NEMSIS v3.5.0 EMSDataSet Test Case

 

NEMSIS V3 Test Case for Pre-testing
ID:               2024-EMS-3-MciArrest_v350
Description:      Test case for trauma refusal of care with transport.
Expected Result:  PASS

 
Element Value
EMSDataSet - Root Tag For Patient Care Report Dataset
Header - Header for file
DemographicGroup - Demographic information related to this agency
dAgency.01 - EMS Agency Unique State ID EMS Agency Unique State ID A078
dAgency.02 - EMS Agency Number EMS Agency Number 350-A078
dAgency.04 - EMS Agency State EMS Agency State Colorado
PatientCareReport - Container Tag to hold each instance of a patient care report (PCR) [UUID = [Your UUID]]
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 this 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 350-A078
eResponse.02 - EMS Agency Name [Value from DEMDataSet]
eResponse.03 - Incident Number 350-2024-EMS3
eResponse.04 - EMS Response Number 350-2024-EMS3-1
eResponse.ServiceGroup - Group Tag to hold details about EMS category of service and the stand by reason
eResponse.05 - Type of Service Requested Emergency Response (Mutual Aid)
eResponse.07 - Unit Transport and Equipment Capability Ground Transport (ALS Equipped)
eResponse.08 - Type of Dispatch Delay High Call Volume
eResponse.09 - Type of Response Delay Crowd
Scene Safety (Not Secure for EMS)
eResponse.10 - Type of Scene Delay Safety-Crew/Staging
Triage/Multiple Patients
eResponse.11 - Type of Transport Delay None/No Delay
eResponse.12 - Type of Turn-Around Delay None/No Delay
eResponse.13 - EMS Vehicle (Unit) Number G194
eResponse.14 - EMS Unit Call Sign Medic 1
eResponse.17 - Vehicle Dispatch GPS Location 40.523432,-105.015927
eResponse.18 - Vehicle Dispatch Location US National Grid Coordinates 13TDE98658585
eResponse.19 - Beginning Odometer Reading of Responding Vehicle 341308.5
eResponse.20 - On-Scene Odometer Reading of Responding Vehicle 341316.8
eResponse.21 - Patient Destination Odometer Reading of Responding Vehicle 341326.1
eResponse.22 - Ending Odometer Reading of Responding Vehicle 341326.1
eResponse.23 - Response Mode to Scene Emergent (Immediate Response)
eResponse.24 - Additional Response Mode Descriptors Lights and Sirens
eDispatch - Dispatch Information
eDispatch.01 - Dispatch Reason Stab/Gunshot Wound/Penetrating Trauma
eDispatch.02 - EMD Performed No
eDispatch.03 - EMD Card Number 27D6
eDispatch.04 - Dispatch Center Name or ID Larimer County Sheriff's Department
eDispatch.05 - Dispatch Priority (Patient Acuity) Critical
eDispatch.06 - Unit Dispatched CAD Record ID LC23-18308
eCrew - Crew Member Information
eCrew.CrewGroup - Group Tag to hold crew information
eCrew.01 - Crew Member ID 455258 - Declan Collin Renner
eCrew.02 - Crew Member Level Paramedic
eCrew.03 - Crew Member Response Role Primary Patient Caregiver-At Scene
Primary Patient Caregiver-Transport
eCrew.CrewGroup - Group Tag to hold crew information
eCrew.01 - Crew Member ID 589631 - Rodrigo R Romaguera
eCrew.02 - Crew Member Level Emergency Medical Technician (EMT)
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 653148 - Sabryna Charlotte Braun
eCrew.02 - Crew Member Level Emergency Medical Responder (EMR)
eCrew.03 - Crew Member Response Role Other Patient Caregiver-At Scene
Other Patient Caregiver-Transport
eTimes - Call Event Times Information
eTimes.01 - PSAP Call Date/Time October 9, 2023, 17:58:02 GMT-06:00
eTimes.02 - Dispatch Notified Date/Time October 9, 2023, 18:04:42 GMT-06:00
eTimes.03 - Unit Notified by Dispatch Date/Time October 9, 2023, 18:05:14 GMT-06:00
eTimes.04 - Dispatch Acknowledged Date/Time October 9, 2023, 18:05:39 GMT-06:00
eTimes.05 - Unit En Route Date/Time October 9, 2023, 18:05:39 GMT-06:00
eTimes.06 - Unit Arrived on Scene Date/Time October 9, 2023, 18:24:53 GMT-06:00
eTimes.07 - Arrived at Patient Date/Time October 9, 2023, 18:26:23 GMT-06:00
eTimes.08 - Transfer of EMS Patient Care Date/Time [NV = Not Applicable]
eTimes.09 - Unit Left Scene Date/Time October 9, 2023, 18:41:18 GMT-06:00
