|
DEMDataSet
-
Root Tag For Demographic DataSet |
|
|
DemographicReport
-
Container Tag to hold each instance of a demographic record |
[timeStamp
=
[Your Timestamp]]
|
|
dAgency
-
Agency Information |
|
|
dAgency.01
-
EMS Agency Unique State ID |
A078 |
|
dAgency.02
-
EMS Agency Number |
350-A078 |
|
dAgency.03
-
EMS Agency Name |
[Value from StateDataSet]
|
|
dAgency.04
-
EMS Agency State |
Colorado |
|
dAgency.AgencyServiceGroup
-
Group Tag to hold info about the Agency's service information |
[UUID
=
[Your UUID]] |
|
dAgency.05
-
EMS Agency Service Area States |
Colorado |
|
dAgency.06
-
EMS Agency Service Area County(ies) |
Larimer County |
| Weld County |
|
dAgency.07
-
EMS Agency Census Tracts |
08069000100 |
| 08069000201 |
| 08069000202 |
| 08069000300 |
| 08069000401 |
| 08069000402 |
| 08069000503 |
| 08069000504 |
| 08069000505 |
| 08069000506 |
| 08069000600 |
| 08069000700 |
| 08069000801 |
| 08069000802 |
| 08069000901 |
| 08069000902 |
| 08069001003 |
| 08069001004 |
| 08069001007 |
| 08069001008 |
| 08069001009 |
| 08069001010 |
| 08069001104 |
| 08069001106 |
| 08069001107 |
| 08069001109 |
| 08069001110 |
| 08069001111 |
| 08069001112 |
| 08069001113 |
| 08069001114 |
| 08069001301 |
| 08069001304 |
| 08069001305 |
| 08069001306 |
| 08069001307 |
| 08069001308 |
| 08069001601 |
| 08069001602 |
| 08069001603 |
| 08069001605 |
| 08069001606 |
| 08069001607 |
| 08069001608 |
| 08069001708 |
| 08069001809 |
| 08069002300 |
| 08069002401 |
| 08069002402 |
| 08069002501 |
| 08069002502 |
| 08069002503 |
| 08123002207 |
| 08123002208 |
| 08123002300 |
| 08123002501 |
|
dAgency.08
-
EMS Agency Service Area ZIP Codes |
80512 |
| 80521 |
| 80524 |
| 80525 |
| 80526 |
| 80528 |
| 80535 |
| 80536 |
| 80537 |
| 80538 |
| 80545 |
| 80546 |
| 80547 |
| 80549 |
| 80550 |
| 80610 |
| 80611 |
| 80612 |
| 80615 |
| 80622 |
| 80624 |
| 80631 |
| 80644 |
| 80648 |
| 80649 |
| 80650 |
| 80729 |
| 80742 |
| 80754 |
|
dAgency.AgencyServiceGroup
-
Group Tag to hold info about the Agency's service information |
[UUID
=
[Your UUID]] |
|
dAgency.05
-
EMS Agency Service Area States |
Wyoming |
|
dAgency.06
-
EMS Agency Service Area County(ies) |
Laramie County |
|
dAgency.07
-
EMS Agency Census Tracts |
56021000200 |
| 56021000300 |
| 56021000401 |
| 56021000402 |
| 56021000501 |
| 56021000600 |
| 56021000700 |
| 56021000800 |
| 56021000900 |
| 56021001000 |
| 56021001100 |
| 56021001200 |
| 56021001300 |
| 56021001401 |
| 56021001402 |
| 56021001501 |
| 56021001502 |
| 56021001901 |
| 56021001902 |
| 56021002000 |
| 56021980801 |
|
dAgency.08
-
EMS Agency Service Area ZIP Codes |
82001 |
| 82005 |
| 82007 |
| 82009 |
| 82050 |
| 82053 |
| 82054 |
| 82059 |
| 82060 |
| 82061 |
| 82063 |
| 82081 |
| 82082 |
|
dAgency.09
-
Primary Type of Service |
911 Response (Scene) with Transport Capability |
|
dAgency.10
-
Other Types of Service |
Air Medical |
| Medical Transport (Convalescent, Interfacility Transfer Hospital and Nursing Home) |
| Critical Care (Ground) |
|
dAgency.11
-
Level of Service |
Critical Care Paramedic |
|
dAgency.12
-
Organization Status |
Non-Volunteer |
|
dAgency.13
-
Organizational Type |
Hospital |
|
dAgency.14
-
EMS Agency Organizational Tax Status |
Not For Profit |
|
dAgency.AgencyYearGroup
-
Group Tag to hold information about EMS agency annual statistics. |
[UUID
=
[Your UUID]] |
|
dAgency.15
-
Statistical Calendar Year |
2021 |
|
dAgency.16
-
Total Primary Service Area Size |
6340 |
|
dAgency.17
-
Total Service Area Population |
477187 |
|
dAgency.18
-
911 EMS Call Center Volume per Year |
60173 |
|
dAgency.19
-
EMS Dispatch Volume per Year |
56958 |
|
dAgency.20
-
EMS Patient Transport Volume per Year |
44512 |
|
dAgency.21
-
EMS Patient Contact Volume per Year |
50348 |
|
dAgency.22
-
EMS Billable Calls per Year |
44921 |
|
dAgency.AgencyYearGroup
-
Group Tag to hold information about EMS agency annual statistics. |
[UUID
=
[Your UUID]] |
|
dAgency.15
-
Statistical Calendar Year |
2022 |
|
dAgency.16
-
Total Primary Service Area Size |
6340 |
|
dAgency.17
-
Total Service Area Population |
478168 |
|
dAgency.18
-
911 EMS Call Center Volume per Year |
58138 |
|
dAgency.19
-
EMS Dispatch Volume per Year |
53129 |
|
dAgency.20
-
EMS Patient Transport Volume per Year |
43791 |
|
dAgency.21
-
EMS Patient Contact Volume per Year |
59820 |
|
dAgency.22
-
EMS Billable Calls per Year |
54020 |
|
dAgency.23
-
EMS Agency Time Zone |
GMT-07:00 Mountain Time |
|
dAgency.24
-
EMS Agency Daylight Savings Time Use |
Yes |
|
dAgency.25
-
National Provider Identifier |
1225658784 |
| 1376168575 |
| 1417512559 |
| 1679143457 |
|
dAgency.26
-
Fire Department ID Number |
[NV
=
Not Applicable] |
|
dContact
-
Contact Information |
|
|
dContact.ContactInfoGroup
-
Group tag to hold agency contact information. |
[UUID
=
[Your UUID]] |
|
dContact.01
-
Agency Contact Type |
EMS Medical Director |
|
dContact.02
-
Agency Contact Last Name |
Effertz |
|
dContact.03
-
Agency Contact First Name |
Enrique |
|
dContact.04
-
Agency Contact Middle Name/Initial |
Roel |
|
dContact.05
-
Agency Contact Address |
[StreetAddress2
=
"PO Box 93273"
] 1020 Doctors Lane |
|
dContact.06
-
Agency Contact City |
City of Fort Collins |
|
dContact.07
-
Agency Contact State |
Colorado |
|
dContact.08
-
Agency Contact ZIP Code |
80549 |
|
dContact.09
-
Agency Contact Country |
United States |
|
dContact.10
-
Agency Contact Phone Number |
[PhoneNumberType
=
Work] 970-204-8896 |
| [PhoneNumberType
=
Mobile] 970-900-9798 |
|
dContact.11
-
Agency Contact Email Address |
[EmailAddressType
=
Work] effertzen@example.com |
|
dContact.EMSMedicalDirectorGroup
-
Group Tag to hold info about the EMS Medical Director |
|
|
dContact.13
-
Agency Medical Director Degree |
Doctor of Medicine |
|
dContact.14
-
Agency Medical Director Board Certification Type |
Physical Medicine and Rehabilitation |
| Surgery |
|
dContact.15
-
Medical Director Compensation |
Compensated |
|
dContact.16
-
EMS Medical Director Fellowship Trained Status |
No |
|
dContact.ContactInfoGroup
-
Group tag to hold agency contact information. |
[UUID
=
[Your UUID]] |
|
dContact.01
-
Agency Contact Type |
Other |
|
dContact.02
-
Agency Contact Last Name |
Hermann |
|
dContact.03
-
Agency Contact First Name |
Garret |
|
dContact.04
-
Agency Contact Middle Name/Initial |
E |
|
dContact.05
-
Agency Contact Address |
6885 Mt Toll Court |
|
dContact.06
-
Agency Contact City |
Town of Wellington |
|
dContact.07
-
Agency Contact State |
Colorado |
|
dContact.08
-
Agency Contact ZIP Code |
80549 |
|
dContact.09
-
Agency Contact Country |
United States |
|
dContact.10
-
Agency Contact Phone Number |
[PhoneNumberType
=
Mobile] 970-568-7507 |
|
dContact.11
-
Agency Contact Email Address |
[EmailAddressType
=
Work] hermanga@example.com |
|
dContact.12
-
EMS Agency Contact Web Address |
https://uchealth.example.com/ems |
|
dConfiguration
-
Configuration Information |
|
|
dConfiguration.ConfigurationGroup
-
Group Tag to hold agency Configuration information |
[UUID
=
[Your UUID]]
|
|
dConfiguration.01
-
State Associated with this Configuration |
Colorado |
|
dConfiguration.ProcedureGroup
-
Group Tag to hold info about Procedure information |
[UUID
=
[Your UUID]] |
|
dConfiguration.06
-
EMS Certification Levels Permitted to Perform Each Procedure |
Emergency Medical Responder (EMR) |
|
dConfiguration.07
-
EMS Agency Procedures |
133901003 - Burn care |
| 182531007 - Dressing of wound |
| 182555002 - Application of bandage |
| 182556001 - Pelvic sling |
| 20655006 - Application of tourniquet |
| 22206003 - Application of dressing, occlusive plastic |
| 225116006 - Irrigation of wound |
| 225287004 - Procedures relating to positioning and support |
| 225358003 - Wound care |
| 22633006 - Vaginal delivery, medical personnel present |
| 26906007 - Application of dressing, pressure |
| 304562007 - Informing doctor |
| 372045002 - Application of chemical haemostatic agents |
| 386423001 - Physical restraint |
| 398041008 - Cervical spine immobilisation |
| 425447009 - Bag valve mask ventilation |
| 431774007 - Active external cooling of subject |
| 431949004 - Active external warming of subject |
| 447686008 - Application of pressure to wound |
| 450591000124106 - Immobilization using long board |
| 450661000124102 - Defibrillation using automated external cardiac defibrillator |
| 49689007 - Application of cervical collar |
| 56469005 - Moving a patient |
| 58715004 - Moving a patient to a stretcher |
| 707794004 - Immobilization using extrication splint |
| 79321009 - Application of splint |
| 89666000 - Cardiopulmonary resuscitation |
|
dConfiguration.ProcedureGroup
-
Group Tag to hold info about Procedure information |
[UUID
=
[Your UUID]] |
|
dConfiguration.06
-
EMS Certification Levels Permitted to Perform Each Procedure |
Emergency Medical Technician (EMT) |
|
dConfiguration.07
-
EMS Agency Procedures |
133901003 - Burn care |
| 182531007 - Dressing of wound |
| 182555002 - Application of bandage |
| 182556001 - Pelvic sling |
| 20655006 - Application of tourniquet |
| 22206003 - Application of dressing, occlusive plastic |
| 225116006 - Irrigation of wound |
