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 |
340-20221009012 |
eResponse.04
-
EMS Response Number |
340-20221009M2012 |
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 |
Language Barrier |
Other |
eResponse.09
-
Type of Response Delay |
Distance |
eResponse.10
-
Type of Scene Delay |
None/No Delay |
eResponse.11
-
Type of Transport Delay |
Distance |
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 |
189351.0 |
eResponse.20
-
On-Scene Odometer Reading of Responding Vehicle |
189381.4 |
eResponse.21
-
Patient Destination Odometer Reading of Responding Vehicle |
189414.1 |
eResponse.22
-
Ending Odometer Reading of Responding Vehicle |
189420.4 |
eResponse.23
-
Response Mode to Scene |
Emergent (Immediate Response) |
eResponse.24
-
Additional Response Mode Descriptors |
No Lights or Sirens |
eDispatch
-
Dispatch Information |
|
eDispatch.01
-
Complaint Reported by Dispatch |
Falls |
eDispatch.02
-
EMD Performed |
Yes, Unknown if Pre-Arrival Instructions Given |
eDispatch.03
-
EMD Card Number |
17C |
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 |
20221009-176 |
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 |
Driver/Pilot-Transport |
Other Patient Caregiver-At Scene |
eCrew.CrewGroup
-
Group Tag to hold crew information |
|
eCrew.01
-
Crew Member ID |
35781 - Ellen Costa |
eCrew.02
-
Crew Member Level |
2009 Paramedic |
eCrew.03
-
Crew Member Response Role |
Primary Patient Caregiver-At Scene |
Primary Patient Caregiver-Transport |
eTimes
-
Call Event Times Information |
|
eTimes.01
-
PSAP Call Date/Time |
October 9, 2022, 8:10:12 GMT-05:00 |
eTimes.02
-
Dispatch Notified Date/Time |
October 9, 2022, 8:10:12 GMT-05:00 |
eTimes.03
-
Unit Notified by Dispatch Date/Time |
October 9, 2022, 8:14:51 GMT-05:00 |
eTimes.04
-
Dispatch Acknowledged Date/Time |
October 9, 2022, 8:15:08 GMT-05:00 |
eTimes.05
-
Unit En Route Date/Time |
October 9, 2022, 8:17:36 GMT-05:00 |
eTimes.06
-
Unit Arrived on Scene Date/Time |
October 9, 2022, 8:45:58 GMT-05:00 |
eTimes.07
-
Arrived at Patient Date/Time |
October 9, 2022, 8:46:30 GMT-05:00 |
eTimes.08
-
Transfer of EMS Patient Care Date/Time |
[NV
=
Not Applicable] |
eTimes.09
-
Unit Left Scene Date/Time |
October 9, 2022, 8:58:24 GMT-05:00 |
eTimes.11
-
Patient Arrived at Destination Date/Time |
October 9, 2022, 9:35:10 GMT-05:00 |
eTimes.12
-
Destination Patient Transfer of Care Date/Time |
October 9, 2022, 9:38:43 GMT-05:00 |
eTimes.13
-
Unit Back in Service Date/Time |
October 9, 2022, 9:52:03 GMT-05:00 |
eTimes.15
-
Unit Back at Home Location Date/Time |
October 9, 2022, 9:58:28 GMT-05:00 |
eTimes.16
-
EMS Call Completed Date/Time |
October 9, 2022, 10:05:12 GMT-05:00 |
ePatient
-
Patient Information |
|
ePatient.01
-
EMS Patient ID |
659JEX |
ePatient.PatientNameGroup
-
Group Tag to hold patient's name |
|
ePatient.02
-
Last Name |
Macias |
ePatient.03
-
First Name |
Elina |
ePatient.04
-
Middle Initial/Name |
R |
ePatient.05
-
Patient's Home Address |
520 South Pine Street |
ePatient.06
-
Patient's Home City |
City of Hope |
ePatient.07
-
Patient's Home County |
Hempstead County |
ePatient.08
-
Patient's Home State |
Arkansas |
ePatient.09
-
Patient's Home ZIP Code |
71801 |
ePatient.10
-
Patient's Country of Residence |
US |
ePatient.11
-
Patient Home Census Tract |
05057480500 |
ePatient.12
-
Social Security Number |
430153583 |
ePatient.13
-
Gender |
Female |
ePatient.14
-
Race |
Black or African American |
Hispanic or Latino |
ePatient.AgeGroup
-
Group Tag to hold patient's age information |
|
ePatient.15
-
Age |
81 |
ePatient.16
-
Age Units |
Years |
ePatient.17
-
Date of Birth |
August 4, 1941 |
ePayment
-
Insurance/Payment Information |
|
ePayment.01
-
Primary Method of Payment |
Medicare |
ePayment.08
-
Patient Resides in Service Area |
Resident Within EMS Service Area |
ePayment.InsuranceGroup
-
Group Tag to hold information about the insurance company |
|
ePayment.09
-
Insurance Company ID |
MEDICARE |
ePayment.10
-
Insurance Company Name |
Medicare |
ePayment.11
-
Insurance Company Billing Priority |
Primary |