eTimes.11 - Patient Arrived at Destination Date/Time October 9, 2023, 18:57:30 GMT-06:00
eTimes.12 - Destination Patient Transfer of Care Date/Time October 9, 2023, 18:57:58 GMT-06:00
eTimes.13 - Unit Back in Service Date/Time October 9, 2023, 18:57:58 GMT-06:00
eTimes.16 - EMS Call Completed Date/Time October 9, 2023, 18:57:58 GMT-06:00
eTimes.17 - Unit Arrived at Staging Area Date/Time October 9, 2023, 18:22:51 GMT-06:00
ePatient - Patient Information
ePatient.01 - EMS Patient ID 38nv6646
ePatient.PatientNameGroup - Group Tag to hold patient's name
ePatient.02 - Last Name Corwin
ePatient.03 - First Name Jo
ePatient.04 - Middle Initial/Name Terrell
ePatient.05 - Patient's Home Address 3907 Pueblo Street
ePatient.06 - Patient's Home City City of Evans
ePatient.07 - Patient's Home County Weld County
ePatient.08 - Patient's Home State Colorado
ePatient.09 - Patient's Home ZIP Code 80620
ePatient.10 - Patient's Country of Residence US
ePatient.11 - Patient Home Census Tract 08123001004
ePatient.12 - Social Security Number 515984315
ePatient.13 - Gender Female
ePatient.14 - Race Black or African American
ePatient.AgeGroup - Group Tag to hold patient's age information
ePatient.15 - Age 73
ePatient.16 - Age Units Years
ePatient.17 - Date of Birth August 19, 1950
ePayment - Insurance/Payment Information
ePayment.01 - Primary Method of Payment Medicare
ePayment.InsuranceGroup - Group Tag to hold information about the insurance company
ePayment.09 - Insurance Company ID MDC
ePayment.10 - Insurance Company Name Medicare
ePayment.11 - Insurance Company Billing Priority Primary
ePayment.12 - Insurance Company Address [StreetAddress2 = "PO Box 3107" ] 2020 Technology Parkway, Suite 100
ePayment.13 - Insurance Company City Mechanicsburg
ePayment.14 - Insurance Company State Pennsylvania
ePayment.15 - Insurance Company ZIP Code 17050
ePayment.16 - Insurance Company Country US
ePayment.18 - Insurance Policy ID Number 5646-583-4331
ePayment.19 - Last Name of the Insured Corwin
ePayment.20 - First Name of the Insured Jo
ePayment.21 - Middle Initial/Name of the Insured Terrell
ePayment.22 - Relationship to the Insured Self
ePayment.40 - Response Urgency Immediate
ePayment.41 - Patient Transport Assessment Unable to sit without assistance
Unable to stand without assistance
Unable to walk without assistance
ePayment.46 - Stretcher Purpose Description Patient in cardiac arrest
ePayment.47 - Ambulance Conditions Indicator Patient was admitted to a hospital
Patient was moved by stretcher
Patient was unconscious or in shock
Patient was transported in an emergency situation
Ambulance service was medically necessary
ePayment.48 - Mileage to Closest Hospital Facility 3.6
ePayment.49 - ALS Assessment Performed and Warranted Yes
ePayment.50 - CMS Service Level ALS, Level 1 Emergency
ePayment.52 - CMS Transportation Indicator Emergency Trauma Dispatch Condition Code (Major Incident or Mechanism of Injury)
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 Catheter-16ga
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 Single Lumen Supraglottic Airway Device
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 3
eScene - Incident Scene Information
eScene.01 - First EMS Unit on Scene No
eScene.ResponderGroup - Group Tag to hold info from all responders to the scene.
eScene.02 - Other EMS or Public Safety Agencies at Scene Larimer County Sheriff's Department
eScene.04 - Type of Other Service at Scene Law
eScene.24 - First Other EMS or Public Safety Agency at Scene to Provide Patient Care Yes
eScene.ResponderGroup - Group Tag to hold info from all responders to the scene.
eScene.02 - Other EMS or Public Safety Agencies at Scene Poudre Fire Authority
eScene.03 - Other EMS or Public Safety Agency ID Number 189
eScene.04 - Type of Other Service at Scene Other EMS Agency
eScene.24 - First Other EMS or Public Safety Agency at Scene to Provide Patient Care No
eScene.ResponderGroup - Group Tag to hold info from all responders to the scene.