| 225287004 - Procedures relating to positioning and support |
| 225358003 - Wound care |
| 22633006 - Vaginal delivery, medical personnel present |
| 230040009 - Airway suction technique |
| 243142003 - Dual pressure spontaneous ventilation support |
| 26906007 - Application of dressing, pressure |
| 304562007 - Informing doctor |
| 372045002 - Application of chemical haemostatic agents |
| 386423001 - Physical restraint |
| 398041008 - Cervical spine immobilisation |
| 424979004 - Laryngeal mask airway insertion |
| 425447009 - Bag valve mask ventilation |
| 427753009 - Insertion of oesophageal tracheal double lumen airway |
| 431774007 - Active external cooling of subject |
| 431949004 - Active external warming of subject |
| 447686008 - Application of pressure to wound |
| 450591000124106 - Immobilization using long board |
| 450611000124100 - Insertion of single lumen supraglottic airway device |
| 450661000124102 - Defibrillation using automated external cardiac defibrillator |
| 45851008 - PEEP therapy |
| 47545007 - Continuous positive airway pressure ventilation treatment |
| 49689007 - Application of cervical collar |
| 56469005 - Moving a patient |
| 58715004 - Moving a patient to a stretcher |
| 707794004 - Immobilization using extrication splint |
| 79321009 - Application of splint |
| 89666000 - Cardiopulmonary resuscitation |
|
dConfiguration.ProcedureGroup
-
Group Tag to hold info about Procedure information |
[UUID
=
[Your UUID]] |
|
dConfiguration.06
-
EMS Certification Levels Permitted to Perform Each Procedure |
Paramedic |
|
dConfiguration.07
-
EMS Agency Procedures |
103744005 - Administration of intravenous fluids |
| 128968000 - Vagal stimulation |
| 133901003 - Burn care |
| 171397002 - Health examination - suspected condition |
| 182531007 - Dressing of wound |
| 182555002 - Application of bandage |
| 182556001 - Pelvic sling |
| 182692007 - Nasopharyngeal airway insertion |
| 182705007 - Tension pneumothorax relief |
| 182777000 - Monitoring of patient |
| 18590009 - Cardiac pacing |
| 18629005 - Administration of medication |
| 20655006 - Application of tourniquet |
| 22206003 - Application of dressing, occlusive plastic |
| 225116006 - Irrigation of wound |
| 225287004 - Procedures relating to positioning and support |
| 225358003 - Wound care |
| 225398001 - Neurological assessment |
| 225399009 - Pain assessment |
| 225718003 - Checking position of endotracheal tube |
| 226005007 - Care of central line |
| 22633006 - Vaginal delivery, medical personnel present |
| 228621007 - Provision of environmental control system |
| 230040009 - Airway suction technique |
| 232664002 - Manual establishment of airway |
| 232674004 - Orotracheal intubation |
| 235425002 - Insertion of orogastric tube |
| 23690002 - Heimlich maneuver |
| 23852006 - Cardiac monitoring |
| 241689008 - Rapid sequence induction |
| 243140006 - Lung inflation by intermittent compression of reservoir bag |
| 243142003 - Dual pressure spontaneous ventilation support |
| 248753002 - Capillary refill |
| 250980009 - Conversion of cardiac rhythm |
| 252465000 - Pulse oximetry |
| 268400002 - 12 lead ECG |
| 26906007 - Application of dressing, pressure |
| 270352002 - Medical examinations/reports |
| 278414003 - Pain management |
| 284029005 - Capnography monitoring |
| 284394000 - Examination of spine |
| 284405008 - Examination of cervical spine |
| 29303009 - Electrocardiographic procedure |
| 302488007 - Application of traction system |
| 304562007 - Informing doctor |
| 308292007 - Transfer of care |
| 315639002 - Initial patient assessment |
| 33747003 - Glucose measurement, blood |
| 353008 - IV/irrigation monitoring |
| 371907003 - Oxygen administration by nasal cannula |
| 371908008 - Oxygen administration by mask |
| 372045002 - Application of chemical haemostatic agents |
| 373675000 - Application of pressure bandage |
| 385857005 - Ventilator care and adjustment |
| 386053000 - Investigations |
| 386237008 - Circulatory care: mechanical assist device |
| 386328006 - Hypoglycaemia management |
| 386358000 - Medication administration: intravenous |
| 386423001 - Physical restraint |
| 392230005 - Catheterisation of vein |
| 392247006 - Insertion of catheter into artery |
| 396540005 - Phlebotomy |
| 398041008 - Cervical spine immobilisation |
| 405427009 - Catheterisation of external jugular vein |
| 408867002 - Taking respiratory rate |
| 408994004 - Adult care assessment |
| 409582008 - Isolation precautions |
| 422618004 - Continuous physical assessment |
| 423184003 - Adult pain assessment |
| 423401003 - Pediatric pain assessment |
| 423850004 - Pediatric continuous physical assessment |
| 424287005 - Removal of peripheral intravenous catheter |
| 424979004 - Laryngeal mask airway insertion |
| 425058005 - Taking orthostatic vital signs |
| 425074000 - Conversion of intravenous infusion to saline lock |
| 425447009 - Bag valve mask ventilation |
| 425543005 - Digital respired carbon dioxide monitoring |
| 426220008 - External ventricular defibrillation |
| 426498007 - Stabilization of spine |
| 427753009 - Insertion of oesophageal tracheal double lumen airway |
| 428803005 - 3 lead electrocardiographic monitoring |
| 429202003 - Transfer of care to hospital |
| 429283006 - Mechanically assisted chest compression |
| 429705000 - Insertion of esophageal tracheal combitube |
| 430824005 - Intraosseous cannulation |
| 431393006 - Administration of intravenous fluid bolus |
| 431774007 - Active external cooling of subject |
| 431949004 - Active external warming of subject |
| 445828009 - Assessment using functional capacity evaluation |
| 447686008 - Application of pressure to wound |
| 449199004 - Manual inline stabilization of cervical spine |
| 450591000124106 - Immobilization using long board |
| 450601000124103 - Orotracheal intubation using bougie device |
| 450611000124100 - Insertion of single lumen supraglottic airway device |
| 450661000124102 - Defibrillation using automated external cardiac defibrillator |
| 45851008 - PEEP therapy |
| 46825001 - ECG (electrocardiography) monitoring |
| 46973005 - Blood pressure taking |
| 47545007 - Continuous positive airway pressure ventilation treatment |
| 49689007 - Application of cervical collar |
| 56251003 - Nebulizer therapy |
| 56342008 - Temperature taking |
| 56469005 - Moving a patient |
| 57485005 - Oxygen therapy |
| 58715004 - Moving a patient to a stretcher |
| 61746007 - Taking patient vital signs |
| 65653002 - Pulse taking |
| 68664003 - Glasgow coma testing and evaluation |
| 707794004 - Immobilization using extrication splint |
| 7443007 - Insertion of oropharyngeal airway |
| 78086002 - Holding patient |
| 79321009 - Application of splint |
| 87750000 - Insertion of nasogastric tube |
| 89666000 - Cardiopulmonary resuscitation |
|
dConfiguration.ProcedureGroup
-
Group Tag to hold info about Procedure information |
[UUID
=
[Your UUID]] |
|
dConfiguration.06
-
EMS Certification Levels Permitted to Perform Each Procedure |
Critical Care Paramedic |
|
dConfiguration.07
-
EMS Agency Procedures |
103744005 - Administration of intravenous fluids |
| 128968000 - Vagal stimulation |
| 133901003 - Burn care |
| 171397002 - Health examination - suspected condition |
| 182531007 - Dressing of wound |
| 182555002 - Application of bandage |
| 182556001 - Pelvic sling |
| 182692007 - Nasopharyngeal airway insertion |
| 182705007 - Tension pneumothorax relief |
| 182777000 - Monitoring of patient |
| 18590009 - Cardiac pacing |
| 18629005 - Administration of medication |
| 20655006 - Application of tourniquet |
| 22206003 - Application of dressing, occlusive plastic |
| 225116006 - Irrigation of wound |
| 225287004 - Procedures relating to positioning and support |
| 225358003 - Wound care |
| 225398001 - Neurological assessment |
| 225399009 - Pain assessment |
| 225718003 - Checking position of endotracheal tube |
| 226005007 - Care of central line |
| 22633006 - Vaginal delivery, medical personnel present |
| 228621007 - Provision of environmental control system |
| 230040009 - Airway suction technique |
| 232664002 - Manual establishment of airway |
| 232674004 - Orotracheal intubation |
| 235425002 - Insertion of orogastric tube |
| 23690002 - Heimlich maneuver |
| 23852006 - Cardiac monitoring |
| 241689008 - Rapid sequence induction |
| 243140006 - Lung inflation by intermittent compression of reservoir bag |
| 243142003 - Dual pressure spontaneous ventilation support |
| 248753002 - Capillary refill |
| 250980009 - Conversion of cardiac rhythm |
| 252465000 - Pulse oximetry |
| 268400002 - 12 lead ECG |
| 26906007 - Application of dressing, pressure |
| 270352002 - Medical examinations/reports |
| 278414003 - Pain management |
| 284029005 - Capnography monitoring |
| 284394000 - Examination of spine |
| 284405008 - Examination of cervical spine |
| 29303009 - Electrocardiographic procedure |
| 302488007 - Application of traction system |
| 304562007 - Informing doctor |
| 308292007 - Transfer of care |
| 315639002 - Initial patient assessment |
| 33747003 - Glucose measurement, blood |
| 353008 - IV/irrigation monitoring |
| 371907003 - Oxygen administration by nasal cannula |