ePayment.12
-
Insurance Company Address |
PO Box 1437, Slot S401 |
ePayment.13
-
Insurance Company City |
Little Rock |
ePayment.14
-
Insurance Company State |
Arkansas |
ePayment.15
-
Insurance Company ZIP Code |
72203-1437 |
ePayment.16
-
Insurance Company Country |
US |
ePayment.18
-
Insurance Policy ID Number |
37468674 |
ePayment.19
-
Last Name of the Insured |
Macias |
ePayment.20
-
First Name of the Insured |
Elina |
ePayment.21
-
Middle Initial/Name of the Insured |
R |
ePayment.22
-
Relationship to the Insured |
Self |
ePayment.40
-
Response Urgency |
Immediate |
ePayment.46
-
Stretcher Purpose Description |
Hip fracture |
ePayment.49
-
ALS Assessment Performed and Warranted |
Yes |
ePayment.50
-
CMS Service Level |
ALS, Level 1 |
ePayment.51
-
EMS Condition Code |
W10.9 - Fall (on) (from) unspecified stairs and steps |
R27.9 - Unspecified lack of coordination |
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 |
3 |
ePayment.57
-
Payer Type |
Medicare Part A |
eScene
-
Incident Scene Information |
|
eScene.01
-
First EMS Unit on Scene |
[NV
=
Not Recorded] |
eScene.06
-
Number of Patients at Scene |
Single |
eScene.07
-
Mass Casualty Incident |
[NV
=
Not Applicable] |
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 |
33.663,-93.594 |
eScene.12
-
Scene US National Grid Coordinates |
15SVT44922494 |
eScene.15
-
Incident Street Address |
520 South Pine Street |
eScene.16
-
Incident Apartment, Suite, or Room |
Unit A |
eScene.17
-
Incident City |
City of Hope |
eScene.18
-
Incident State |
Arkansas |
eScene.19
-
Incident ZIP Code |
71801 |
eScene.21
-
Incident County |
Hempstead County |
eScene.22
-
Incident Country |
US |
eScene.23
-
Incident Census Tract |
05057480500 |
eSituation
-
Situation Information |
|
eSituation.01
-
Date/Time of Symptom Onset |
October 9, 2022, 7:30:00 GMT-05:00 |
eSituation.02
-
Possible Injury |
Yes |
eSituation.PatientComplaintGroup
-
Group Tag to hold information about patient's complaint |
|
eSituation.03
-
Complaint Type |
Chief (Primary) |
eSituation.04
-
Complaint |
Fall |
eSituation.05
-
Duration of Complaint |
45 |
eSituation.06
-
Time Units of Duration of Complaint |
Minutes |
eSituation.PatientComplaintGroup
-
Group Tag to hold information about patient's complaint |
|
eSituation.03
-
Complaint Type |
Secondary |
eSituation.04
-
Complaint |
Hip pain |
eSituation.05
-
Duration of Complaint |
30 |
eSituation.06
-
Time Units of Duration of Complaint |
Minutes |
eSituation.PatientComplaintGroup
-
Group Tag to hold information about patient's complaint |
|
eSituation.03
-
Complaint Type |
Secondary |
eSituation.04
-
Complaint |
Bruising |
eSituation.05
-
Duration of Complaint |
30 |
eSituation.06
-
Time Units of Duration of Complaint |
Minutes |
eSituation.07
-
Chief Complaint Anatomic Location |
Extremity-Lower |
eSituation.08
-
Chief Complaint Organ System |
Musculoskeletal/Skin |
eSituation.09
-
Primary Symptom |
M25.55 - Pain in hip |
eSituation.10
-
Other Associated Symptoms |
M79.6 - Pain in limb, hand, foot, fingers and toes |
M54.5 - Low back pain |
R60.9 - Edema, unspecified |
R22 - Localized swelling, mass and lump of skin and subcutaneous tissue |
eSituation.11
-
Provider's Primary Impression |
S79.91 - Unspecified injury of hip |
eSituation.12
-
Provider's Secondary Impressions |
T07 - Unspecified multiple injuries |
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.17
-
Patient Activity |
Y93.E2 - Activity, laundry |
Y93.E3 - Activity, vacuuming |
eInjury
-
Injury Information |
|
eInjury.01
-
Cause of Injury |
W10.9 - Fall (on) (from) unspecified stairs and steps |
Y29 - Contact with blunt object, undetermined intent |
eInjury.02
-
Mechanism of Injury |
Blunt |
eInjury.03
-
Trauma Center Criteria |
Pelvic fractures |
eInjury.04
-
Vehicular, Pedestrian, or Other Injury Risk Factor |
SBP < 110 for age > 65 |
Anticoagulants and Bleeding Disorders |
eInjury.09
-
Height of Fall (feet) |
1 |
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 |
Hearing Impaired |
Language |
eHistory.PractitionerGroup
-
Group Tag to hold info about practitioner |