eScene.02 - Other EMS or Public Safety Agencies at Scene Weld County Sheriff's Department
eScene.04 - Type of Other Service at Scene Law
eScene.24 - First Other EMS or Public Safety Agency at Scene to Provide Patient Care No
eScene.05 - Date/Time Initial Responder Arrived on Scene October 9, 2023, 18:01:00 GMT-06:00
eScene.06 - Number of Patients at Scene Multiple
eScene.07 - Mass Casualty Incident Yes
eScene.08 - Triage Classification for MCI Patient Red - Immediate
eScene.09 - Incident Location Type Y92.3 - Sports and athletics area as the place of occurrence of the external cause
eScene.10 - Incident Facility Code [NV = Not Applicable]
eScene.11 - Scene GPS Location 40.443480,-104.990067
eScene.12 - Scene US National Grid Coordinates 13TEE00847698
eScene.13 - Incident Facility or Location Name Budweiser Events Center
eScene.15 - Incident Street Address 5290 Arena Circle
eScene.17 - Incident City City of Loveland
eScene.18 - Incident State Colorado
eScene.19 - Incident ZIP Code 80538
eScene.21 - Incident County Larimer County
eScene.22 - Incident Country US
eScene.23 - Incident Census Tract 08069001709
eSituation - Situation Information
eSituation.01 - Date/Time of Symptom Onset October 9, 2023, 17:58:00 GMT-06:00
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 Gunshot wound
eSituation.07 - Chief Complaint Anatomic Location Chest
eSituation.08 - Chief Complaint Organ System Global/General
eSituation.09 - Primary Symptom T14 - Injury of unspecified body region
eSituation.10 - Other Associated Symptoms R09.2 - Respiratory arrest
R40.20 - Unspecified coma
R58 - Hemorrhage, not elsewhere classified
eSituation.11 - Provider's Primary Impression I46.9 - Cardiac arrest, cause unspecified
eSituation.12 - Provider's Secondary Impressions S29.9 - Unspecified injury of thorax
eSituation.13 - Initial Patient Acuity Critical (Red)
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 Y93.82 - Activity, spectator at an event
eSituation.18 - Date/Time Last Known Well October 9, 2023, 17:58:00 GMT-06:00
eSituation.20 - Reason for Interfacility Transfer/Medical Transport [NV = Not Applicable]
eInjury - Injury Information
eInjury.01 - Cause of Injury X95.9 - Assault by unspecified firearm discharge
eInjury.02 - Mechanism of Injury Penetrating
eInjury.03 - Trauma Triage Criteria (High Risk for Serious Injury) Glasgow Coma Score <= 13 (DEPRECATED)
Penetrating injuries to head, neck, torso, and proximal extremities
Respiratory Rate <10 or >29 breaths per minute (<20 in infants aged <1 year) or need for ventilatory support (DEPRECATED)
Systolic Blood Pressure <90 mmHg (DEPRECATED)
eInjury.04 - Trauma Triage Criteria (Moderate Risk for Serious Injury) SBP < 110 for age > 65 (DEPRECATED)
Other EMS judgment
eArrest - Cardiac Arrest Information
eArrest.01 - Cardiac Arrest Yes, After Any EMS Arrival (includes Transport EMS & Medical First Responders)
eArrest.02 - Cardiac Arrest Etiology Traumatic Cause
eArrest.03 - Resuscitation Attempted By EMS Attempted Ventilation
Initiated Chest Compressions
eArrest.04 - Arrest Witnessed By Witnessed by Family Member
Witnessed by Healthcare Provider
eArrest.07 - AED Use Prior to EMS Arrival No
eArrest.09 - Type of CPR Provided Compressions-Intermittent with Ventilation
Ventilation-with OPA/NPA
eArrest.10 - Therapeutic Hypothermia by EMS No
eArrest.11 - First Monitored Arrest Rhythm of the Patient Ventricular Fibrillation
eArrest.12 - Any Return of Spontaneous Circulation Yes, Prior to Arrival at the ED
eArrest.13 - Neurological Outcome at Hospital Discharge CPC 2 Moderate Cerebral Disability
eArrest.14 - Date/Time of Cardiac Arrest October 9, 2023, 18:28:00 GMT-06:00
eArrest.15 - Date/Time Resuscitation Discontinued October 9, 2023, 18:39:37 GMT-06:00
eArrest.16 - Reason CPR/Resuscitation Discontinued Return of Spontaneous Circulation (pulse or BP noted)
eArrest.17 - Cardiac Rhythm on Arrival at Destination Supraventricular Tachycardia
Ventricular Tachycardia (With Pulse)
eArrest.18 - End of EMS Cardiac Arrest Event ROSC in the Field
eArrest.19 - Date/Time of Initial CPR October 9, 2023, 18:28:30 GMT-06:00
eArrest.20 - Who First Initiated CPR EMS Responder (transport EMS)
eArrest.21 - Who First Applied the AED [NV = Not Applicable]
eArrest.22 - Who First Defibrillated the Patient [NV = Not Applicable]
eHistory - Patient History Information
eHistory.01 - Barriers to Patient Care Unconscious
eHistory.06 - Medication Allergies [PN = Unresponsive]
eHistory.08 - Medical/Surgical History [PN = Unresponsive]
eHistory.CurrentMedsGroup - Group Tag to hold info about patient's medication
eHistory.12 - Current Medications [PN = Unresponsive]
eHistory.17 - Alcohol/Drug Use Indicators [PN = Unable to Complete]
eNarrative - Call Event Narrative
eNarrative.01 - Patient Care Report Narrative Mutual aid response to active shooter MCI at Eagles game. Patient with gunshot wound to chest, unconconscious and not breathing upon our arrival. Went into cardiac arrest shortly after. No AED available. CPR performed with ROSC, transported to Banner. Patient accompanied by grandchild.