| 371908008 - Oxygen administration by mask |
| 372045002 - Application of chemical haemostatic agents |
| 373675000 - Application of pressure bandage |
| 385857005 - Ventilator care and adjustment |
| 386053000 - Investigations |
| 386237008 - Circulatory care: mechanical assist device |
| 386328006 - Hypoglycaemia management |
| 386358000 - Medication administration: intravenous |
| 386423001 - Physical restraint |
| 392230005 - Catheterisation of vein |
| 392247006 - Insertion of catheter into artery |
| 396540005 - Phlebotomy |
| 398041008 - Cervical spine immobilisation |
| 405427009 - Catheterisation of external jugular vein |
| 408867002 - Taking respiratory rate |
| 408994004 - Adult care assessment |
| 409582008 - Isolation precautions |
| 422618004 - Continuous physical assessment |
| 423184003 - Adult pain assessment |
| 423401003 - Pediatric pain assessment |
| 423850004 - Pediatric continuous physical assessment |
| 424287005 - Removal of peripheral intravenous catheter |
| 424979004 - Laryngeal mask airway insertion |
| 425058005 - Taking orthostatic vital signs |
| 425074000 - Conversion of intravenous infusion to saline lock |
| 425447009 - Bag valve mask ventilation |
| 425543005 - Digital respired carbon dioxide monitoring |
| 426220008 - External ventricular defibrillation |
| 426498007 - Stabilization of spine |
| 427753009 - Insertion of oesophageal tracheal double lumen airway |
| 428803005 - 3 lead electrocardiographic monitoring |
| 429202003 - Transfer of care to hospital |
| 429283006 - Mechanically assisted chest compression |
| 429705000 - Insertion of esophageal tracheal combitube |
| 430824005 - Intraosseous cannulation |
| 431393006 - Administration of intravenous fluid bolus |
| 431774007 - Active external cooling of subject |
| 431949004 - Active external warming of subject |
| 445828009 - Assessment using functional capacity evaluation |
| 447686008 - Application of pressure to wound |
| 449199004 - Manual inline stabilization of cervical spine |
| 450591000124106 - Immobilization using long board |
| 450601000124103 - Orotracheal intubation using bougie device |
| 450611000124100 - Insertion of single lumen supraglottic airway device |
| 450661000124102 - Defibrillation using automated external cardiac defibrillator |
| 45851008 - PEEP therapy |
| 46825001 - ECG (electrocardiography) monitoring |
| 46973005 - Blood pressure taking |
| 47545007 - Continuous positive airway pressure ventilation treatment |
| 49689007 - Application of cervical collar |
| 56251003 - Nebulizer therapy |
| 56342008 - Temperature taking |
| 56469005 - Moving a patient |
| 57485005 - Oxygen therapy |
| 58715004 - Moving a patient to a stretcher |
| 61746007 - Taking patient vital signs |
| 65653002 - Pulse taking |
| 68664003 - Glasgow coma testing and evaluation |
| 707794004 - Immobilization using extrication splint |
| 7443007 - Insertion of oropharyngeal airway |
| 78086002 - Holding patient |
| 79321009 - Application of splint |
| 870384002 - Point of care diagnostic ultrasonography |
| 87750000 - Insertion of nasogastric tube |
| 89666000 - Cardiopulmonary resuscitation |
|
dConfiguration.MedicationGroup
-
Group Tag to hold info about Medication information |
[UUID
=
[Your UUID]] |
|
dConfiguration.08
-
EMS Certification Levels Permitted to Administer Each Medication |
Emergency Medical Responder (EMR) |
|
dConfiguration.09
-
EMS Agency Medications |
[CodeType
=
RxNorm] 1191 - aspirin |
| [CodeType
=
RxNorm] 161 - acetaminophen |
| [CodeType
=
RxNorm] 328316 - epinephrine 1 MG/ML |
| [CodeType
=
RxNorm] 7242 - naloxone |
| [CodeType
=
RxNorm] 7806 - oxygen |
|
dConfiguration.MedicationGroup
-
Group Tag to hold info about Medication information |
[UUID
=
[Your UUID]] |
|
dConfiguration.08
-
EMS Certification Levels Permitted to Administer Each Medication |
Emergency Medical Technician (EMT) |
|
dConfiguration.09
-
EMS Agency Medications |
[CodeType
=
RxNorm] 1191 - aspirin |
| [CodeType
=
RxNorm] 1223 - atropine |
| [CodeType
=
RxNorm] 161 - acetaminophen |
| [CodeType
=
RxNorm] 237159 - levalbuterol |
| [CodeType
=
RxNorm] 2468231 - SARS-CoV-2 (COVID-19) vaccine, mRNA spike protein |
| [CodeType
=
RxNorm] 328316 - epinephrine 1 MG/ML |
| [CodeType
=
RxNorm] 435 - albuterol |
| [CodeType
=
RxNorm] 4917 - nitroglycerin |
| [CodeType
=
RxNorm] 7242 - naloxone |
| [CodeType
=
RxNorm] 7806 - oxygen |
|
dConfiguration.MedicationGroup
-
Group Tag to hold info about Medication information |
[UUID
=
[Your UUID]] |
|
dConfiguration.08
-
EMS Certification Levels Permitted to Administer Each Medication |
Paramedic |
|
dConfiguration.09
-
EMS Agency Medications |
[CodeType
=
RxNorm] 1008377 - calcium chloride / lactate / potassium chloride / sodium chloride |
| [CodeType
=
RxNorm] 10154 - succinylcholine |
| [CodeType
=
RxNorm] 10368 - terbutaline |
| [CodeType
=
RxNorm] 10454 - thiamine |
| [CodeType
=
RxNorm] 10691 - tranexamic acid |
| [CodeType
=
RxNorm] 11124 - vancomycin |
| [CodeType
=
RxNorm] 11149 - vasopressin (USP) |
| [CodeType
=
SNOMED-CT] 116762002 - Administration of blood product |
| [CodeType
=
SNOMED-CT] 116795008 - Transfusion of cryoprecipitate |
| [CodeType
=
SNOMED-CT] 116861002 - Transfusion of fresh frozen plasma |
| [CodeType
=
SNOMED-CT] 116865006 - Administration of albumin |
| [CodeType
=
RxNorm] 1191 - aspirin |
| [CodeType
=
RxNorm] 1223 - atropine |
| [CodeType
=
RxNorm] 1605101 - insulin isophane |
| [CodeType
=
RxNorm] 161 - acetaminophen |
| [CodeType
=
RxNorm] 1795477 - 500 ML glucose 100 MG/ML Injection |
| [CodeType
=
SNOMED-CT] 180208003 - Intravenous blood transfusion of platelets |
| [CodeType
=
RxNorm] 1901 - calcium chloride |
| [CodeType
=
RxNorm] 1908 - calcium gluconate |
| [CodeType
=
RxNorm] 214199 - albuterol / ipratropium |
| [CodeType
=
RxNorm] 2193 - ceftriaxone |
| [CodeType
=
RxNorm] 237159 - levalbuterol |
| [CodeType
=
RxNorm] 237653 - glucose 500 MG/ML Injectable Solution |
| [CodeType
=
RxNorm] 2468231 - SARS-CoV-2 (COVID-19) vaccine, mRNA spike protein |
| [CodeType
=
RxNorm] 260258 - glucose 250 MG/ML Injectable Solution |
| [CodeType
=
RxNorm] 26225 - ondansetron |
| [CodeType
=
RxNorm] 296 - adenosine |
| [CodeType
=
RxNorm] 313002 - sodium chloride 9 MG/ML Injectable Solution |
| [CodeType
=
RxNorm] 317361 - epinephrine 0.1 MG/ML |
| [CodeType
=
RxNorm] 3264 - dexamethasone |
| [CodeType
=
RxNorm] 328316 - epinephrine 1 MG/ML |
| [CodeType
=
RxNorm] 3322 - diazepam |
| [CodeType
=
SNOMED-CT] 33389009 - Transfusion of whole blood |
| [CodeType
=
RxNorm] 3423 - hydromorphone |
| [CodeType
=
RxNorm] 3443 - diltiazem |
| [CodeType
=
RxNorm] 3498 - diphenhydramine |
| [CodeType
=
RxNorm] 35827 - ketorolac |
| [CodeType
=
RxNorm] 3628 - dopamine |
| [CodeType
=
RxNorm] 36676 - sodium bicarbonate |
| [CodeType
=
RxNorm] 4177 - etomidate |
| [CodeType
=
RxNorm] 4337 - fentanyl |
| [CodeType
=
RxNorm] 435 - albuterol |
| [CodeType
=
RxNorm] 4603 - furosemide |
| [CodeType
=
RxNorm] 4832 - glucagon |
| [CodeType
=
RxNorm] 4850 - glucose |
| [CodeType
=
RxNorm] 4917 - nitroglycerin |
| [CodeType
=
RxNorm] 5093 - haloperidol |
| [CodeType
=
RxNorm] 5224 - heparin |
| [CodeType
=
RxNorm] 6130 - ketamine |
| [CodeType
=
RxNorm] 6185 - labetalol |
| [CodeType
=
RxNorm] 6387 - lidocaine |
| [CodeType
=
RxNorm] 6470 - lorazepam |
| [CodeType
=
RxNorm] 6585 - magnesium sulfate |
| [CodeType
=
RxNorm] 68139 - rocuronium |
| [CodeType
=
RxNorm] 6902 - methylprednisolone |
| [CodeType
=
RxNorm] 6918 - metoprolol |
| [CodeType
=
RxNorm] 6960 - midazolam |
| [CodeType
=
RxNorm] 703 - amiodarone |
| [CodeType
=
RxNorm] 7052 - morphine |
| [CodeType
=
SNOMED-CT] 71493000 - Transfusion of packed red blood cells |
| [CodeType
=
RxNorm] 71535 - vecuronium |
| [CodeType
=
RxNorm] 7213 - ipratropium |
| [CodeType
=
RxNorm] 7242 - naloxone |
| [CodeType
=
RxNorm] 7396 - nicardipine |
| [CodeType
=
RxNorm] 7512 - norepinephrine |
| [CodeType
=
RxNorm] 7806 - oxygen |
| [CodeType
=
RxNorm] 8163 - phenylephrine |
| [CodeType
=
RxNorm] 8591 - potassium chloride |
| [CodeType
=
RxNorm] 8745 - promethazine |
| [CodeType
=
RxNorm] 8782 - propofol |
|
dConfiguration.MedicationGroup
-
Group Tag to hold info about Medication information |
[UUID
=
[Your UUID]] |
|
dConfiguration.08
-
EMS Certification Levels Permitted to Administer Each Medication |
Critical Care Paramedic |
|
dConfiguration.09
-
EMS Agency Medications |
[CodeType
=
RxNorm] 1008377 - calcium chloride / lactate / potassium chloride / sodium chloride |
| [CodeType
=
RxNorm] 10154 - succinylcholine |
| [CodeType
=
RxNorm] 10368 - terbutaline |
| [CodeType
=
RxNorm] 10454 - thiamine |
| [CodeType
=
RxNorm] 10691 - tranexamic acid |
| [CodeType
=
RxNorm] 11124 - vancomycin |
| [CodeType
=
RxNorm] 11149 - vasopressin (USP) |
| [CodeType
=
SNOMED-CT] 116762002 - Administration of blood product |
| [CodeType
=
SNOMED-CT] 116795008 - Transfusion of cryoprecipitate |
| [CodeType
=
SNOMED-CT] 116861002 - Transfusion of fresh frozen plasma |
| [CodeType
=
SNOMED-CT] 116865006 - Administration of albumin |
| [CodeType
=
RxNorm] 1191 - aspirin |
| [CodeType
=
RxNorm] 1223 - atropine |
| [CodeType