|
eHistory.02
-
Last Name of Patient's Practitioner |
Sadler |
eHistory.03
-
First Name of Patient's Practitioner |
Randall |
eHistory.04
-
Middle Name/Initial of Patient's Practitioner |
M |
eHistory.PractitionerGroup
-
Group Tag to hold info about practitioner |
|
eHistory.02
-
Last Name of Patient's Practitioner |
Beck |
eHistory.03
-
First Name of Patient's Practitioner |
Darlene |
eHistory.04
-
Middle Name/Initial of Patient's Practitioner |
T |
eHistory.05
-
Advance Directives |
Other Healthcare Advanced Directive Form |
State EMS DNR or Medical Order Form |
eHistory.06
-
Medication Allergies |
[CodeType
=
ICD10] Z88.0 - Allergy status to penicillin |
[CodeType
=
RxNorm] 1191 - aspirin |
[CodeType
=
RxNorm] 161 - acetaminophen |
[CodeType
=
RxNorm] 2284718 - remdesivir |
eHistory.07
-
Environmental/Food Allergies |
232346004 - Cat allergy |
860604008 - Allergy to apple |
eHistory.08
-
Medical/Surgical History |
I51.9 - Heart disease, unspecified |
I22.9 - Subsequent ST elevation (STEMI) myocardial infarction of unspecified site |
K08.119 - Complete loss of teeth due to trauma, unspecified class |
H91.90 - Unspecified hearing loss, unspecified ear |
M19.09 - Primary osteoarthritis, other specified site |
I83.819 - Varicose veins of unspecified lower extremity with pain |
02U03JZ - Supplement Coronary Artery, One Artery with Synthetic Substitute, Percutaneous Approach |
0HRCX72 - Replacement of Left Upper Arm Skin with Autologous Tissue Substitute, Cell Suspension Technique, External Approach |
eHistory.09
-
Medical History Obtained From |
Family |
Health Care Personnel |
Patient |
eHistory.ImmunizationsGroup
-
Group Tag to hold Immunization type and date |
|
eHistory.10
-
The Patient's Type of Immunization |
DPT / TDaP (Diphtheria, Pertussis, Tetanus) |
eHistory.11
-
Immunization Year |
1950 |
eHistory.ImmunizationsGroup
-
Group Tag to hold Immunization type and date |
|
eHistory.10
-
The Patient's Type of Immunization |
Influenza-Seasonal (In past 12 months) |
eHistory.11
-
Immunization Year |
2022 |
eHistory.ImmunizationsGroup
-
Group Tag to hold Immunization type and date |
|
eHistory.10
-
The Patient's Type of Immunization |
MMR (Measles, Mumps, Rubella) |
eHistory.11
-
Immunization Year |
1950 |
eHistory.ImmunizationsGroup
-
Group Tag to hold Immunization type and date |
|
eHistory.10
-
The Patient's Type of Immunization |
Other-Not Listed |
eHistory.11
-
Immunization Year |
2022 |
eHistory.CurrentMedsGroup
-
Group Tag to hold info about patient's medication |
|
eHistory.12
-
Current Medications |
11289 - warfarin |
eHistory.13
-
Current Medication Dose |
3 |
eHistory.14
-
Current Medication Dosage Unit |
Milligrams (mg) |
eHistory.15
-
Current Medication Administration Route |
Oral |
eHistory.16
-
Presence of Emergency Information Form |
Yes |
eHistory.17
-
Alcohol/Drug Use Indicators |
[PN
=
None Reported] |
eHistory.19
-
Last Oral Intake |
October 9, 2022, 7:00:00 GMT-05:00 |
eNarrative
-
Call Event Narrative |
|
eNarrative.01
-
Patient Care Report Narrative |
Patient fell from bottom step of stairs while doing house chores. Due to the likelhood of a hip fracture, we transported her to the hospital. |
eVitals
-
Patient Vital Sign Information |
|
eVitals.VitalGroup
-
Group Tag to hold eVitals information |
|
eVitals.01
-
Date/Time Vital Signs Taken |
October 9, 2022, 8:48:00 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) |
102 |
eVitals.07
-
DBP (Diastolic Blood Pressure) |
64 |
eVitals.08
-
Method of Blood Pressure Measurement |
Cuff-Automated |
eVitals.HeartRateGroup
-
Group Tag to hold the details of patient's heart rate. |
|
eVitals.10
-
Heart Rate |
80 |
eVitals.11
-
Method of Heart Rate Measurement |
Palpated |
eVitals.12
-
Pulse Oximetry |
94 |
eVitals.13
-
Pulse Rhythm |
Regular |
eVitals.14
-
Respiratory Rate |
25 |
eVitals.15
-
Respiratory Effort |
Normal |
eVitals.16
-
End Tidal Carbon Dioxide (ETCO2) |
[NV
=
Not Recorded] |
eVitals.17
-
Carbon Monoxide (CO) |
2.1 |
eVitals.18
-
Blood Glucose Level |
130 |
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 |