eVitals - Patient Vital Sign Information
eVitals.VitalGroup - Group Tag to hold eVitals information
eVitals.01 - Date/Time Vital Signs Taken October 9, 2023, 18:27:00 GMT-06:00
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) [PN = Unable to Complete]
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) 88
eVitals.07 - DBP (Diastolic Blood Pressure) 52
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 20
eVitals.11 - Method of Heart Rate Measurement Auscultated
eVitals.12 - Pulse Oximetry 86
eVitals.13 - Pulse Rhythm Regularly Irregular
eVitals.14 - Respiratory Rate 0
eVitals.16 - End Tidal Carbon Dioxide (ETCO2) [PN = Unable to Complete]
eVitals.18 - Blood Glucose Level [PN = Unable to Complete]
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 Initial GCS has legitimate values without interventions such as intubation and sedation
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 Recorded]
eVitals.31 - Reperfusion Checklist [PN = Unable to Complete]
eVitals.33 - Revised Trauma Score 4
eVitals.VitalGroup - Group Tag to hold eVitals information
eVitals.01 - Date/Time Vital Signs Taken October 9, 2023, 18:28:10 GMT-06:00
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) Ventricular Fibrillation
eVitals.04 - ECG Type 12 Lead-Left Sided (Normal)
eVitals.05 - Method of ECG Interpretation Computer Interpretation
eVitals.BloodPressureGroup - Group Tag to hold the details of patient's blood pressure.
eVitals.06 - SBP (Systolic Blood Pressure) 40
eVitals.07 - DBP (Diastolic Blood Pressure) 30
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 320
eVitals.11 - Method of Heart Rate Measurement Auscultated
eVitals.12 - Pulse Oximetry 84
eVitals.13 - Pulse Rhythm Regularly Irregular
eVitals.14 - Respiratory Rate 0
eVitals.16 - End Tidal Carbon Dioxide (ETCO2) [PN = Unable to Complete]
eVitals.18 - Blood Glucose Level [PN = Unable to Complete]
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 1 - No Motor Response (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 3
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 Recorded]
eVitals.31 - Reperfusion Checklist [PN = Unable to Complete]
eVitals.33 - Revised Trauma Score 1
eVitals.VitalGroup - Group Tag to hold eVitals information
eVitals.01 - Date/Time Vital Signs Taken October 9, 2023, 18:34:30 GMT-06:00
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) Ventricular Fibrillation
eVitals.04 - ECG Type 12 Lead-Left Sided (Normal)
eVitals.05 - Method of ECG Interpretation Computer Interpretation
eVitals.BloodPressureGroup - Group Tag to hold the details of patient's blood pressure.
eVitals.06 - SBP (Systolic Blood Pressure) 40
eVitals.07 - DBP (Diastolic Blood Pressure) 30
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 300
eVitals.11 - Method of Heart Rate Measurement Auscultated
eVitals.12 - Pulse Oximetry 86
eVitals.13 - Pulse Rhythm Regularly Irregular
eVitals.14 - Respiratory Rate 6
eVitals.15 - Respiratory Effort Mechanically Assisted (BVM, CPAP, etc.)
eVitals.16 - End Tidal Carbon Dioxide (ETCO2) [ETCO2Type = mmHg] 18
eVitals.18 - Blood Glucose Level [PN = Unable to Complete]
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 1 - No Motor Response (All Age Groups)
eVitals.22 - Glasgow Coma Score-Qualifier Patient Intubated
eVitals.23 - Total Glasgow Coma Score 3
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 Recorded]
eVitals.31 - Reperfusion Checklist [PN = Unable to Complete]
eVitals.33 - Revised Trauma Score 1
eVitals.VitalGroup - Group Tag to hold eVitals information
eVitals.01 - Date/Time Vital Signs Taken October 9, 2023, 18:40:00 GMT-06:00
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) Supraventricular Tachycardia
Ventricular Tachycardia (With Pulse)
eVitals.04 - ECG Type 12 Lead-Left Sided (Normal)
eVitals.05 - Method of ECG Interpretation Computer Interpretation
eVitals.BloodPressureGroup - Group Tag to hold the details of patient's blood pressure.
eVitals.06 - SBP (Systolic Blood Pressure) 80
eVitals.07 - DBP (Diastolic Blood Pressure) 48
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 118
eVitals.11 - Method of Heart Rate Measurement Auscultated
eVitals.12 - Pulse Oximetry 88
eVitals.13 - Pulse Rhythm Irregularly Irregular
eVitals.14 - Respiratory Rate 10
eVitals.15 - Respiratory Effort Mechanically Assisted (BVM, CPAP, etc.)