=
RxNorm] 1605101 - insulin isophane |
| [CodeType
=
RxNorm] 161 - acetaminophen |
| [CodeType
=
RxNorm] 1795477 - 500 ML glucose 100 MG/ML Injection |
| [CodeType
=
SNOMED-CT] 180208003 - Intravenous blood transfusion of platelets |
| [CodeType
=
RxNorm] 1901 - calcium chloride |
| [CodeType
=
RxNorm] 1908 - calcium gluconate |
| [CodeType
=
RxNorm] 214199 - albuterol / ipratropium |
| [CodeType
=
RxNorm] 2193 - ceftriaxone |
| [CodeType
=
RxNorm] 237159 - levalbuterol |
| [CodeType
=
RxNorm] 237653 - glucose 500 MG/ML Injectable Solution |
| [CodeType
=
RxNorm] 2468231 - SARS-CoV-2 (COVID-19) vaccine, mRNA spike protein |
| [CodeType
=
RxNorm] 260258 - glucose 250 MG/ML Injectable Solution |
| [CodeType
=
RxNorm] 26225 - ondansetron |
| [CodeType
=
RxNorm] 296 - adenosine |
| [CodeType
=
RxNorm] 313002 - sodium chloride 9 MG/ML Injectable Solution |
| [CodeType
=
RxNorm] 317361 - epinephrine 0.1 MG/ML |
| [CodeType
=
RxNorm] 3264 - dexamethasone |
| [CodeType
=
RxNorm] 328316 - epinephrine 1 MG/ML |
| [CodeType
=
RxNorm] 3322 - diazepam |
| [CodeType
=
SNOMED-CT] 33389009 - Transfusion of whole blood |
| [CodeType
=
RxNorm] 3423 - hydromorphone |
| [CodeType
=
RxNorm] 3443 - diltiazem |
| [CodeType
=
RxNorm] 3498 - diphenhydramine |
| [CodeType
=
RxNorm] 35827 - ketorolac |
| [CodeType
=
RxNorm] 3628 - dopamine |
| [CodeType
=
RxNorm] 36676 - sodium bicarbonate |
| [CodeType
=
RxNorm] 4177 - etomidate |
| [CodeType
=
RxNorm] 4337 - fentanyl |
| [CodeType
=
RxNorm] 435 - albuterol |
| [CodeType
=
RxNorm] 4603 - furosemide |
| [CodeType
=
RxNorm] 4832 - glucagon |
| [CodeType
=
RxNorm] 4850 - glucose |
| [CodeType
=
RxNorm] 4917 - nitroglycerin |
| [CodeType
=
RxNorm] 5093 - haloperidol |
| [CodeType
=
RxNorm] 5224 - heparin |
| [CodeType
=
RxNorm] 6130 - ketamine |
| [CodeType
=
RxNorm] 6185 - labetalol |
| [CodeType
=
RxNorm] 6387 - lidocaine |
| [CodeType
=
RxNorm] 6470 - lorazepam |
| [CodeType
=
RxNorm] 6585 - magnesium sulfate |
| [CodeType
=
RxNorm] 68139 - rocuronium |
| [CodeType
=
RxNorm] 6902 - methylprednisolone |
| [CodeType
=
RxNorm] 6918 - metoprolol |
| [CodeType
=
RxNorm] 6960 - midazolam |
| [CodeType
=
RxNorm] 703 - amiodarone |
| [CodeType
=
RxNorm] 7052 - morphine |
| [CodeType
=
SNOMED-CT] 71493000 - Transfusion of packed red blood cells |
| [CodeType
=
RxNorm] 71535 - vecuronium |
| [CodeType
=
RxNorm] 7213 - ipratropium |
| [CodeType
=
RxNorm] 7242 - naloxone |
| [CodeType
=
RxNorm] 7396 - nicardipine |
| [CodeType
=
RxNorm] 7512 - norepinephrine |
| [CodeType
=
RxNorm] 7806 - oxygen |
| [CodeType
=
RxNorm] 8163 - phenylephrine |
| [CodeType
=
RxNorm] 8591 - potassium chloride |
| [CodeType
=
RxNorm] 8745 - promethazine |
| [CodeType
=
RxNorm] 8782 - propofol |
|
dConfiguration.10
-
EMS Agency Protocols |
Airway |
| Airway-Failed |
| Airway-Obstruction/Foreign Body |
| Airway-Rapid Sequence Induction (RSI-Paralytic) |
| Airway-Sedation Assisted (Non-Paralytic) |
| Cardiac Arrest-Asystole |
| Cardiac Arrest-Hypothermia-Therapeutic |
| Cardiac Arrest-Pulseless Electrical Activity |
| Cardiac Arrest-Ventricular Fibrillation/ Pulseless Ventricular Tachycardia |
| Cardiac Arrest-Post Resuscitation Care |
| Environmental-Altitude Sickness |
| Environmental-Cold Exposure |
| Environmental-Frostbite/Cold Injury |
| Environmental-Heat Exposure/Exhaustion |
| Environmental-Heat Stroke/Hyperthermia |
| Environmental-Hypothermia |
| Exposure-Airway/Inhalation Irritants |
| Exposure-Biological/Infectious |
| Exposure-Blistering Agents |
| Exposure-Chemicals to Eye |
| Exposure-Cyanide |
| Exposure-Explosive/ Blast Injury |
| Exposure-Nerve Agents |
| Exposure-Radiologic Agents |
| General-Back Pain |
| General-Behavioral/Patient Restraint |
| General-Cardiac Arrest |
| General-Dental Problems |
| General-Epistaxis |
| General-Fever |
| General-Individualized Patient Protocol |
| General-Indwelling Medical Devices/Equipment |
| General-IV Access |
| General-Medical Device Malfunction |
| General-Pain Control |
| General-Spinal Immobilization/Clearance |
| General-Universal Patient Care/ Initial Patient Contact |
| Injury-Amputation |
| Injury-Bites and Envenomations-Land |
| Injury-Bites and Envenomations-Marine |
| Injury-Bleeding/ Hemorrhage Control |
| Injury-Burns-Thermal |
| Injury-Cardiac Arrest |
| Injury-Crush Syndrome |
| Injury-Diving Emergencies |
| Injury-Drowning/Near Drowning |
| Injury-Electrical Injuries |
| Injury-Extremity |
| Injury-Eye |
| Injury-Head |
| Injury-Impaled Object |
| Injury-Multisystem |
| Injury-Spinal Cord |
| Medical-Abdominal Pain |
| Medical-Allergic Reaction/Anaphylaxis |
| Medical-Altered Mental Status |
| Medical-Bradycardia |
| Medical-Cardiac Chest Pain |
| Medical-Diarrhea |
| Medical-Hyperglycemia |
| Medical-Hypertension |
| Medical-Hypoglycemia/Diabetic Emergency |
| Medical-Hypotension/Shock (Non-Trauma) |
| Medical-Influenza-Like Illness/ Upper Respiratory Infection |
| Medical-Nausea/Vomiting |
| Medical-Newborn/ Neonatal Resuscitation |
| General-Overdose/Poisoning/Toxic Ingestion |
| Medical-Pulmonary Edema/CHF |
| Medical-Respiratory Distress/Asthma/COPD/Reactive Airway |
| Medical-Seizure |
| Medical-ST-Elevation Myocardial Infarction (STEMI) |
| Medical-Stroke/TIA |
| Medical-Supraventricular Tachycardia (Including Atrial Fibrillation) |
| Medical-Syncope |
| Medical-Ventricular Tachycardia (With Pulse) |
| Not Done |
| OB/GYN-Childbirth/Labor/Delivery |
| OB/GYN-Eclampsia |
| OB/GYN-Gynecologic Emergencies |
| OB/GYN-Pregnancy Related Emergencies |
| OB/GYN-Post-partum Hemorrhage |
| Other |
| Exposure-Carbon Monoxide |
| Cardiac Arrest-Do Not Resuscitate |
| Cardiac Arrest-Special Resuscitation Orders |
| Exposure-Smoke Inhalation |
| General-Community Paramedicine / Mobile Integrated Healthcare |
| General-Exception Protocol |
| General-Extended Care Guidelines |
| General-Interfacility Transfers |
| General-Law Enforcement - Blood for Legal Purposes |
| General-Law Enforcement - Assist with Law Enforcement Activity |
| General-Neglect or Abuse Suspected |
| General-Refusal of Care |
| Injury-Mass/Multiple Casualties |
| Injury-Thoracic |
| Medical-Adrenal Insufficiency |
| Medical-Apparent Life Threatening Event (ALTE) |
| Medical-Tachycardia |
| Cardiac Arrest-Determination of Death / Withholding Resuscitative Efforts |
| Injury-Conducted Electrical Weapon (e.g., Taser) |
| Injury-Facial Trauma |
| Injury-General Trauma Management |
| Injury-Lightning/Lightning Strike |
| Injury-SCUBA Injury/Accidents |
| Injury-Topical Chemical Burn |
| Medical-Beta Blocker Poisoning/Overdose |
| Medical-Calcium Channel Blocker Poisoning/Overdose |
| Medical-Opioid Poisoning/Overdose |
| Medical-Respiratory Distress-Bronchiolitis |
| Medical-Respiratory Distress-Croup |
| Medical-Stimulant Poisoning/Overdose |
|
dConfiguration.11
-
EMS Agency Specialty Service Capability |
Air Rescue |
| Ski / Snow Rescue |
| Water or Ice Related Rescue (Incl Swift Water) |
|
dConfiguration.12
-
Billing Status |
Yes |
|
dConfiguration.13
-
Emergency Medical Dispatch (EMD) Provided to EMS Agency Service Area |
Yes, 100% of the EMS Agency's Service Area |
|
dConfiguration.14
-
EMD Vendor |
Dispatchable Inc. |
| SenseCall |
|
dConfiguration.15
-
Patient Monitoring Capability(ies) |
Capnography-Waveform |
| ECG-12 Lead or Greater |
| Oximetry-Oxygen |
| Pressure Measurement-Invasive (Arterial, CVP, Swan, etc.) |
| Ventilator-Transport |
| Vital Sign Monitoring |
|
dConfiguration.16
-
Crew Call Sign |
Air 2 |
| Medic 1 |
|
dConfiguration.17
-
Dispatch Center (CAD) Name or ID |
Fort Collins 911 |
| Larimer County Sheriff's Department |
| Weld County Regional Communications Center |
|
dConfiguration.ConfigurationGroup
-
Group Tag to hold agency Configuration information |
[UUID
=
[Your UUID]]
|
|
dConfiguration.01
-
State Associated with this Configuration |
Wyoming |
|
dConfiguration.ProcedureGroup
-
Group Tag to hold info about Procedure information |
[UUID
=
[Your UUID]] |
|
dConfiguration.06
-
EMS Certification Levels Permitted to Perform Each Procedure |
Critical Care Paramedic |
|
dConfiguration.07
-
EMS Agency Procedures |
103744005 - Administration of intravenous fluids |
| 128968000 - Vagal stimulation |
| 133901003 - Burn care |
| 171397002 - Health examination - suspected condition |
| 182531007 - Dressing of wound |
| 182555002 - Application of bandage |
| 182556001 - Pelvic sling |
| 182692007 - Nasopharyngeal airway insertion |
| 182705007 - Tension pneumothorax relief |
| 182777000 - Monitoring of patient |
| 18590009 - Cardiac pacing |
| 18629005 - Administration of medication |
| 20655006 - Application of tourniquet |
| 22206003 - Application of dressing, occlusive plastic |
| 225116006 - Irrigation of wound |
| 225287004 - Procedures relating to positioning and support |
| 225358003 - Wound care |
| 225398001 - Neurological assessment |
| 225399009 - Pain assessment |
| 225718003 - Checking position of endotracheal tube |
| 226005007 - Care of central line |
| 22633006 - Vaginal delivery, medical personnel present |
| 228621007 - Provision of environmental control system |
| 230040009 - Airway suction technique |