5 -
Oriented (>2 Years); Smiles, oriented to sounds, follows objects, interacts |
eVitals.21
-
Glasgow Coma Score-Motor |
5 -
Localizing pain (All Age Groups) |
eVitals.22
-
Glasgow Coma Score-Qualifier |
Initial GCS has legitimate values without interventions such as intubation and sedation |
eVitals.23
-
Total Glasgow Coma Score |
14 |
eVitals.TemperatureGroup
-
Group Tag to hold information about patient's body temperature. |
|
eVitals.24
-
Temperature |
35.2 |
eVitals.25
-
Temperature Method |
Tympanic |
eVitals.26
-
Level of Responsiveness (AVPU) |
Verbal |
eVitals.PainScaleGroup
-
Group Tag to hold the scale of patient's pain and the type of pain scale used. |
|
eVitals.27
-
Pain Scale Score |
8 |
eVitals.28
-
Pain Scale Type |
Numeric (0-10) |
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 |
Negative |
eVitals.30
-
Stroke Scale Type |
Los Angeles |
eVitals.31
-
Reperfusion Checklist |
[NV
=
Not Recorded] |
eVitals.33
-
Revised Trauma Score |
12 |
eVitals.VitalGroup
-
Group Tag to hold eVitals information |
|
eVitals.01
-
Date/Time Vital Signs Taken |
October 9, 2022, 9:00:00 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) |
98 |
eVitals.07
-
DBP (Diastolic Blood Pressure) |
60 |
eVitals.08
-
Method of Blood Pressure Measurement |
Cuff-Automated |
eVitals.HeartRateGroup
-
Group Tag to hold the details of patient's heart rate. |
|
eVitals.10
-
Heart Rate |
70 |
eVitals.11
-
Method of Heart Rate Measurement |
Palpated |
eVitals.12
-
Pulse Oximetry |
94 |
eVitals.13
-
Pulse Rhythm |
Regular |
eVitals.14
-
Respiratory Rate |
22 |
eVitals.15
-
Respiratory Effort |
Normal |
eVitals.16
-
End Tidal Carbon Dioxide (ETCO2) |
[NV
=
Not Recorded] |
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 |
5 -
Oriented (>2 Years); Smiles, oriented to sounds, follows objects, interacts |
eVitals.21
-
Glasgow Coma Score-Motor |
6 -
Obeys commands (>2Years); Appropriate response to stimulation |
eVitals.22
-
Glasgow Coma Score-Qualifier |
Initial GCS has legitimate values without interventions such as intubation and sedation |
eVitals.23
-
Total Glasgow Coma Score |
15 |
eVitals.TemperatureGroup
-
Group Tag to hold information about patient's body temperature. |
|
eVitals.24
-
Temperature |
35.6 |
eVitals.25
-
Temperature Method |
Tympanic |
eVitals.26
-
Level of Responsiveness (AVPU) |
Verbal |
eVitals.PainScaleGroup
-
Group Tag to hold the scale of patient's pain and the type of pain scale used. |
|
eVitals.27
-
Pain Scale Score |
5 |
eVitals.28
-
Pain Scale Type |
Numeric (0-10) |
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 |
[NV
=
Not Recorded] |
eVitals.30
-
Stroke Scale Type |
[NV
=
Not Applicable] |
eVitals.31
-
Reperfusion Checklist |
[NV
=
Not Recorded] |
eVitals.VitalGroup
-
Group Tag to hold eVitals information |
|
eVitals.01
-
Date/Time Vital Signs Taken |
October 9, 2022, 9:10:00 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) |
100 |
eVitals.07
-
DBP (Diastolic Blood Pressure) |
62 |
eVitals.08
-
Method of Blood Pressure Measurement |
Cuff-Automated |
eVitals.HeartRateGroup
-
Group Tag to hold the details of patient's heart rate. |
|
eVitals.10
-
Heart Rate |
66 |
eVitals.11
-
Method of Heart Rate Measurement |
Palpated |
eVitals.12
-
Pulse Oximetry |
95 |
eVitals.13
-
Pulse Rhythm |
Regular |
eVitals.14
-
Respiratory Rate |
20 |
eVitals.15
-
Respiratory Effort |
Normal |
eVitals.16
-
End Tidal Carbon Dioxide (ETCO2) |
[NV
=
Not Recorded] |
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 |
5 -
Oriented (>2 Years); Smiles, oriented to sounds, follows objects, interacts |
eVitals.21
-
Glasgow Coma Score-Motor |
6 -
Obeys commands (>2Years); Appropriate response to stimulation |
eVitals.22
-
Glasgow Coma Score-Qualifier |
Initial GCS has legitimate values without interventions such as intubation and sedation |
eVitals.23
-
Total Glasgow Coma Score |
15 |
eVitals.TemperatureGroup
-
Group Tag to hold information about patient's body temperature. |
|
eVitals.24
-
Temperature |
35.8 |
eVitals.25
-
Temperature Method |
Tympanic |