eVitals.16 - End Tidal Carbon Dioxide (ETCO2) [ETCO2Type = mmHg] 20
eVitals.18 - Blood Glucose Level [PN = Unable to Complete]
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 Patient Intubated
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 Recorded]
eVitals.31 - Reperfusion Checklist [PN = Unable to Complete]
eVitals.33 - Revised Trauma Score 4
eVitals.VitalGroup - Group Tag to hold eVitals information
eVitals.01 - Date/Time Vital Signs Taken October 9, 2023, 18:50:00 GMT-06:00
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) Supraventricular Tachycardia
Ventricular Tachycardia (With Pulse)
eVitals.04 - ECG Type 12 Lead-Left Sided (Normal)
eVitals.05 - Method of ECG Interpretation Computer Interpretation
eVitals.BloodPressureGroup - Group Tag to hold the details of patient's blood pressure.
eVitals.06 - SBP (Systolic Blood Pressure) 94
eVitals.07 - DBP (Diastolic Blood Pressure) 56
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 106
eVitals.11 - Method of Heart Rate Measurement Auscultated
eVitals.12 - Pulse Oximetry 90
eVitals.13 - Pulse Rhythm Irregularly Irregular
eVitals.14 - Respiratory Rate 10
eVitals.15 - Respiratory Effort Mechanically Assisted (BVM, CPAP, etc.)
eVitals.16 - End Tidal Carbon Dioxide (ETCO2) [ETCO2Type = mmHg] 20
eVitals.18 - Blood Glucose Level 106
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 Patient Intubated
eVitals.23 - Total Glasgow Coma Score 4
eVitals.TemperatureGroup - Group Tag to hold information about patient's body temperature.
eVitals.24 - Temperature 35.4
eVitals.25 - Temperature Method Axillary
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 Recorded]
eVitals.31 - Reperfusion Checklist [PN = Unable to Complete]
eVitals.33 - Revised Trauma Score 4
eExam - Patient Exam Information
eExam.01 - Estimated Body Weight in Kilograms 60
eExam.AssessmentGroup - Group Tag to hold assessment information
eExam.03 - Date/Time of Assessment October 9, 2023, 18:27:30 GMT-06:00
eExam.04 - Skin Assessment Not Done
eExam.05 - Head Assessment Not Done
eExam.06 - Face Assessment Normal
eExam.07 - Neck Assessment Not Done
eExam.09 - Heart Assessment Not Done
eExam.AbdomenGroup - Group Tag to hold abdomen assessment findings information
eExam.11 - Abdomen Assessment Not Done
eExam.12 - Pelvis/Genitourinary Assessment Not Done
eExam.SpineGroup - Group Tag to hold spine assessment findings information
eExam.14 - Back and Spine Assessment Not Done
eExam.ExtremityGroup - Group Tag to hold extremity assessment findings information
eExam.16 - Extremities Assessment Not Done
eExam.EyeGroup - Group Tag to hold eye assessment findings information
eExam.18 - Eye Assessment Not Done
eExam.LungGroup - Group Tag to hold lung assessment findings information
eExam.22 - Lung Assessment Finding Location Bilateral
eExam.23 - Lung Assessment Breath Sounds-Absent
eExam.ChestGroup - Group Tag to hold chest assessment findings information
eExam.24 - Chest Assessment Finding Location Right - Anterior
eExam.25 - Chest Assessment Bleeding Uncontrolled
Gunshot Wound
eExam.19 - Mental Status Assessment Unresponsive
eExam.20 - Neurological Assessment Not Done
eExam.AssessmentGroup - Group Tag to hold assessment information
eExam.03 - Date/Time of Assessment October 9, 2023, 18:54:00 GMT-06:00
eExam.04 - Skin Assessment Pale
Poor Turgor
Capillary Nail Bed Refill more than 4 seconds
eExam.05 - Head Assessment Abrasion
eExam.06 - Face Assessment Abrasion
eExam.07 - Neck Assessment Normal
eExam.09 - Heart Assessment S4
eExam.AbdomenGroup - Group Tag to hold abdomen assessment findings information
eExam.10 - Abdominal Assessment Finding Location Right Upper Quadrant
eExam.11 - Abdomen Assessment Swelling
Contusion
eExam.12 - Pelvis/Genitourinary Assessment Normal
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.16 - Extremities Assessment Normal
eExam.EyeGroup - Group Tag to hold eye assessment findings information
eExam.17 - Eye Assessment Finding Location Right
eExam.18 - Eye Assessment Cataract Present
Swelling
eExam.LungGroup - Group Tag to hold lung assessment findings information
eExam.23 - Lung Assessment Not Done
eExam.ChestGroup - Group Tag to hold chest assessment findings information
eExam.24 - Chest Assessment Finding Location Right - Anterior
eExam.25 - Chest Assessment Bleeding Controlled
Gunshot Wound
Swelling
Contusion
eExam.19 - Mental Status Assessment Unresponsive
eExam.20 - Neurological Assessment Not Done
eExam.21 - Stroke/CVA Symptoms Resolved [NV = Not Applicable]
eProtocols - Medical Protocols Information
eProtocols.ProtocolGroup - Group Tag to hold eProtocol information
eProtocols.01 - Protocols Used Airway
eProtocols.02 - Protocol Age Category Adult Only