| 232664002 - Manual establishment of airway |
| 232674004 - Orotracheal intubation |
| 235425002 - Insertion of orogastric tube |
| 23690002 - Heimlich maneuver |
| 23852006 - Cardiac monitoring |
| 241689008 - Rapid sequence induction |
| 243140006 - Lung inflation by intermittent compression of reservoir bag |
| 243142003 - Dual pressure spontaneous ventilation support |
| 248753002 - Capillary refill |
| 250980009 - Conversion of cardiac rhythm |
| 252465000 - Pulse oximetry |
| 268400002 - 12 lead ECG |
| 26906007 - Application of dressing, pressure |
| 270352002 - Medical examinations/reports |
| 278414003 - Pain management |
| 284029005 - Capnography monitoring |
| 284394000 - Examination of spine |
| 284405008 - Examination of cervical spine |
| 29303009 - Electrocardiographic procedure |
| 302488007 - Application of traction system |
| 304562007 - Informing doctor |
| 308292007 - Transfer of care |
| 315639002 - Initial patient assessment |
| 33747003 - Glucose measurement, blood |
| 353008 - IV/irrigation monitoring |
| 371907003 - Oxygen administration by nasal cannula |
| 371908008 - Oxygen administration by mask |
| 372045002 - Application of chemical haemostatic agents |
| 373675000 - Application of pressure bandage |
| 385857005 - Ventilator care and adjustment |
| 386053000 - Investigations |
| 386237008 - Circulatory care: mechanical assist device |
| 386328006 - Hypoglycaemia management |
| 386358000 - Medication administration: intravenous |
| 386423001 - Physical restraint |
| 392230005 - Catheterisation of vein |
| 392247006 - Insertion of catheter into artery |
| 396540005 - Phlebotomy |
| 398041008 - Cervical spine immobilisation |
| 405427009 - Catheterisation of external jugular vein |
| 408867002 - Taking respiratory rate |
| 408994004 - Adult care assessment |
| 409582008 - Isolation precautions |
| 422618004 - Continuous physical assessment |
| 423184003 - Adult pain assessment |
| 423401003 - Pediatric pain assessment |
| 423850004 - Pediatric continuous physical assessment |
| 424287005 - Removal of peripheral intravenous catheter |
| 424979004 - Laryngeal mask airway insertion |
| 425058005 - Taking orthostatic vital signs |
| 425074000 - Conversion of intravenous infusion to saline lock |
| 425447009 - Bag valve mask ventilation |
| 425543005 - Digital respired carbon dioxide monitoring |
| 426220008 - External ventricular defibrillation |
| 426498007 - Stabilization of spine |
| 427753009 - Insertion of oesophageal tracheal double lumen airway |
| 428803005 - 3 lead electrocardiographic monitoring |
| 429202003 - Transfer of care to hospital |
| 429283006 - Mechanically assisted chest compression |
| 429705000 - Insertion of esophageal tracheal combitube |
| 430824005 - Intraosseous cannulation |
| 431393006 - Administration of intravenous fluid bolus |
| 431774007 - Active external cooling of subject |
| 431949004 - Active external warming of subject |
| 445828009 - Assessment using functional capacity evaluation |
| 447686008 - Application of pressure to wound |
| 449199004 - Manual inline stabilization of cervical spine |
| 450591000124106 - Immobilization using long board |
| 450601000124103 - Orotracheal intubation using bougie device |
| 450611000124100 - Insertion of single lumen supraglottic airway device |
| 450661000124102 - Defibrillation using automated external cardiac defibrillator |
| 45851008 - PEEP therapy |
| 46825001 - ECG (electrocardiography) monitoring |
| 46973005 - Blood pressure taking |
| 47545007 - Continuous positive airway pressure ventilation treatment |
| 49689007 - Application of cervical collar |
| 56251003 - Nebulizer therapy |
| 56342008 - Temperature taking |
| 56469005 - Moving a patient |
| 57485005 - Oxygen therapy |
| 58715004 - Moving a patient to a stretcher |
| 61746007 - Taking patient vital signs |
| 65653002 - Pulse taking |
| 68664003 - Glasgow coma testing and evaluation |
| 707794004 - Immobilization using extrication splint |
| 7443007 - Insertion of oropharyngeal airway |
| 78086002 - Holding patient |
| 79321009 - Application of splint |
| 870384002 - Point of care diagnostic ultrasonography |
| 87750000 - Insertion of nasogastric tube |
| 89666000 - Cardiopulmonary resuscitation |
|
dConfiguration.MedicationGroup
-
Group Tag to hold info about Medication information |
[UUID
=
[Your UUID]] |
|
dConfiguration.08
-
EMS Certification Levels Permitted to Administer Each Medication |
Critical Care Paramedic |
|
dConfiguration.09
-
EMS Agency Medications |
[CodeType
=
RxNorm] 1008377 - calcium chloride / lactate / potassium chloride / sodium chloride |
| [CodeType
=
RxNorm] 10154 - succinylcholine |
| [CodeType
=
RxNorm] 10368 - terbutaline |
| [CodeType
=
RxNorm] 10454 - thiamine |
| [CodeType
=
RxNorm] 10691 - tranexamic acid |
| [CodeType
=
RxNorm] 11124 - vancomycin |
| [CodeType
=
RxNorm] 11149 - vasopressin (USP) |
| [CodeType
=
SNOMED-CT] 116762002 - Administration of blood product |
| [CodeType
=
SNOMED-CT] 116795008 - Transfusion of cryoprecipitate |
| [CodeType
=
SNOMED-CT] 116861002 - Transfusion of fresh frozen plasma |
| [CodeType
=
SNOMED-CT] 116865006 - Administration of albumin |
| [CodeType
=
RxNorm] 1191 - aspirin |
| [CodeType
=
RxNorm] 1223 - atropine |
| [CodeType
=
RxNorm] 1605101 - insulin isophane |
| [CodeType
=
RxNorm] 161 - acetaminophen |
| [CodeType
=
RxNorm] 1795477 - 500 ML glucose 100 MG/ML Injection |
| [CodeType
=
SNOMED-CT] 180208003 - Intravenous blood transfusion of platelets |
| [CodeType
=
RxNorm] 1901 - calcium chloride |
| [CodeType
=
RxNorm] 1908 - calcium gluconate |
| [CodeType
=
RxNorm] 214199 - albuterol / ipratropium |
| [CodeType
=
RxNorm] 2193 - ceftriaxone |
| [CodeType
=
RxNorm] 237159 - levalbuterol |
| [CodeType
=
RxNorm] 237653 - glucose 500 MG/ML Injectable Solution |
| [CodeType
=
RxNorm] 2468231 - SARS-CoV-2 (COVID-19) vaccine, mRNA spike protein |
| [CodeType
=
RxNorm] 260258 - glucose 250 MG/ML Injectable Solution |
| [CodeType
=
RxNorm] 26225 - ondansetron |
| [CodeType
=
RxNorm] 296 - adenosine |
| [CodeType
=
RxNorm] 313002 - sodium chloride 9 MG/ML Injectable Solution |
| [CodeType
=
RxNorm] 317361 - epinephrine 0.1 MG/ML |
| [CodeType
=
RxNorm] 3264 - dexamethasone |
| [CodeType
=
RxNorm] 328316 - epinephrine 1 MG/ML |
| [CodeType
=
RxNorm] 3322 - diazepam |
| [CodeType
=
SNOMED-CT] 33389009 - Transfusion of whole blood |
| [CodeType
=
RxNorm] 3423 - hydromorphone |
| [CodeType
=
RxNorm] 3443 - diltiazem |
| [CodeType
=
RxNorm] 3498 - diphenhydramine |
| [CodeType
=
RxNorm] 35827 - ketorolac |
| [CodeType
=
RxNorm] 3628 - dopamine |
| [CodeType
=
RxNorm] 36676 - sodium bicarbonate |
| [CodeType
=
RxNorm] 4177 - etomidate |
| [CodeType
=
RxNorm] 4337 - fentanyl |
| [CodeType
=
RxNorm] 435 - albuterol |
| [CodeType
=
RxNorm] 4603 - furosemide |
| [CodeType
=
RxNorm] 4832 - glucagon |
| [CodeType
=
RxNorm] 4850 - glucose |
| [CodeType
=
RxNorm] 4917 - nitroglycerin |
| [CodeType
=
RxNorm] 5093 - haloperidol |
| [CodeType
=
RxNorm] 5224 - heparin |
| [CodeType
=
RxNorm] 6130 - ketamine |
| [CodeType
=
RxNorm] 6185 - labetalol |
| [CodeType
=
RxNorm] 6387 - lidocaine |
| [CodeType
=
RxNorm] 6470 - lorazepam |
| [CodeType
=
RxNorm] 6585 - magnesium sulfate |
| [CodeType
=
RxNorm] 68139 - rocuronium |
| [CodeType
=
RxNorm] 6902 - methylprednisolone |
| [CodeType
=
RxNorm] 6918 - metoprolol |
| [CodeType
=
RxNorm] 6960 - midazolam |
| [CodeType
=
RxNorm] 703 - amiodarone |
| [CodeType
=
RxNorm] 7052 - morphine |
| [CodeType
=
SNOMED-CT] 71493000 - Transfusion of packed red blood cells |
| [CodeType
=
RxNorm] 71535 - vecuronium |
| [CodeType
=
RxNorm] 7213 - ipratropium |
| [CodeType
=
RxNorm] 7242 - naloxone |
| [CodeType
=
RxNorm] 7396 - nicardipine |
| [CodeType
=
RxNorm] 7512 - norepinephrine |
| [CodeType
=
RxNorm] 7806 - oxygen |
| [CodeType
=
RxNorm] 8163 - phenylephrine |
| [CodeType
=
RxNorm] 8591 - potassium chloride |
| [CodeType
=
RxNorm] 8745 - promethazine |
| [CodeType
=
RxNorm] 8782 - propofol |
|
dConfiguration.10
-
EMS Agency Protocols |
Airway |
| Airway-Failed |
| Airway-Obstruction/Foreign Body |
| Airway-Rapid Sequence Induction (RSI-Paralytic) |
| Airway-Sedation Assisted (Non-Paralytic) |
| Cardiac Arrest-Asystole |
| Cardiac Arrest-Hypothermia-Therapeutic |
| Cardiac Arrest-Pulseless Electrical Activity |
| Cardiac Arrest-Ventricular Fibrillation/ Pulseless Ventricular Tachycardia |
| Cardiac Arrest-Post Resuscitation Care |
| General-Individualized Patient Protocol |
| General-Indwelling Medical Devices/Equipment |
| General-IV Access |
| Other |
| General-Interfacility Transfers |
|
dConfiguration.11
-
EMS Agency Specialty Service Capability |
[NV
=
Not Recorded] |
|
dConfiguration.12
-
Billing Status |
No |
|
dConfiguration.13
-
Emergency Medical Dispatch (EMD) Provided to EMS Agency Service Area |
No |
|
dConfiguration.14
-
EMD Vendor |
FlightComm |
|
dConfiguration.15
-
Patient Monitoring Capability(ies) |
Capnography-Waveform |
| ECG-12 Lead or Greater |
| Oximetry-Oxygen |
| Pressure Measurement-Invasive (Arterial, CVP, Swan, etc.) |
| Ventilator-Transport |
| Vital Sign Monitoring |
|
dConfiguration.16
-
Crew Call Sign |
Air 2 |
|
dConfiguration.17