eVitals.26
-
Level of Responsiveness (AVPU) |
Verbal |
eVitals.PainScaleGroup
-
Group Tag to hold the scale of patient's pain and the type of pain scale used. |
|
eVitals.27
-
Pain Scale Score |
5 |
eVitals.28
-
Pain Scale Type |
Numeric (0-10) |
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 |
[NV
=
Not Recorded] |
eVitals.30
-
Stroke Scale Type |
[NV
=
Not Applicable] |
eVitals.31
-
Reperfusion Checklist |
[NV
=
Not Recorded] |
eVitals.VitalGroup
-
Group Tag to hold eVitals information |
|
eVitals.01
-
Date/Time Vital Signs Taken |
October 9, 2022, 9:20:00 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) |
96 |
eVitals.07
-
DBP (Diastolic Blood Pressure) |
60 |
eVitals.08
-
Method of Blood Pressure Measurement |
Cuff-Automated |
eVitals.HeartRateGroup
-
Group Tag to hold the details of patient's heart rate. |
|
eVitals.10
-
Heart Rate |
68 |
eVitals.11
-
Method of Heart Rate Measurement |
Palpated |
eVitals.12
-
Pulse Oximetry |
95 |
eVitals.13
-
Pulse Rhythm |
Regular |
eVitals.14
-
Respiratory Rate |
22 |
eVitals.15
-
Respiratory Effort |
Normal |
eVitals.16
-
End Tidal Carbon Dioxide (ETCO2) |
[NV
=
Not Recorded] |
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 |
5 -
Oriented (>2 Years); Smiles, oriented to sounds, follows objects, interacts |
eVitals.21
-
Glasgow Coma Score-Motor |
6 -
Obeys commands (>2Years); Appropriate response to stimulation |
eVitals.22
-
Glasgow Coma Score-Qualifier |
Initial GCS has legitimate values without interventions such as intubation and sedation |
eVitals.23
-
Total Glasgow Coma Score |
15 |
eVitals.TemperatureGroup
-
Group Tag to hold information about patient's body temperature. |
|
eVitals.24
-
Temperature |
35.8 |
eVitals.25
-
Temperature Method |
Tympanic |
eVitals.26
-
Level of Responsiveness (AVPU) |
Verbal |
eVitals.PainScaleGroup
-
Group Tag to hold the scale of patient's pain and the type of pain scale used. |
|
eVitals.27
-
Pain Scale Score |
5 |
eVitals.28
-
Pain Scale Type |
Numeric (0-10) |
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 |
[NV
=
Not Recorded] |
eVitals.30
-
Stroke Scale Type |
[NV
=
Not Applicable] |
eVitals.31
-
Reperfusion Checklist |
[NV
=
Not Recorded] |
eLabs
-
Lab Results Information |
|
eLabs.LabGroup
-
Group Tag to hold Lab information |
|
eLabs.01
-
Date/Time of Laboratory or Imaging Result |
October 9, 2022, 9:13:00 GMT-05:00 |
eLabs.02
-
Study/Result Prior to this Unit's EMS Care |
No |
eLabs.LabImageGroup
-
Group Tag to hold info about imaging study or x-ray. |
|
eLabs.05
-
Imaging Study Type |
Ultrasound |
eLabs.06
-
Imaging Study Results |
Hip fracture |
eLabs.WaveformGraphicGroup
-
Tag to hold information about the imaging study to allow for the upload of the imaging results. |
|
eLabs.07
-
Imaging Study File or Waveform Graphic Type |
image/jpg |
eLabs.08
-
Imaging Study File or Waveform Graphic |
|
eExam
-
Patient Exam Information |
|
eExam.01
-
Estimated Body Weight in Kilograms |
53.8 |
eExam.AssessmentGroup
-
Group Tag to hold assessment information |
|
eExam.03
-
Date/Time of Assessment |
October 9, 2022, 8:48:30 GMT-05:00 |
eExam.04
-
Skin Assessment |
Normal |
eExam.05
-
Head Assessment |
Normal |
eExam.06
-
Face Assessment |
[PN
=
Exam Finding Not Present] Asymmetric Smile or Droop |
Normal |
eExam.07
-
Neck Assessment |
Normal |
eExam.08
-
Chest/Lungs Assessment |
Normal |
eExam.09
-
Heart Assessment |
Normal |
eExam.AbdomenGroup
-
Group Tag to hold abdomen assessment findings information |
|
eExam.10
-
Abdominal Assessment Finding Location |
Generalized |
eExam.11
-
Abdomen Assessment |
Normal |
eExam.12
-
Pelvis/Genitourinary Assessment |
Pain |
Swelling |
Contusion |
eExam.SpineGroup
-
Group Tag to hold spine assessment findings information |
|
eExam.13
-
Back and Spine Assessment Finding Location |
Back-General |
eExam.14
-
Back and Spine Assessment |
Normal |
eExam.ExtremityGroup
-
Group Tag to hold extremity assessment findings information |
|
eExam.15
-
Extremity Assessment Finding Location |
Leg-Upper-Right |
eExam.16
-
Extremities Assessment |
Pain |
eExam.ExtremityGroup