eProtocols.ProtocolGroup - Group Tag to hold eProtocol information
eProtocols.01 - Protocols Used Cardiac Arrest-Ventricular Fibrillation/ Pulseless Ventricular Tachycardia
eProtocols.02 - Protocol Age Category Adult Only
eProtocols.ProtocolGroup - Group Tag to hold eProtocol information
eProtocols.01 - Protocols Used Cardiac Arrest-Post Resuscitation Care
eProtocols.02 - Protocol Age Category Adult Only
eProtocols.ProtocolGroup - Group Tag to hold eProtocol information
eProtocols.01 - Protocols Used General-IV Access
eProtocols.02 - Protocol Age Category Adult Only
eProtocols.ProtocolGroup - Group Tag to hold eProtocol information
eProtocols.01 - Protocols Used Injury-Bleeding/ Hemorrhage Control
eProtocols.02 - Protocol Age Category General
eProtocols.ProtocolGroup - Group Tag to hold eProtocol information
eProtocols.01 - Protocols Used Injury-Cardiac Arrest
eProtocols.02 - Protocol Age Category General
eProtocols.ProtocolGroup - Group Tag to hold eProtocol information
eProtocols.01 - Protocols Used Injury-Mass/Multiple Casualties
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 9, 2023, 18:29:45 GMT-06:00
eMedications.02 - Medication Administered Prior to this Unit's EMS Care No
eMedications.03 - Medication Administered [CodeType = RxNorm] 7806 - oxygen
eMedications.04 - Medication Administered Route Endotracheal Tube (ET)
eMedications.DosageGroup - Group Tag to hold info about the medication dosage administered to the patient
eMedications.05 - Medication Dosage 15
eMedications.06 - Medication Dosage Units Liters Per Minute (LPM [gas])
eMedications.07 - Response to Medication Improved
eMedications.08 - Medication Complication None
eMedications.09 - Medication Crew (Healthcare Professionals) ID 589631 - Rodrigo R Romaguera
eMedications.10 - Role/Type of Person Administering Medication Emergency Medical Technician (EMT)
eMedications.11 - Medication Authorization Protocol (Standing Order)
eMedications.MedicationGroup - Group Tag to hold eMedication information
eMedications.01 - Date/Time Medication Administered October 9, 2023, 18:44:23 GMT-06:00
eMedications.02 - Medication Administered Prior to this Unit's EMS Care No
eMedications.03 - Medication Administered [CodeType = SNOMED-CT] 33389009 - Transfusion of whole blood
eMedications.04 - Medication Administered Route Intravenous (IV)
eMedications.DosageGroup - Group Tag to hold info about the medication dosage administered to the patient
eMedications.05 - Medication Dosage 500
eMedications.06 - Medication Dosage Units Milliliters (ml)
eMedications.07 - Response to Medication Improved
eMedications.08 - Medication Complication None
eMedications.09 - Medication Crew (Healthcare Professionals) ID 455258 - Declan Collin Renner
eMedications.10 - Role/Type of Person Administering Medication Paramedic
eMedications.11 - Medication Authorization On-Line (Remote Verbal Order)
eMedications.12 - Medication Authorizing Physician Percy Bartoletti
eProcedures - Intervention Procedures Information
eProcedures.ProcedureGroup - Group Tag to hold eProcedures information
eProcedures.01 - Date/Time Procedure Performed October 9, 2023, 18:28:20 GMT-06:00
eProcedures.02 - Procedure Performed Prior to this Unit's EMS Care No
eProcedures.03 - Procedure 225358003 - Wound care
eProcedures.05 - Number of Procedure Attempts 1
eProcedures.06 - Procedure Successful Yes
eProcedures.07 - Procedure Complication None
eProcedures.08 - Response to Procedure Improved
eProcedures.09 - Procedure Crew Members ID 653148 - Sabryna Charlotte Braun
eProcedures.10 - Role/Type of Person Performing the Procedure Emergency Medical Responder (EMR)
eProcedures.11 - Procedure Authorization Protocol (Standing Order)
eProcedures.ProcedureGroup - Group Tag to hold eProcedures information
eProcedures.01 - Date/Time Procedure Performed October 9, 2023, 18:28:30 GMT-06:00
eProcedures.02 - Procedure Performed Prior to this Unit's EMS Care No
eProcedures.03 - Procedure 89666000 - Cardiopulmonary resuscitation
eProcedures.05 - Number of Procedure Attempts 1
eProcedures.06 - Procedure Successful Yes
eProcedures.07 - Procedure Complication Bleeding
Extravasation
Vomiting
eProcedures.08 - Response to Procedure Improved
eProcedures.09 - Procedure Crew Members ID 589631 - Rodrigo R Romaguera
eProcedures.10 - Role/Type of Person Performing the Procedure Emergency Medical Technician (EMT)
eProcedures.11 - Procedure Authorization Protocol (Standing Order)
eProcedures.ProcedureGroup - Group Tag to hold eProcedures information [CorrelationID = "p1" ]
eProcedures.01 - Date/Time Procedure Performed October 9, 2023, 18:29:30 GMT-06:00
eProcedures.02 - Procedure Performed Prior to this Unit's EMS Care No
eProcedures.03 - Procedure 450611000124100 - Insertion of single lumen supraglottic airway device