-
Dispatch Center (CAD) Name or ID |
UCHealth Air Dispatch |
|
dLocation
-
Location Information |
|
|
dLocation.LocationGroup
-
Group Tag to hold info about Location defined information |
[UUID
=
[Your UUID]] |
|
dLocation.01
-
EMS Location Type |
EMS Agency Headquarters |
|
dLocation.02
-
EMS Location Name |
Poudre Valley Hospital Office |
|
dLocation.03
-
EMS Location Number |
PVH |
|
dLocation.04
-
EMS Location GPS |
40.572568,-105.057274 |
|
dLocation.05
-
EMS Location US National Grid Coordinates |
13TDE95159131 |
|
dLocation.06
-
EMS Location Address |
[StreetAddress2
=
"AV 1007"
] 1024 South Lemay Avenue |
|
dLocation.07
-
EMS Location City |
City of Fort Collins |
|
dLocation.08
-
EMS Location State |
Colorado |
|
dLocation.09
-
EMS Station or Location ZIP Code |
80524 |
|
dLocation.10
-
EMS Location County |
Larimer County |
|
dLocation.11
-
EMS Location Country |
United States |
|
dLocation.12
-
EMS Location Phone Number |
[PhoneNumberType
=
Fax] 970-377-0381 |
| [PhoneNumberType
=
Work] 970-377-0389 |
|
dLocation.LocationGroup
-
Group Tag to hold info about Location defined information |
[UUID
=
[Your UUID]] |
|
dLocation.01
-
EMS Location Type |
EMS Staging Area |
|
dLocation.02
-
EMS Location Name |
Cheyenne Regional Medical Center Helipad |
|
dLocation.03
-
EMS Location Number |
CRMC |
|
dLocation.04
-
EMS Location GPS |
41.140689,-104.816451 |
|
dLocation.05
-
EMS Location US National Grid Coordinates |
13TEF15405439 |
|
dLocation.06
-
EMS Location Address |
214 East 23rd Street |
|
dLocation.07
-
EMS Location City |
City of Cheyenne |
|
dLocation.08
-
EMS Location State |
Wyoming |
|
dLocation.09
-
EMS Station or Location ZIP Code |
82001 |
|
dLocation.10
-
EMS Location County |
Laramie County |
|
dLocation.11
-
EMS Location Country |
United States |
|
dLocation.12
-
EMS Location Phone Number |
307-773-8998 |
|
dVehicle
-
Vehicle Information |
|
|
dVehicle.VehicleGroup
-
Group Tag to hold info about Vehicle defined information |
[UUID
=
[Your UUID]]
|
|
dVehicle.01
-
Unit/Vehicle Number |
A090 |
|
dVehicle.03
-
EMS Unit Call Sign |
Air 2 |
|
dVehicle.04
-
Vehicle Type |
Rotor Craft |
|
dVehicle.VehicleCertificationLevelsGroup
-
Group Tag to hold info about Vehicle certification and number of personnel |
[UUID
=
[Your UUID]] |
|
dVehicle.05
-
Crew State Certification/Licensure Levels |
Paramedic |
|
dVehicle.08
-
Number of Each EMS Personnel Level on Normal Medical (Non-911) Transport Ambulance |
1 |
|
dVehicle.VehicleCertificationLevelsGroup
-
Group Tag to hold info about Vehicle certification and number of personnel |
[UUID
=
[Your UUID]] |
|
dVehicle.05
-
Crew State Certification/Licensure Levels |
Critical Care Paramedic |
|
dVehicle.08
-
Number of Each EMS Personnel Level on Normal Medical (Non-911) Transport Ambulance |
1 |
|
dVehicle.09
-
Vehicle Initial Cost |
2850000 |
|
dVehicle.10
-
Vehicle Model Year |
2000 |
|
dVehicle.YearGroup
-
Group Tag to hold info about Vehicle hours and odometer mileage/kilometers per year |
[UUID
=
[Your UUID]] |
|
dVehicle.11
-
Year Miles/Kilometers Hours Accrued |
2021 |
|
dVehicle.12
-
Annual Vehicle Hours |
760 |
|
dVehicle.YearGroup
-
Group Tag to hold info about Vehicle hours and odometer mileage/kilometers per year |
[UUID
=
[Your UUID]] |
|
dVehicle.11
-
Year Miles/Kilometers Hours Accrued |
2022 |
|
dVehicle.12
-
Annual Vehicle Hours |
723 |
|
dVehicle.VehicleGroup
-
Group Tag to hold info about Vehicle defined information |
[UUID
=
[Your UUID]]
|
|
dVehicle.01
-
Unit/Vehicle Number |
G194 |
|
dVehicle.02
-
Vehicle Identification Number |
1GD5K3BKXAZ243193 |
|
dVehicle.03
-
EMS Unit Call Sign |
Medic 1 |
|
dVehicle.04
-
Vehicle Type |
Ambulance |
|
dVehicle.VehicleCertificationLevelsGroup
-
Group Tag to hold info about Vehicle certification and number of personnel |
[UUID
=
[Your UUID]] |
|
dVehicle.05
-
Crew State Certification/Licensure Levels |
Emergency Medical Responder (EMR) |
|
dVehicle.06
-
Number of Each EMS Personnel Level on Normal 911 Ambulance Response |
1 |
|
dVehicle.08
-
Number of Each EMS Personnel Level on Normal Medical (Non-911) Transport Ambulance |
1 |
|
dVehicle.VehicleCertificationLevelsGroup
-
Group Tag to hold info about Vehicle certification and number of personnel |
[UUID
=
[Your UUID]] |
|
dVehicle.05
-
Crew State Certification/Licensure Levels |
Paramedic |
|
dVehicle.06
-
Number of Each EMS Personnel Level on Normal 911 Ambulance Response |
1 |
|
dVehicle.08
-
Number of Each EMS Personnel Level on Normal Medical (Non-911) Transport Ambulance |
1 |
|
dVehicle.09
-
Vehicle Initial Cost |
120900 |
|
dVehicle.10
-
Vehicle Model Year |
2012 |
|
dVehicle.YearGroup
-
Group Tag to hold info about Vehicle hours and odometer mileage/kilometers per year |
[UUID
=
[Your UUID]] |
|
dVehicle.11
-
Year Miles/Kilometers Hours Accrued |
2021 |
|
dVehicle.12
-
Annual Vehicle Hours |
2980 |
|
dVehicle.13
-
Annual Vehicle Miles/Kilometers |
[DistanceUnit
=
Miles] 35087 |
|
dVehicle.YearGroup
-
Group Tag to hold info about Vehicle hours and odometer mileage/kilometers per year |
[UUID
=
[Your UUID]] |
|
dVehicle.11
-
Year Miles/Kilometers Hours Accrued |
2022 |
|
dVehicle.12
-
Annual Vehicle Hours |
2864 |
|
dVehicle.13
-
Annual Vehicle Miles/Kilometers |
[DistanceUnit
=
Miles] 33600 |
|
dPersonnel
-
Personnel Information |
|
|
dPersonnel.PersonnelGroup
-
Group tag to hold info about the personnel |
[UUID
=
[Your UUID]]
|
|
dPersonnel.NameGroup
-
Group tag to hold info about the personnel's name |
|
|
dPersonnel.01
-
EMS Personnel's Last Name |
Braun |
|
dPersonnel.02
-
EMS Personnel's First Name |
Sabryna |
|
dPersonnel.03
-
EMS Personnel's Middle Name/Initial |
Charlotte |
|
dPersonnel.AddressGroup
-
Group tag to hold info about the personnel's mailing address |
|
|
dPersonnel.04
-
EMS Personnel's Mailing Address |
4473 Lyceum Court |
|
dPersonnel.05
-
EMS Personnel's City of Residence |
Town of Timnath |
|
dPersonnel.06
-
EMS Personnel's State |
Colorado |
|
dPersonnel.07
-
EMS Personnel's ZIP Code |
80549 |
|
dPersonnel.08
-
EMS Personnel's Country |
United States |
|
dPersonnel.09
-
EMS Personnel's Phone Number |
[PhoneNumberType
=
Mobile] 970-929-8230 |
|
dPersonnel.10
-
EMS Personnel's Email Address |
[EmailAddressType
=
Work] braunsa@example.com |
|
dPersonnel.11
-
EMS Personnel's Date of Birth |
May 8, 2002 |
|
dPersonnel.12
-
EMS Personnel's Gender |
Female |
|
dPersonnel.13
-
EMS Personnel's Race |
White |
|
dPersonnel.14
-
EMS Personnel's Citizenship |
US |
|
dPersonnel.15
-
EMS Personnel's Highest Educational Degree |
1 or More Years of College, No Degree |
|
dPersonnel.17
-
EMS Personnel's Motor Vehicle License Type |
Operator Class D (Normal) |
|
dPersonnel.ImmunizationsGroup
-
Group Tag to hold Immunization type and date |
[UUID
=
[Your UUID]] |
|
dPersonnel.18
-
EMS Personnel's Immunization Status |
Tetanus |
|
dPersonnel.19
-
EMS Personnel's Immunization Year |
2020 |
|
dPersonnel.21
-
EMS Personnel's Agency ID Number |
8512 |
|
dPersonnel.LicensureGroup
-
Group to hold the licensure information |
[UUID
=
[Your UUID]] |
|
dPersonnel.22
-
EMS Personnel's State of Licensure |
Colorado |
|
dPersonnel.23
-
EMS Personnel's State's Licensure ID Number |
653148 |
|
dPersonnel.24
-
EMS Personnel's State EMS Certification Licensure Level |
Emergency Medical Responder (EMR) |
|
dPersonnel.25
-
EMS Personnel's State EMS Current Certification Date |
August 12, 2020 |
|
dPersonnel.26
-
EMS Personnel's Initial State's Licensure Issue Date |
August 12, 2020 |
|
dPersonnel.27
-
EMS Personnel's Current State's Licensure Expiration Date |
September 30, 2024 |
|
dPersonnel.28
-
EMS Personnel's National Registry Number |
R2657812 |
|
dPersonnel.29
-
EMS Personnel's National Registry Certification Level |
Emergency Medical Responder (EMR) |
|
dPersonnel.30
-
EMS Personnel's Current National Registry Expiration Date |
July 31, 2024 |
|
dPersonnel.31
-
EMS Personnel's Employment Status |
Part Time Paid Employee |
|
dPersonnel.32
-
EMS Personnel's Employment Status Date |
September 7, 2020 |
|
dPersonnel.33
-
EMS Personnel's Hire Date |
September 7, 2020 |
|
dPersonnel.34
-
EMS Personnel's Primary EMS Job Role |
Patient Care Provider |
|
dPersonnel.35
-
EMS Personnel's Other Job Responsibilities |
Driver/Pilot |
|
dPersonnel.36
-
EMS Personnel's Total Length of Service in Years |
3 |
|
dPersonnel.37
-
EMS Personnel's Date Length of Service Documented |
October 1, 2023 |
|
dPersonnel.CertificationLevelGroup
-
Group to hold the certification information |
[UUID
=
[Your UUID]] |
|
dPersonnel.38
-
EMS Personnel's Practice Level |
Emergency Medical Responder (EMR) |
|
dPersonnel.39
-
Date of Personnel's Certification or Licensure for Agency |
September 7, 2020 |
|
dPersonnel.PersonnelGroup
-
Group tag to hold info about the personnel |
[UUID
=
[Your UUID]]
|
|
dPersonnel.NameGroup
-
Group tag to hold info about the personnel's name |
|
|
dPersonnel.01
-
EMS Personnel's Last Name |
Cartwright |
|
dPersonnel.02
-
EMS Personnel's First Name |
Karine |
|
dPersonnel.AddressGroup
-
Group tag to hold info about the personnel's mailing address |
|
|
dPersonnel.04
-
EMS Personnel's Mailing Address |
1917 Fernwood Loop |
|
dPersonnel.05
