Problem Specific Instructions Provided
See Your Doctor within the next one week
eOutcome - Patient Outcome Information
eOutcome.01 - Emergency Department Disposition [NV = Not Applicable]
eOutcome.02 - Hospital Disposition [NV = Not Applicable]
eOther - Other Miscellaneous Information
eOther.01 - Review Requested No
eOther.02 - Potential System of Care/Specialty/Registry Patient Other
eOther.EMSCrewMemberGroup - Group Tag to hold info about the EMS Crew Member
eOther.03 - Personal Protective Equipment Used Gloves
Mask-Surgical (Non-Fitted)
eOther.04 - EMS Professional (Crew Member) ID 7492 - Chase Grey
eOther.05 - Suspected EMS Work Related Exposure, Injury, or Death No
eOther.06 - The Type of Work-Related Injury, Death or Suspected Exposure None
eOther.EMSCrewMemberGroup - Group Tag to hold info about the EMS Crew Member
eOther.03 - Personal Protective Equipment Used Gloves
Mask-Surgical (Non-Fitted)
eOther.04 - EMS Professional (Crew Member) ID 86240 - Kaden Li Jie Huang
eOther.05 - Suspected EMS Work Related Exposure, Injury, or Death No
eOther.06 - The Type of Work-Related Injury, Death or Suspected Exposure None
eOther.08 - Crew Member Completing this Report 86240 - Kaden Li Jie Huang
eOther.SignatureGroup - Group Tag to hold signature details
eOther.12 - Type of Person Signing Patient Representative
eOther.13 - Signature Reason Refusal of Transport
eOther.14 - Type Of Patient Representative Friend
eOther.15 - Signature Status Signed-Not Patient
eOther.16 - Signature File Name refusal-a65f.png
eOther.17 - Signature File Type image/png
eOther.18 - Signature Graphic
eOther.19 - Date/Time of Signature October 7, 2022, 22:37:28 GMT-05:00
eOther.20 - Signature Last Name Theresa
eOther.21 - Signature First Name Ruug
eOther.SignatureGroup - Group Tag to hold signature details
eOther.12 - Type of Person Signing EMS Primary Care Provider (for this event)
eOther.13 - Signature Reason Other
eOther.15 - Signature Status Signed
eOther.19 - Date/Time of Signature October 7, 2022, 23:05:12 GMT-05:00
eOther.20 - Signature Last Name Huang
eOther.21 - Signature First Name Kaden