eProcedures.04 - Size of Procedure Equipment 3
eProcedures.05 - Number of Procedure Attempts 1
eProcedures.06 - Procedure Successful Yes
eProcedures.07 - Procedure Complication Hypoxia
Vomiting
eProcedures.08 - Response to Procedure Improved
eProcedures.09 - Procedure Crew Members ID 455258 - Declan Collin Renner
eProcedures.10 - Role/Type of Person Performing the Procedure Paramedic
eProcedures.11 - Procedure Authorization Protocol (Standing Order)
eProcedures.ProcedureGroup - Group Tag to hold eProcedures information
eProcedures.01 - Date/Time Procedure Performed October 9, 2023, 18:42:25 GMT-06:00
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 16ga
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 455258 - Declan Collin Renner
eProcedures.10 - Role/Type of Person Performing the Procedure Paramedic
eProcedures.11 - Procedure Authorization Protocol (Standing Order)
eProcedures.13 - Vascular Access Location Forearm-Left
eAirway - Airway Device Information
eAirway.AirwayGroup - Group Tag to hold Airway information
eAirway.01 - Indications for Invasive Airway Airway Reflex Compromised
Apnea or Agonal Respirations
eAirway.ConfirmationGroup - Group Tag to hold info about the confirmation methods. [ProcedureGroupCorrelationID = "p1" ]
eAirway.02 - Date/Time Airway Device Placement Confirmation October 9, 2023, 18:29:52 GMT-06:00
eAirway.03 - Airway Device Being Confirmed SAD-King
eAirway.04 - Airway Device Placement Confirmed Method Condensation in Tube
Digital (Numeric) ETCO2
eAirway.05 - Tube Depth 16
eAirway.06 - Type of Individual Confirming Airway Device Placement Person Performing Intubation
eAirway.07 - Crew Member ID 455258 - Declan Collin Renner
eAirway.ConfirmationGroup - Group Tag to hold info about the confirmation methods. [ProcedureGroupCorrelationID = "p1" ]
eAirway.02 - Date/Time Airway Device Placement Confirmation October 9, 2023, 18:40:21 GMT-06:00
eAirway.03 - Airway Device Being Confirmed SAD-King
eAirway.04 - Airway Device Placement Confirmed Method Digital (Numeric) ETCO2
eAirway.05 - Tube Depth 16
eAirway.06 - Type of Individual Confirming Airway Device Placement Person Performing Intubation
eAirway.07 - Crew Member ID 455258 - Declan Collin Renner
eAirway.08 - Airway Complications Encountered Oxygen Desaturation (<90%)
Patient Vomiting/Aspiration
eAirway.10 - Date/Time Decision to Manage the Patient with an Invasive Airway October 9, 2023, 18:27:00 GMT-06:00
eDisposition - Patient Disposition Information
eDisposition.DestinationGroup - Group Tag to hold info about the Destination and the Disposition details
eDisposition.01 - Destination/Transferred To, Name Banner Fort Collins Medical Center
eDisposition.02 - Destination/Transferred To, Code 01K608
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 2
eDisposition.IncidentDispositionGroup - Group Tag to hold info about the incident disposition details
eDisposition.27 - Unit Disposition Patient Contact Made
eDisposition.28 - Patient Evaluation/Care Patient Evaluated and Care Provided
eDisposition.29 - Crew Disposition Initiated and Continued Primary Care
eDisposition.30 - Transport Disposition Transport by This EMS Unit (This Crew Only)
eDisposition.13 - How Patient Was Moved to Ambulance Stretcher
eDisposition.14 - Position of Patient During Transport Supine
eDisposition.15 - How Patient Was Moved 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 Intersection Navigation-Against Normal Light Patterns
Speed-Enhanced per Local Policy
Lights and Sirens
eDisposition.19 - Final Patient Acuity Critical (Red)
eDisposition.20 - Reason for Choosing Destination Diversion
On-Line/On-Scene Medical Direction
eDisposition.21 - Type of Destination Hospital-Emergency Department
eDisposition.22 - Hospital In-Patient Destination [NV = Not Applicable]
eDisposition.23 - Hospital Capability Hospital (General)
eDisposition.HospitalTeamActivationGroup - Group Tag to hold info about the destination team pre-arrival activation
eDisposition.24 - Destination Team Pre-Arrival Alert or Activation Yes-Adult Trauma
eDisposition.25 - Date/Time of Destination Prearrival Alert or Activation October 9, 2023, 18:32:30 GMT-06:00
eDisposition.HospitalTeamActivationGroup - Group Tag to hold info about the destination team pre-arrival activation
eDisposition.24 - Destination Team Pre-Arrival Alert or Activation Yes-Cardiac Arrest
eDisposition.25 - Date/Time of Destination Prearrival Alert or Activation October 9, 2023, 18:32:30 GMT-06:00
eDisposition.32 - Level of Care Provided per Protocol ALS - Paramedic
eOutcome - Patient Outcome Information
eOutcome.01 - Emergency Department Disposition Admitted as an inpatient to this hospital.
