00 Crew Member National EMS ID The National EMS ID associated with the crew member. This number must be 12 characters issued by the NREMT and is available for all EMS personnel. This number is populated from dPersonnel.901. This is not the same number as the national registry number. 9902009 9923001 9903005 7701001 7701003 7701005 The Patient's Type of Immunization The immunization type of the patient. 9902009 9923001 9903007 9910055 Recent Travel Prior to symptom onset, did the patient travel outside their community? The time frame "prior to symptom onset" and the term "community" are defined by state or local jurisdictions. 9902009 9923001 9903007 9922001 9922003 9922005 8801019 8801021 8801023 Recent Local Travel Document all places and locations the patient has traveled to that might have posed a significant threat of exposure prior to symptom onset. The time frame "prior to symptom onset" is defined by state or local jurisdictions. 9902009 9923003 9903007 8801019 8801021 8801023 Recent Exposure to Infectious Disease Prior to symptom onset, has the patient had close contact with someone with similar symptoms or a confirmed diagnosis of the illness for which you are screening? The time frame "prior to symptom onset" is defined by state or local jurisdictions. 9902009 9923001 9903007 9922001 9922003 9922005 8801019 8801021 8801023 Recent International Travel Document all the countries (outside the US) the patient has traveled to prior to symptom onset. The time frame "prior to symptom onset" is defined by state or local jurisdictions. Use NEMSIS data type ANSICountryCode. 9902007 9923003 9903007 8801019 8801021 8801023 Recent State Travel Document all the states the patient has traveled to prior to symptom onset. The time frame "prior to symptom onset" is defined by state or local jurisdictions. Use NEMSIS data type ANSIStateCode. 9902007 9923003 9903007 8801019 8801021 8801023 Recent City Travel Document all the cities the patient has traveled to prior to symptom onset. The time frame "prior to symptom onset" is defined by state or local jurisdictions. Use NEMSIS data type CityGnisCode. 9902007 9923003 9903007 8801019 8801021 8801023 Temperature Method The method used to obtain the patient's body temperature. 9902009 9923001 9903007 3325019 Richmond Agitation-Sedation Scale (RASS) The Richmond Agitation-Sedation Scale (RASS) score measuring the agitation or sedation level of the patient. 9902005 9923001 9903007 4 3 2 1 0 -1 -2 -3 -4 -5 COWS - Resting Pulse Rate Resting Pulse Rate in beats per minute, measured after patient is sitting or lying for one minute, for the Clinical Opiate Withdrawal Scale (COWS). 9902005 9923001 9903007 0 1 2 4 COWS - Sweating Sweating, over past half hour not accounted for by room temperature or patient activity, for the Clinical Opiate Withdrawal Scale (COWS). 9902005 9923001 9903007 0 1 2 3 4 COWS - Restlessness Restlessness observation for the Clinical Opiate Withdrawal Scale (COWS). 9902005 9923001 9903007 0 1 3 5 COWS - Pupil Size Pupil size observation for the Clinical Opiate Withdrawal Scale (COWS). 9902005 9923001 9903007 0 1 2 5 COWS - Bone or Joint Aches Bone or joint aches for the Clinical Opiate Withdrawal Scale (COWS). If patient was having pain previously, only the additional component attributed to opiates withdrawal is scored. 9902005 9923001 9903007 0 1 2 4 COWS - Runny Nose or Tearing Runny nose or tearing observation, not accounted for by cold symptoms or allergies, for the Clinical Opiate Withdrawal Scale (COWS). 9902005 9923001 9903007 0 1 2 4 COWS - GI Upset GI upset, over the last half hour, for the Clinical Opiate Withdrawal Scale (COWS). 9902005 9923001 9903007 0 1 2 3 5 COWS - Tremor Tremor, upon observation of outstretched hands, for the Clinical Opiate Withdrawal Scale (COWS). 9902005 9923001 9903007 0 1 2 4 COWS - Yawning Yawning observation for the Clinical Opiate Withdrawal Scale (COWS). 9902005 9923001 9903007 0 1 2 4 COWS - Anxiety or Irritability Anxiety or irritability observation for the Clinical Opiate Withdrawal Scale (COWS). 9902005 9923001 9903007 0 1 2 4 COWS - Gooseflesh Skin Gooseflesh skin observation for the Clinical Opiate Withdrawal Scale (COWS). 9902005 9923001 9903007 0 3 5 Total COWS Score The total score for the Clinical Opiate Withdrawal Scale (COWS). 5-12 = mild; 13-24 = moderate; 25-36 = moderately severe; more than 36 = severe withdrawal. 9902005 9923001 9903007 8801001 8801019 8801023 Medication Complication Any complication (abnormal effect on the patient) associated with the administration of the medication to the patient by EMS. 9902009 9923001 9903007 3708047 Medication Dose Number The dosing number for medications requiring a series of administrations. 9902005 9923001 9903007 1 2 3 4 Medication Manufacturer The pharmaceutical manufacturer of the medication administered. 9902009 9923001 9903007 AstraZeneca Janssen Moderna US, Inc. Novavax, Inc. Pfizer, Inc. Medication Lot Number The lot number of the medication administered. 9902009 9923001 9903007 Medication Expiration Date The expiration date of the medication administered. 9902003 9923001 9903007 Blood Product Unit Number The Unit Number or Donation Identification Number (DIN) of the blood being transfused. It is a federally required unique identifier that allows hospitals and blood banks to know exactly where a blood donation came from. It should be exactly 13 characters. 9902009 9923001 9903007 Blood Donor Type (ABO) The blood type of the blood being transfused. 9902009 9923001 9903007 37906001 37906003 37906005 37906007 7701001 7701003 7701005 Blood Donor Rh Factor The Rh Factor of the blood being transfused. 9902009 9923001 9903007 37907001 37907003 7701001 7701003 7701005 Date/Time Medication Stopped The date/time the medication administration was stopped. 9902003 9923001 9903007 7701001 7701003 7701005 Procedure Complication Any complication (abnormal effect on the patient) associated with the performance of the procedure on the patient. 9902009 9923001 9903007 3907053 Type of Destination The type of destination the patient was delivered or transferred to 9902009 9923001 9903007 4221043 Destination Team Pre-Arrival Alert or Activation Indication that an alert (or activation) was called by EMS to the appropriate destination healthcare facility team. The alert (or activation) should occur prior to the EMS Unit arrival at the destination with the patient. 9902009 9923001 9903007 4224021 Leave-behind Naloxone (Narcan) Kit For this encounter, was a naloxone (Narcan) opioid antagonist left at the scene? 9902009 9923001 9903007 42901001 42901003 42901005 42901007 42901009 42901011 Personal Protective Equipment Used The personal protective equipment which was used by EMS personnel during this EMS patient contact. 9902009 9923001 9903007 4503025 4503027 4503029 EMS Personnel's Immunization Status The type of immunization status. 9902009 9923001 9903007 9910055 EMS Personnel's National EMS ID The National EMS ID associated with the personnel. This number must be 12 characters issued by the NREMT and is available for all EMS personnel. This number is used to populate eCrew.901. This is not the same number as the national registry number. 9902009 9923001 9903005 7701001 7701003 7701005 Type of Facility The type of facility (healthcare or other) that the EMS agency transports patients to or from. 9902009 9923001 9903007 1701037 NEMSIS Technical Assistance Center