-
Group Tag to hold extremity assessment findings information |
|
eExam.15
-
Extremity Assessment Finding Location |
Foot-Dorsal-Left |
eExam.16
-
Extremities Assessment |
Abrasion |
Edema |
Swelling |
eExam.ExtremityGroup
-
Group Tag to hold extremity assessment findings information |
|
eExam.15
-
Extremity Assessment Finding Location |
Foot-Plantar-Left |
eExam.16
-
Extremities Assessment |
Abrasion |
Edema |
Swelling |
eExam.EyeGroup
-
Group Tag to hold eye assessment findings information |
|
eExam.17
-
Eye Assessment Finding Location |
Bilateral |
eExam.18
-
Eye Assessment |
PERRL |
eExam.19
-
Mental Status Assessment |
Normal Baseline for Patient |
eExam.20
-
Neurological Assessment |
Normal Baseline for Patient |
eProtocols
-
Medical Protocols Information |
|
eProtocols.ProtocolGroup
-
Group Tag to hold eProtocol information |
|
eProtocols.01
-
Protocols Used |
General-Individualized Patient Protocol |
eProtocols.02
-
Protocol Age Category |
General |
eProtocols.ProtocolGroup
-
Group Tag to hold eProtocol information |
|
eProtocols.01
-
Protocols Used |
General-IV Access |
eProtocols.02
-
Protocol Age Category |
General |
eProtocols.ProtocolGroup
-
Group Tag to hold eProtocol information |
|
eProtocols.01
-
Protocols Used |
General-Pain Control |
eProtocols.02
-
Protocol Age Category |
Adult Only |
eProtocols.ProtocolGroup
-
Group Tag to hold eProtocol information |
|
eProtocols.01
-
Protocols Used |
General-Universal Patient Care/ Initial Patient Contact |
eProtocols.02
-
Protocol Age Category |
Adult Only |
eMedications
-
Intervention Medications Information |
|
eMedications.MedicationGroup
-
Group Tag to hold eMedication information |
|
eMedications.01
-
Date/Time Medication Administered |
October 9, 2022, 8:52:00 GMT-05:00 |
eMedications.02
-
Medication Administered Prior to this Unit's EMS Care |
No |
eMedications.03
-
Medication Given |
7052 - morphine |
eMedications.04
-
Medication Administered Route |
Intravenous (IV) |
eMedications.DosageGroup
-
Group Tag to hold info about the medication dosage given to the patient |
|
eMedications.05
-
Medication Dosage |
10 |
eMedications.06
-
Medication Dosage Units |
Milligrams (mg) |
eMedications.07
-
Response to Medication |
Improved |
eMedications.08
-
Medication Complication |
Bradycardia |
Nausea |
eMedications.09
-
Medication Crew (Healthcare Professionals) ID |
35781 - Ellen Costa |
eMedications.10
-
Role/Type of Person Administering Medication |
2009 Paramedic |
eMedications.11
-
Medication Authorization |
On-Line (Remote Verbal Order) |
eMedications.12
-
Medication Authorizing Physician |
Cleve Woods |
eProcedures
-
Intervention Procedures Information |
|
eProcedures.ProcedureGroup
-
Group Tag to hold eProcedures information |
|
eProcedures.01
-
Date/Time Procedure Performed |
[NV
=
Not Recorded] |
eProcedures.02
-
Procedure Performed Prior to this Unit's EMS Care |
Yes |
eProcedures.03
-
Procedure |
431949004 - Active external warming of subject |
eProcedures.05
-
Number of Procedure Attempts |
[NV
=
Not Recorded] |
eProcedures.06
-
Procedure Successful |
Yes |
eProcedures.07
-
Procedure Complication |
[NV
=
Not Recorded] |
eProcedures.08
-
Response to Procedure |
[NV
=
Not Recorded] |
eProcedures.10
-
Role/Type of Person Performing the Procedure |
Patient/Lay Person |
eProcedures.ProcedureGroup
-
Group Tag to hold eProcedures information |
|
eProcedures.01
-
Date/Time Procedure Performed |
October 9, 2022, 8:50:00 GMT-05:00 |
eProcedures.02
-
Procedure Performed Prior to this Unit's EMS Care |
No |
eProcedures.03
-
Procedure |
304562007 - Informing doctor |
eProcedures.05
-
Number of Procedure Attempts |
1 |
eProcedures.06
-
Procedure Successful |
Yes |
eProcedures.07
-
Procedure Complication |
[NV
=
Not Applicable] |
eProcedures.08
-
Response to Procedure |
[NV
=
Not Recorded] |
eProcedures.09
-
Procedure Crew Members ID |
7492 - Chase Grey |
eProcedures.10
-
Role/Type of Person Performing the Procedure |
2009 Advanced Emergency Medical Technician (AEMT) |
eProcedures.11
-
Procedure Authorization |
Written Orders (Patient Specific) |