-
EMS Personnel's City of Residence |
City of Cheyenne |
|
dPersonnel.06
-
EMS Personnel's State |
Wyoming |
|
dPersonnel.07
-
EMS Personnel's ZIP Code |
80549 |
|
dPersonnel.08
-
EMS Personnel's Country |
United States |
|
dPersonnel.09
-
EMS Personnel's Phone Number |
[PhoneNumberType
=
Mobile] 307-307-2728 |
| [PhoneNumberType
=
Mobile] 970-483-0757 |
|
dPersonnel.10
-
EMS Personnel's Email Address |
[EmailAddressType
=
Work] cartwrightka@example.com |
|
dPersonnel.11
-
EMS Personnel's Date of Birth |
September 5, 1981 |
|
dPersonnel.12
-
EMS Personnel's Gender |
Female |
|
dPersonnel.13
-
EMS Personnel's Race |
American Indian or Alaska Native |
|
dPersonnel.14
-
EMS Personnel's Citizenship |
US |
|
dPersonnel.15
-
EMS Personnel's Highest Educational Degree |
Bachelor's Degree |
|
dPersonnel.16
-
EMS Personnel's Degree Subject/Field of Study |
Education |
| Transportation and Materials Moving |
|
dPersonnel.17
-
EMS Personnel's Motor Vehicle License Type |
Operator Class D (Normal) |
| Pilot-Rotor Wing Air |
| Pilot-Fixed Wing Air |
|
dPersonnel.ImmunizationsGroup
-
Group Tag to hold Immunization type and date |
[UUID
=
[Your UUID]] |
|
dPersonnel.18
-
EMS Personnel's Immunization Status |
[Custom Value] COVID-19 |
|
dPersonnel.19
-
EMS Personnel's Immunization Year |
2022 |
|
dPersonnel.21
-
EMS Personnel's Agency ID Number |
31084 |
|
dPersonnel.LicensureGroup
-
Group to hold the licensure information |
[UUID
=
[Your UUID]] |
|
dPersonnel.22
-
EMS Personnel's State of Licensure |
Colorado |
|
dPersonnel.23
-
EMS Personnel's State's Licensure ID Number |
468211 |
|
dPersonnel.24
-
EMS Personnel's State EMS Certification Licensure Level |
Critical Care Paramedic |
|
dPersonnel.25
-
EMS Personnel's State EMS Current Certification Date |
December 16, 2022 |
|
dPersonnel.26
-
EMS Personnel's Initial State's Licensure Issue Date |
November 8, 2010 |
|
dPersonnel.27
-
EMS Personnel's Current State's Licensure Expiration Date |
December 31, 2026 |
|
dPersonnel.LicensureGroup
-
Group to hold the licensure information |
[UUID
=
[Your UUID]] |
|
dPersonnel.22
-
EMS Personnel's State of Licensure |
Wyoming |
|
dPersonnel.23
-
EMS Personnel's State's Licensure ID Number |
37433 |
|
dPersonnel.24
-
EMS Personnel's State EMS Certification Licensure Level |
Critical Care Paramedic |
|
dPersonnel.28
-
EMS Personnel's National Registry Number |
M1487865 |
|
dPersonnel.29
-
EMS Personnel's National Registry Certification Level |
Paramedic |
|
dPersonnel.30
-
EMS Personnel's Current National Registry Expiration Date |
September 30, 2026 |
|
dPersonnel.31
-
EMS Personnel's Employment Status |
Full Time Paid Employee |
|
dPersonnel.32
-
EMS Personnel's Employment Status Date |
July 7, 2005 |
|
dPersonnel.33
-
EMS Personnel's Hire Date |
October 18, 2000 |
|
dPersonnel.34
-
EMS Personnel's Primary EMS Job Role |
Patient Care Provider |
|
dPersonnel.35
-
EMS Personnel's Other Job Responsibilities |
Driver/Pilot |
| Educator/Preceptor |
| Other |
|
dPersonnel.36
-
EMS Personnel's Total Length of Service in Years |
23 |
|
dPersonnel.37
-
EMS Personnel's Date Length of Service Documented |
November 1, 2023 |
|
dPersonnel.CertificationLevelGroup
-
Group to hold the certification information |
[UUID
=
[Your UUID]] |
|
dPersonnel.38
-
EMS Personnel's Practice Level |
Paramedic |
|
dPersonnel.39
-
Date of Personnel's Certification or Licensure for Agency |
June 8, 2005 |
|
dPersonnel.CertificationLevelGroup
-
Group to hold the certification information |
[UUID
=
[Your UUID]] |
|
dPersonnel.38
-
EMS Personnel's Practice Level |
Critical Care Paramedic |
|
dPersonnel.39
-
Date of Personnel's Certification or Licensure for Agency |
January 9, 2011 |
|
dPersonnel.PersonnelGroup
-
Group tag to hold info about the personnel |
[UUID
=
[Your UUID]]
|
|
dPersonnel.NameGroup
-
Group tag to hold info about the personnel's name |
|
|
dPersonnel.01
-
EMS Personnel's Last Name |
Renner |
|
dPersonnel.02
-
EMS Personnel's First Name |
Declan |
|
dPersonnel.03
-
EMS Personnel's Middle Name/Initial |
Collin |
|
dPersonnel.AddressGroup
-
Group tag to hold info about the personnel's mailing address |
|
|
dPersonnel.04
-
EMS Personnel's Mailing Address |
2150 Bock Street |
|
dPersonnel.05
-
EMS Personnel's City of Residence |
City of Fort Collins |
|
dPersonnel.06
-
EMS Personnel's State |
Colorado |
|
dPersonnel.07
-
EMS Personnel's ZIP Code |
80549 |
|
dPersonnel.08
-
EMS Personnel's Country |
United States |
|
dPersonnel.09
-
EMS Personnel's Phone Number |
[PhoneNumberType
=
Work] 970-407-6759 |
| [PhoneNumberType
=
Mobile] 970-600-5378 |
|
dPersonnel.10
-
EMS Personnel's Email Address |
[EmailAddressType
=
Work] rennerde@example.com |
|
dPersonnel.11
-
EMS Personnel's Date of Birth |
December 20, 1990 |
|
dPersonnel.12
-
EMS Personnel's Gender |
Male |
|
dPersonnel.13
-
EMS Personnel's Race |
Asian |
| White |
|
dPersonnel.14
-
EMS Personnel's Citizenship |
US |
|
dPersonnel.15
-
EMS Personnel's Highest Educational Degree |
Bachelor's Degree |
|
dPersonnel.16
-
EMS Personnel's Degree Subject/Field of Study |
Emergency Medical Services |
|
dPersonnel.17
-
EMS Personnel's Motor Vehicle License Type |
Operator Class D (Normal) |
| Pilot-Rotor Wing Air |
|
dPersonnel.ImmunizationsGroup
-
Group Tag to hold Immunization type and date |
[UUID
=
[Your UUID]] |
|
dPersonnel.18
-
EMS Personnel's Immunization Status |
Influenza-Seasonal (In past 12 months) |
|
dPersonnel.19
-
EMS Personnel's Immunization Year |
2022 |
|
dPersonnel.ImmunizationsGroup
-
Group Tag to hold Immunization type and date |
[UUID
=
[Your UUID]] |
|
dPersonnel.18
-
EMS Personnel's Immunization Status |
[Custom Value] COVID-19 |
|
dPersonnel.19
-
EMS Personnel's Immunization Year |
2023 |
|
dPersonnel.21
-
EMS Personnel's Agency ID Number |
5012 |
|
dPersonnel.LicensureGroup
-
Group to hold the licensure information |
[UUID
=
[Your UUID]] |
|
dPersonnel.22
-
EMS Personnel's State of Licensure |
Colorado |
|
dPersonnel.23
-
EMS Personnel's State's Licensure ID Number |
455258 |
|
dPersonnel.24
-
EMS Personnel's State EMS Certification Licensure Level |
Paramedic |
|
dPersonnel.25
-
EMS Personnel's State EMS Current Certification Date |
February 13, 2023 |
|
dPersonnel.26
-
EMS Personnel's Initial State's Licensure Issue Date |
February 24, 2015 |
|
dPersonnel.27
-
EMS Personnel's Current State's Licensure Expiration Date |
March 31, 2027 |
|
dPersonnel.LicensureGroup
-
Group to hold the licensure information |
[UUID
=
[Your UUID]] |
|
dPersonnel.22
-
EMS Personnel's State of Licensure |
Wyoming |
|
dPersonnel.23
-
EMS Personnel's State's Licensure ID Number |
23822 |
|
dPersonnel.24
-
EMS Personnel's State EMS Certification Licensure Level |
Paramedic |
|
dPersonnel.28
-
EMS Personnel's National Registry Number |
M4556860 |
|
dPersonnel.29
-
EMS Personnel's National Registry Certification Level |
Paramedic |
|
dPersonnel.30
-
EMS Personnel's Current National Registry Expiration Date |
February 28, 2024 |
|
dPersonnel.31
-
EMS Personnel's Employment Status |
Full Time Paid Employee |
|
dPersonnel.32
-
EMS Personnel's Employment Status Date |
September 1, 2016 |
|
dPersonnel.33
-
EMS Personnel's Hire Date |
December 5, 2015 |
|
dPersonnel.34
-
EMS Personnel's Primary EMS Job Role |
Driver/Pilot |
|
dPersonnel.35
-
EMS Personnel's Other Job Responsibilities |
Patient Care Provider |
| Rescue |
|
dPersonnel.36
-
EMS Personnel's Total Length of Service in Years |
7 |
|
dPersonnel.37
-
EMS Personnel's Date Length of Service Documented |
January 1, 2023 |
|
dPersonnel.CertificationLevelGroup
-
Group to hold the certification information |
[UUID
=
[Your UUID]] |
|
dPersonnel.38
-
EMS Personnel's Practice Level |
Paramedic |
|
dPersonnel.39
-
Date of Personnel's Certification or Licensure for Agency |
December 5, 2015 |
|
dPersonnel.PersonnelGroup
-
Group tag to hold info about the personnel |
[UUID
=
[Your UUID]]
|
|
dPersonnel.NameGroup
-
Group tag to hold info about the personnel's name |
|
|
dPersonnel.01
-
EMS Personnel's Last Name |
Romaguera |
|
dPersonnel.02
-
EMS Personnel's First Name |
Rodrigo |
|
dPersonnel.03
-
EMS Personnel's Middle Name/Initial |
R |
|
dPersonnel.AddressGroup
-
Group tag to hold info about the personnel's mailing address |
|
|
dPersonnel.04
-
EMS Personnel's Mailing Address |
2917 Killarney Dr |
|
dPersonnel.05
-
EMS Personnel's City of Residence |
Laporte |
|
dPersonnel.06
-
EMS Personnel's State |
Colorado |
|
dPersonnel.07
-
EMS Personnel's ZIP Code |
80549 |
|
dPersonnel.08
-
EMS Personnel's Country |
United States |
|
dPersonnel.09
-
EMS Personnel's Phone Number |
[PhoneNumberType
=
Mobile] 970-479-8401 |
|
dPersonnel.10
-
EMS Personnel's Email Address |
[EmailAddressType
=
Work] romagueraro@example.com |
|
dPersonnel.11
-
EMS Personnel's Date of Birth |
March 7, 2000 |
|
dPersonnel.12
-
EMS Personnel's Gender |
Male |
|
dPersonnel.13
-
EMS Personnel's Race |
Hispanic or Latino |
| White |
|
dPersonnel.14
-
EMS Personnel's Citizenship |
US |
|
dPersonnel.15
-
EMS Personnel's Highest Educational Degree |
Associate Degree |
|
dPersonnel.17
-
EMS Personnel's Motor Vehicle License Type |
Operator Class D (Normal) |
|
dPersonnel.ImmunizationsGroup