eOutcome.02 - Hospital Disposition Discharged/transferred to another short term general hospital for inpatient care
eOutcome.ExternalDataGroup - Group Tag to hold information about external report or record
eOutcome.03 - External Report ID/Number Type Disaster Tag
eOutcome.04 - External Report ID/Number LC20823
eOutcome.ExternalDataGroup - Group Tag to hold information about external report or record
eOutcome.03 - External Report ID/Number Type Other Registry
eOutcome.04 - External Report ID/Number 214826
eOutcome.05 - Other Report Registry Type Cardiac Arrest Registry
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 BFC21-1038
eOutcome.EmergencyDepartmentProceduresGroup - Group Tag to hold information about emergency department procedures
eOutcome.09 - Emergency Department Procedures 0BH17EZ - Insertion of Endotracheal Airway into Trachea, Via Natural or Artificial Opening
eOutcome.19 - Date/Time Emergency Department Procedure Performed October 9, 2023, 19:10:14 GMT-06:00
eOutcome.EmergencyDepartmentProceduresGroup - Group Tag to hold information about emergency department procedures
eOutcome.09 - Emergency Department Procedures 2W24X4Z - Dressing of Chest Wall using Bandage
eOutcome.19 - Date/Time Emergency Department Procedure Performed October 9, 2023, 19:28:15 GMT-06:00
eOutcome.EmergencyDepartmentProceduresGroup - Group Tag to hold information about emergency department procedures
eOutcome.09 - Emergency Department Procedures 5A19054 - Respiratory Ventilation, Single, Nonmechanical
eOutcome.19 - Date/Time Emergency Department Procedure Performed October 9, 2023, 19:10:56 GMT-06:00
eOutcome.10 - Emergency Department Diagnosis S21.341A - Puncture wound with foreign body of right front wall of thorax with penetration into thoracic cavity, initial encounter
X94.2XXA - Assault by machine gun, initial encounter
eOutcome.11 - Date/Time of Hospital Admission October 9, 2023, 20:04:53 GMT-06:00
eOutcome.HospitalProceduresGroup - Group Tag to hold information about hospital procedures
eOutcome.12 - Hospital Procedures 0W9840Z - Drainage of Chest Wall with Drainage Device, Percutaneous Endoscopic Approach
eOutcome.20 - Date/Time Hospital Procedure Performed October 9, 2023, 21:09:25 GMT-06:00
eOutcome.HospitalProceduresGroup - Group Tag to hold information about hospital procedures
eOutcome.12 - Hospital Procedures 0WB84ZX - Excision of Chest Wall, Percutaneous Endoscopic Approach, Diagnostic
eOutcome.20 - Date/Time Hospital Procedure Performed October 9, 2023, 21:03:12 GMT-06:00
eOutcome.HospitalProceduresGroup - Group Tag to hold information about hospital procedures
eOutcome.12 - Hospital Procedures 0WQ80ZZ - Repair Chest Wall, Open Approach
eOutcome.20 - Date/Time Hospital Procedure Performed October 9, 2023, 21:29:11 GMT-06:00
eOutcome.13 - Hospital Diagnosis S21.341A - Puncture wound with foreign body of right front wall of thorax with penetration into thoracic cavity, initial encounter
S25.411A - Minor laceration of right pulmonary blood vessels, initial encounter
X94.2XXA - Assault by machine gun, initial encounter
eOutcome.16 - Date/Time of Hospital Discharge October 12, 2023, 18:42:20 GMT-06:00
eOutcome.18 - Date/Time of Emergency Department Admission October 9, 2023, 18:59:12 GMT-06:00
eOther - Other Miscellaneous Information
eOther.01 - Review Requested Yes
eOther.02 - Potential System of Care/Specialty/Registry Patient Cardiac/MI
Trauma
eOther.EMSCrewMemberGroup - Group Tag to hold info about the EMS Crew Member
eOther.03 - Personal Protective Equipment Used Eye Protection
Gloves
Mask-Surgical (Non-Fitted)
eOther.04 - EMS Professional (Crew Member) ID 455258 - Declan Collin Renner
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 Eye Protection
Gloves
Mask-Surgical (Non-Fitted)
eOther.04 - EMS Professional (Crew Member) ID 589631 - Rodrigo R Romaguera
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)
Reflective Vest
eOther.04 - EMS Professional (Crew Member) ID 653148 - Sabryna Charlotte Braun
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 455258 - Declan Collin Renner
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, 2023, 21:04:44 GMT-06:00
eOther.20 - Signature Last Name Renner
eOther.21 - Signature First Name Declan
eOther.SignatureGroup - Group Tag to hold signature details
eOther.12 - Type of Person Signing Patient
eOther.13 - Signature Reason HIPAA acknowledgement/Release
eOther.15 - Signature Status Not Signed - Unconscious