eProcedures.ProcedureGroup
-
Group Tag to hold eProcedures information |
|
eProcedures.01
-
Date/Time Procedure Performed |
October 9, 2022, 8:51:00 GMT-05:00 |
eProcedures.02
-
Procedure Performed Prior to this Unit's EMS Care |
No |
eProcedures.03
-
Procedure |
392230005 - Catheterisation of vein |
eProcedures.04
-
Size of Procedure Equipment |
22G |
eProcedures.05
-
Number of Procedure Attempts |
2 |
eProcedures.06
-
Procedure Successful |
Yes |
eProcedures.07
-
Procedure Complication |
Other |
eProcedures.08
-
Response to Procedure |
[NV
=
Not Recorded] |
eProcedures.09
-
Procedure Crew Members ID |
35781 - Ellen Costa |
eProcedures.10
-
Role/Type of Person Performing the Procedure |
2009 Paramedic |
eProcedures.11
-
Procedure Authorization |
Written Orders (Patient Specific) |
eProcedures.13
-
Vascular Access Location |
Forearm-Right |
eProcedures.ProcedureGroup
-
Group Tag to hold eProcedures information |
|
eProcedures.01
-
Date/Time Procedure Performed |
October 9, 2022, 8:54:00 GMT-05:00 |
eProcedures.02
-
Procedure Performed Prior to this Unit's EMS Care |
No |
eProcedures.03
-
Procedure |
79321009 - Application of splint |
eProcedures.05
-
Number of Procedure Attempts |
1 |
eProcedures.06
-
Procedure Successful |
Yes |
eProcedures.07
-
Procedure Complication |
None |
eProcedures.08
-
Response to Procedure |
Unchanged |
eProcedures.09
-
Procedure Crew Members ID |
7492 - Chase Grey |
eProcedures.10
-
Role/Type of Person Performing the Procedure |
2009 Advanced Emergency Medical Technician (AEMT) |
eProcedures.11
-
Procedure Authorization |
Protocol (Standing Order) |
eProcedures.ProcedureGroup
-
Group Tag to hold eProcedures information |
|
eProcedures.01
-
Date/Time Procedure Performed |
October 9, 2022, 8:55:00 GMT-05:00 |
eProcedures.02
-
Procedure Performed Prior to this Unit's EMS Care |
No |
eProcedures.03
-
Procedure |
58715004 - Moving a patient to a stretcher |
eProcedures.05
-
Number of Procedure Attempts |
1 |
eProcedures.06
-
Procedure Successful |
Yes |
eProcedures.07
-
Procedure Complication |
None |
eProcedures.08
-
Response to Procedure |
Unchanged |
eProcedures.09
-
Procedure Crew Members ID |
7492 - Chase Grey |
eProcedures.10
-
Role/Type of Person Performing the Procedure |
2009 Advanced Emergency Medical Technician (AEMT) |
eProcedures.11
-
Procedure Authorization |
Protocol (Standing Order) |
eDisposition
-
Patient Disposition Information |
|
eDisposition.DestinationGroup
-
Group Tag to hold info about the Destination and the Disposition details |
|
eDisposition.01
-
Destination/Transferred To, Name |
CHRISTUS St. Michael Health System |
eDisposition.02
-
Destination/Transferred To, Code |
1295736734 |
eDisposition.03
-
Destination Street Address |
[Value from DEMDataSet]
|
eDisposition.04
-
Destination City |
[Value from DEMDataSet]
|
eDisposition.05
-
Destination State |
[Value from DEMDataSet]
|
eDisposition.06
-
Destination County |
[Value from DEMDataSet]
|
eDisposition.07
-
Destination ZIP Code |
[Value from DEMDataSet]
|
eDisposition.08
-
Destination Country |
[Value from DEMDataSet]
|
eDisposition.09
-
Destination GPS Location |
[Value from DEMDataSet]
|
eDisposition.10
-
Destination Location US National Grid Coordinates |
[Value from DEMDataSet]
|
eDisposition.11
-
Number of Patients Transported in this EMS Unit |
1 |
eDisposition.12
-
Incident/Patient Disposition |
Patient Treated, Transported by this EMS Unit |
eDisposition.13
-
How Patient Was Moved to Ambulance |
Stretcher |
eDisposition.14
-
Position of Patient During Transport |
Supine |
eDisposition.15
-
How Patient Was Transported From Ambulance |
Stretcher |
eDisposition.16
-
EMS Transport Method |
Ground-Ambulance |
eDisposition.17
-
Transport Mode from Scene |
Emergent (Immediate Response) |
eDisposition.18
-
Additional Transport Mode Descriptors |
Speed-Normal Traffic |
No Lights or Sirens |
eDisposition.19
-
Final Patient Acuity |
Emergent (Yellow) |
eDisposition.20
-
Reason for Choosing Destination |
Patient's Physician's Choice |
Regional Specialty Center |
eDisposition.21