-
Group Tag to hold Immunization type and date |
[UUID
=
[Your UUID]] |
|
dPersonnel.18
-
EMS Personnel's Immunization Status |
Hepatitis A |
|
dPersonnel.19
-
EMS Personnel's Immunization Year |
2017 |
|
dPersonnel.ImmunizationsGroup
-
Group Tag to hold Immunization type and date |
[UUID
=
[Your UUID]] |
|
dPersonnel.18
-
EMS Personnel's Immunization Status |
[Custom Value] COVID-19 |
|
dPersonnel.19
-
EMS Personnel's Immunization Year |
2017 |
|
dPersonnel.20
-
EMS Personnel's Foreign Language Ability |
Portuguese |
| Spanish |
|
dPersonnel.21
-
EMS Personnel's Agency ID Number |
6518 |
|
dPersonnel.LicensureGroup
-
Group to hold the licensure information |
[UUID
=
[Your UUID]] |
|
dPersonnel.22
-
EMS Personnel's State of Licensure |
Colorado |
|
dPersonnel.23
-
EMS Personnel's State's Licensure ID Number |
589631 |
|
dPersonnel.24
-
EMS Personnel's State EMS Certification Licensure Level |
Emergency Medical Technician (EMT) |
|
dPersonnel.25
-
EMS Personnel's State EMS Current Certification Date |
May 15, 2021 |
|
dPersonnel.26
-
EMS Personnel's Initial State's Licensure Issue Date |
May 15, 2021 |
|
dPersonnel.27
-
EMS Personnel's Current State's Licensure Expiration Date |
June 30, 2025 |
|
dPersonnel.28
-
EMS Personnel's National Registry Number |
E2643646 |
|
dPersonnel.29
-
EMS Personnel's National Registry Certification Level |
Emergency Medical Technician (EMT) |
|
dPersonnel.30
-
EMS Personnel's Current National Registry Expiration Date |
April 30, 2025 |
|
dPersonnel.31
-
EMS Personnel's Employment Status |
Full Time Paid Employee |
|
dPersonnel.32
-
EMS Personnel's Employment Status Date |
June 8, 2021 |
|
dPersonnel.33
-
EMS Personnel's Hire Date |
June 8, 2021 |
|
dPersonnel.34
-
EMS Personnel's Primary EMS Job Role |
Patient Care Provider |
|
dPersonnel.35
-
EMS Personnel's Other Job Responsibilities |
Driver/Pilot |
|
dPersonnel.36
-
EMS Personnel's Total Length of Service in Years |
2 |
|
dPersonnel.37
-
EMS Personnel's Date Length of Service Documented |
July 1, 2023 |
|
dPersonnel.CertificationLevelGroup
-
Group to hold the certification information |
[UUID
=
[Your UUID]] |
|
dPersonnel.38
-
EMS Personnel's Practice Level |
Emergency Medical Technician (EMT) |
|
dPersonnel.39
-
Date of Personnel's Certification or Licensure for Agency |
June 15, 2021 |
|
dDevice
-
Device Information |
|
|
dDevice.DeviceGroup
-
Group Tag to hold info about the Device |
[UUID
=
[Your UUID]] |
|
dDevice.01
-
Medical Device Serial Number |
1655f54 |
|
dDevice.02
-
Medical Device Name or ID |
VENT-1 |
|
dDevice.03
-
Medical Device Type |
Capnography-Waveform |
| Oximetry-Oxygen |
| Ventilator (ALS) |
|
dDevice.04
-
Medical Device Manufacturer |
Becton Dickinson |
|
dDevice.05
-
Medical Device Model Number |
3100A |
|
dDevice.06
-
Medical Device Purchase Date |
January 18, 2016 |
|
dDevice.DeviceGroup
-
Group Tag to hold info about the Device |
[UUID
=
[Your UUID]] |
|
dDevice.01
-
Medical Device Serial Number |
7kf83310 |
|
dDevice.02
-
Medical Device Name or ID |
MONI-3 |
|
dDevice.03
-
Medical Device Type |
Defibrillator-Manual |
| ECG-12 Lead or Greater |
|
dDevice.04
-
Medical Device Manufacturer |
FibTech |
|
dDevice.05
-
Medical Device Model Number |
v1000 |
|
dDevice.06
-
Medical Device Purchase Date |
February 28, 2022 |
|
dFacility
-
Facility Information |
|
|
dFacilityGroup
-
Group Tag to hold info about Facility Information and Facility Type |
[UUID
=
[Your UUID]]
|
|
dFacility.01
-
Type of Facility |
Hospital |
|
dFacility.FacilityGroup
-
Group Tag to hold info about the Facility and the Facility details |
[UUID
=
[Your UUID]] |
|
dFacility.02
-
Facility Name |
Banner Fort Collins Medical Center |
|
dFacility.03
-
Facility Location Code |
01K608 |
|
dFacility.04
-
Hospital Designations |
[Value from StateDataSet]
|
|
dFacility.05
-
Facility National Provider Identifier |
[Value from StateDataSet]
|
|
dFacility.07
-
Facility Street Address |
[Value from StateDataSet]
|
|
dFacility.08
-
Facility City |
[Value from StateDataSet]
|
|
dFacility.09
-
Facility State |
[Value from StateDataSet]
|
|
dFacility.10
-
Facility ZIP Code |
[Value from StateDataSet]
|
|
dFacility.11
-
Facility County |
[Value from StateDataSet]
|
|
dFacility.12
-
Facility Country |
[Value from StateDataSet]
|
|
dFacility.13
-
Facility GPS Location |
[Value from StateDataSet]
|
|
dFacility.14
-
Facility US National Grid Coordinates |
[Value from StateDataSet]
|
|
dFacility.15
-
Facility Phone Number |
[PhoneNumberType
=
[Value from StateDataSet]] [Value from StateDataSet]
|
|
dFacility.FacilityGroup
-
Group Tag to hold info about the Facility and the Facility details |
[UUID
=
[Your UUID]] |
|
dFacility.02
-
Facility Name |
Cheyenne Regional Medical Center |
|
dFacility.03
-
Facility Location Code |
15356 |
|
dFacility.04
-
Hospital Designations |
[Value from StateDataSet]
|
|
[Value from StateDataSet]
|
|
[Value from StateDataSet]
|
|
dFacility.07
-
Facility Street Address |
[Value from StateDataSet]
|
|
dFacility.08
-
Facility City |
[Value from StateDataSet]
|
|
dFacility.09
-
Facility State |
[Value from StateDataSet]
|
|
dFacility.10
-
Facility ZIP Code |
[Value from StateDataSet]
|
|
dFacility.11
-
Facility County |
[Value from StateDataSet]
|
|
dFacility.12
-
Facility Country |
[Value from StateDataSet]
|
|
dFacility.13
-
Facility GPS Location |
[Value from StateDataSet]
|
|
dFacility.14
-
Facility US National Grid Coordinates |
[Value from StateDataSet]
|
|
dFacility.15
-
Facility Phone Number |
[Value from StateDataSet]
|
|
dFacility.FacilityGroup
-
Group Tag to hold info about the Facility and the Facility details |
[UUID
=
[Your UUID]] |
|
dFacility.02
-
Facility Name |
Poudre Valley Hospital |
|
dFacility.03
-
Facility Location Code |
010305 |
|
dFacility.04
-
Hospital Designations |
[Value from StateDataSet]
|
|
[Value from StateDataSet]
|
|
dFacility.05
-
Facility National Provider Identifier |
[Value from StateDataSet]
|
|
[Value from StateDataSet]
|
|
[Value from StateDataSet]
|
|
dFacility.07
-
Facility Street Address |
[Value from StateDataSet]
|
|
dFacility.08
-
Facility City |
[Value from StateDataSet]
|
|
dFacility.09
-
Facility State |
[Value from StateDataSet]
|
|
dFacility.10
-
Facility ZIP Code |
[Value from StateDataSet]
|
|
dFacility.11
-
Facility County |
[Value from StateDataSet]
|
|
dFacility.12
-
Facility Country |
[Value from StateDataSet]
|
|
dFacility.13
-
Facility GPS Location |
[Value from StateDataSet]
|
|
dFacility.14
-
Facility US National Grid Coordinates |
[Value from StateDataSet]
|
|
dFacility.15
-
Facility Phone Number |
[PhoneNumberType
=
[Value from StateDataSet]] [Value from StateDataSet]
|
|
dFacility.FacilityGroup
-
Group Tag to hold info about the Facility and the Facility details |
[UUID
=
[Your UUID]] |
|
dFacility.02
-
Facility Name |
University of Colorado Hospital |
|
dFacility.03
-
Facility Location Code |
010432 |
|
dFacility.04
-
Hospital Designations |
[Value from StateDataSet]
|
|
[Value from StateDataSet]
|
|
[Value from StateDataSet]
|
|
[Value from StateDataSet]
|
|
[Value from StateDataSet]
|
|
[Value from StateDataSet]
|
|
dFacility.05
-
Facility National Provider Identifier |
[Value from StateDataSet]
|
|
[Value from StateDataSet]
|
|
dFacility.07
-
Facility Street Address |
[Value from StateDataSet]
|
|
dFacility.08
-
Facility City |
[Value from StateDataSet]
|
|
dFacility.09
-
Facility State |
[Value from StateDataSet]
|
|
dFacility.10
-
Facility ZIP Code |
[Value from StateDataSet]
|
|
dFacility.11
-
Facility County |
[Value from StateDataSet]
|
|
dFacility.12
-
Facility Country |
[Value from StateDataSet]
|
|
dFacility.13
-
Facility GPS Location |
[Value from StateDataSet]
|
|
dFacility.14
-
Facility US National Grid Coordinates |
[Value from StateDataSet]
|
|
dFacility.15
-
Facility Phone Number |
[PhoneNumberType
=
[Value from StateDataSet]] [Value from StateDataSet]
|
| [PhoneNumberType
=
[Value from StateDataSet]] [Value from StateDataSet]
|
|
dFacilityGroup
-
Group Tag to hold info about Facility Information and Facility Type |
[UUID
=
[Your UUID]]
|
|
dFacility.01
-
Type of Facility |
Diagnostic Services |
|
dFacility.FacilityGroup
-
Group Tag to hold info about the Facility and the Facility details |
[UUID
=
[Your UUID]] |
|
dFacility.02
-
Facility Name |
Fort Collins MRI |
|
dFacility.03
-
Facility Location Code |
1376130435 |
|
dFacility.05
-
Facility National Provider Identifier |
[Value from StateDataSet]
|
|
dFacility.06
-
Facility Room, Suite, or Apartment |
[Value from StateDataSet]
|
|
dFacility.07
-
Facility Street Address |
[StreetAddress2
=
[Value from StateDataSet]] [Value from StateDataSet]
|
|
dFacility.08
-
Facility City |
[Value from StateDataSet]
|
|
dFacility.09
-
Facility State |
[Value from StateDataSet]
|
|
dFacility.10
-
Facility ZIP Code |
[Value from StateDataSet]
|
|
dFacility.11
-
Facility County |
[Value from StateDataSet]
|
|
dFacility.12
-
Facility Country |
[Value from StateDataSet]
|
|
dFacility.13
-
Facility GPS Location |
[Value from StateDataSet]
|
|
dFacility.14
-
Facility US National Grid Coordinates |
[Value from StateDataSet]
|
|
dFacility.15
-
Facility Phone Number |
[Value from StateDataSet]
|