-
Type of Destination |
Hospital-Emergency Department |
eDisposition.22
-
Hospital In-Patient Destination |
[NV
=
Not Applicable] |
eDisposition.23
-
Hospital Capability |
Rehab Center |
eDisposition.HospitalTeamActivationGroup
-
Group Tag to hold info about the destination team pre-arrival activation |
|
eDisposition.24
-
Destination Team Pre-Arrival Alert or Activation |
Yes-Trauma (General) |
eDisposition.25
-
Date/Time of Destination Prearrival Alert or Activation |
October 9, 2022, 8:56:20 GMT-05:00 |
eOutcome
-
Patient Outcome Information |
|
eOutcome.01
-
Emergency Department Disposition |
Admitted as an inpatient to this hospital. |
eOutcome.02
-
Hospital Disposition |
Discharged/transferred to a inpatient rehabilitation facility including distinct part units of a hospital. |
eOutcome.ExternalDataGroup
-
Group Tag to hold information about external report or record |
|
eOutcome.03
-
External Report ID/Number Type |
Hospital-Receiving |
eOutcome.04
-
External Report ID/Number |
2020-5248 |
eOutcome.ExternalDataGroup
-
Group Tag to hold information about external report or record |
|
eOutcome.03
-
External Report ID/Number Type |
Other Report |
eOutcome.04
-
External Report ID/Number |
2267884554 |
eOutcome.05
-
Other Report Registry Type |
HIE |
eOutcome.ExternalDataGroup
-
Group Tag to hold information about external report or record |
|
eOutcome.03
-
External Report ID/Number Type |
Trauma Registry |
eOutcome.04
-
External Report ID/Number |
CSM.20.0598 |
eOutcome.06
-
Emergency Department Chief Complaint |
Hip injury |
eOutcome.07
-
First ED Systolic Blood Pressure |
99 |
eOutcome.08
-
Emergency Department Recorded Cause of Injury |
W10.9XXA - Fall (on) (from) unspecified stairs and steps, initial encounter |
Y29.XXXA - Contact with blunt object, undetermined intent, initial encounter |
eOutcome.09
-
Emergency Department Procedures |
4A0FX3Z - Measurement of Musculoskeletal Contractility, External Approach |
3E1U38X - Irrigation of Joints using Irrigating Substance, Percutaneous Approach, Diagnostic |
0W9J7ZZ - Drainage of Pelvic Cavity, Via Natural or Artificial Opening |
eOutcome.10
-
Emergency Department Diagnosis |
M84.359 - Stress fracture, hip, unspecified |
M25.59 - Pain in other specified joint |
eOutcome.11
-
Date/Time of Hospital Admission |
October 9, 2022, 9:56:20 GMT-05:00 |
eOutcome.12
-
Hospital Procedures |
BF5C2ZZ - Other Imaging of Hepatobiliary System, All using Fluorescing Agent |
0SQ94ZZ - Repair Right Hip Joint, Percutaneous Endoscopic Approach |
0SQNXZZ - Repair Left Metatarsal-Phalangeal Joint, External Approach |
eOutcome.13
-
Hospital Diagnosis |
M84.359D - Stress fracture, hip, unspecified, subsequent encounter for fracture with routine healing |
M84.372A - Stress fracture, left ankle, initial encounter for fracture |
eOutcome.16
-
Date/Time of Hospital Discharge |
October 10, 2022, 8:54:12 GMT-05:00 |
eOutcome.17
-
Outcome at Hospital Discharge |
Moderately severe disability; unable to walk without assistance and unable to attend to own bodily needs without assistance |
eOther
-
Other Miscellaneous Information |
|
eOther.01
-
Review Requested |
No |
eOther.02
-
Potential System of Care/Specialty/Registry Patient |
Trauma |
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 |
35781 - Ellen Costa |
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 |
35781 - Ellen Costa |
eOther.SignatureGroup
-
Group Tag to hold signature details |
|
eOther.12
-
Type of Person Signing |
Healthcare Provider |
eOther.13
-
Signature Reason |
Transfer of Patient Care |
eOther.15
-
Signature Status |
Signed |
eOther.16
-
Signature File Name |
signature-a89c.png |
eOther.17
-
Signature File Type |
image/png |
eOther.18
-
Signature Graphic |
|
eOther.19
-
Date/Time of Signature |
October 9, 2022, 9:38:20 GMT-05:00 |
eOther.20
-
Signature Last Name |
Ortiz |
eOther.21
-
Signature First Name |
Leslie |
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 9, 2022, 17:04:59 GMT-05:00 |
eOther.20
-
Signature Last Name |
Costa |
eOther.21
-
Signature First Name |
Ellen |