nemsis data elements and values v2.2.1.1.2009 002

8/3/2019 NEMSIS Data Elements and Values v2.2.1.1.2009 002

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Number Data Element Variable Code

D01_03 EMS Agency State 10002

D01_04 EMS Agency County 10003

D01_05 Primary Type of Service 5610



D01_05 Primary Type of Service 5640D01_05 Primary Type of Service 5650




D01_06 Other Types of Service -25



D01_06 Other Types of Service 5690




D01_06 Other Types of Service 5730D01_06 Other Types of Service 5740



D01_07 Level of Service 6090






D01_08 Organizational Type 5810



D01_08 Organizational Type 5840D01_08 Organizational Type 5850


D01_09 Organization Status 5870



D01_11 Other Agencies In Area -25



D01_19 EMS Agency Time Zone 5900



D01_19 EMS Agency Time Zone 5930D01_19 EMS Agency Time Zone 5940




D01_20 EMS Agency Daylight Savings Time Use 0

D01_20 EMS Agency Daylight Savings Time Use 1

D01_21 National Provider Identifier -25



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D02_02 Agency Contact Middle Name/Initial -25



D02_03 Agency Contact First Name -25

D02_03 Agency Contact First Name -10D02_03 Agency Contact First Name -5

D02_04 Agency Contact Address -25



D02_05 Agency Contact City -25



D02_06 Agency Contact State -25



D02_08 Agency Contact Telephone Number -25

D02_08 Agency Contact Telephone Number -10D02_08 Agency Contact Telephone Number -5

D02_09 Agency Contact Fax Number -25



D02_10 Agency Contact Email Address -25



D02_11 Agency Contact Web Address -25



D03_02 Agency Medical Director Middle Name/Initial -25

D03_02 Agency Medical Director Middle Name/Initial -10

D03_02 Agency Medical Director Middle Name/Initial -5D03_03 Agency Medical Director First Name -25

D03_03 Agency Medical Director First Name -10

D03_03 Agency Medical Director First Name -5

D03_04 Agency Medical Director Address -25



D03_05 Agency Medical Director City -25



D03_06 Agency Medical Director State -25

D03_06 Agency Medical Director State -10

D03_06 Agency Medical Director State -5D03_08 Agency Medical Director Telephone Number -25

D03_08 Agency Medical Director Telephone Number -10

D03_08 Agency Medical Director Telephone Number -5

D03_09 Agency Medical Director Fax Number -25



D03_10 Agency Medical Director's Medical Specialty -25



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D03_10 Agency Medical Director's Medical Specialty 5980





D03_10 Agency Medical Director's Medical Specialty 6030D03_10 Agency Medical Director's Medical Specialty 6040





D03_11 Agency Medical Director Email Address -25



D04_01 State Certification Licensure Levels 6090



D04_01 State Certification Licensure Levels 6111D04_01 State Certification Licensure Levels 6112


D04_04 Procedures 1.181










D04_04 Procedures 37.612D04_04 Procedures 38.910




















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5/106





































D04_08 Protocol 6720




D04_08 Protocol 6770D04_08 Protocol 6780









6/106


















































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D04_09 Personnel Level Permitted to Use the Protocol 6090





D04_09 Personnel Level Permitted to Use the Protocol 6120D04_10 Billing Status 0

D04_10 Billing Status 1

D04_12 Hospital Facility Number -25



D04_14 Destination Facility Number -25



D04_15 Destination Type 7270



D04_15 Destination Type 7300D04_15 Destination Type 7320





D05_02 Station Number -25



D05_05 Station Address -25



D05_06 Station City -25

D05_06 Station City -10D05_06 Station City -5

D05_07 Station State -25



D05_09 Station Telephone Number -25



D06_03 Vehicle Type 7370




D06_03 Vehicle Type 7410D06_03 Vehicle Type 7420







D06_04 State Certification/Licensure Levels 6090


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D06_09 Annual Vehicle Hours -25

D06_09 Annual Vehicle Hours -10D06_09 Annual Vehicle Hours -5

D06_10 Annual Vehicle Miles -25



D07_03 Personnel's Employment Status 7490





D07_05 Personnel's Level of Certification/Licensure for Agency 6090


D07_05 Personnel's Level of Certification/Licensure for Agency 6110D07_05 Personnel's Level of Certification/Licensure for Agency 6111




D08_02 EMS Personnel's Middle Name/Initial -25



D08_03 EMS Personnel's First Name -25



D08_04 EMS Personnel's Mailing Address -25

D08_04 EMS Personnel's Mailing Address -10

D08_04 EMS Personnel's Mailing Address -5D08_05 EMS Personnel's City of Residence -25

D08_05 EMS Personnel's City of Residence -10

D08_05 EMS Personnel's City of Residence -5

D08_06 EMS Personnel's State -25



D08_08 EMS Personnel's Work Telephone -25



D08_09 EMS Personnel's Home Telephone -25

D08_09 EMS Personnel's Home Telephone -10

D08_09 EMS Personnel's Home Telephone -5D08_10 EMS Personnel's Email Address -25

D08_10 EMS Personnel's Email Address -10

D08_10 EMS Personnel's Email Address -5

D08_12 EMS Personnel's Gender -25



D08_12 EMS Personnel's Gender 650

D08_12 EMS Personnel's Gender 655


9/106

D08_13 EMS Personnel's Race 660






D08_14 EMS Personnel's Ethnicity 690D08_14 EMS Personnel's Ethnicity 695

D08_15 State EMS Certification Licensure Level 6090







D08_16 National Registry Credentialed -25



D08_16 National Registry Credentialed 0D08_16 National Registry Credentialed 1

E00 Common Null Values -25





E02_02 Incident Number -25



E02_02 Incident Number 10001

E02_03 EMS Unit (Vehicle) Response Number -25

E02_03 EMS Unit (Vehicle) Response Number -10

E02_03 EMS Unit (Vehicle) Response Number -5E02_03 EMS Unit (Vehicle) Response Number 10001

E02_04 Type of Service Requested 30






E02_05 Primary Role of the Unit 60




E02_06 Type of Dispatch Delay -25E02_06 Type of Dispatch Delay -15

E02_06 Type of Dispatch Delay -10

E02_06 Type of Dispatch Delay -5

E02_06 Type of Dispatch Delay 80






10/106


11/106

E02_09 Type of Transport Delay 305





E02_10 Type of Turn-Around Delay -25

E02_10 Type of Turn-Around Delay -15E02_10 Type of Turn-Around Delay -10

E02_10 Type of Turn-Around Delay -5

E02_10 Type of Turn-Around Delay 330









E02_10 Type of Turn-Around Delay 375E02_11 EMS Unit/Vehicle Number -25

E02_11 EMS Unit/Vehicle Number -10

E02_11 EMS Unit/Vehicle Number -5

E02_11 EMS Unit/Vehicle Number 10001

E02_12 EMS Unit Call Sign (Radio Number) 10001

E02_13 Vehicle Dispatch Location -25



E02_13 Vehicle Dispatch Location 10001

E02_14 Vehicle Dispatch Zone -25



E02_14 Vehicle Dispatch Zone 10001E02_15 Vehicle Dispatch GPS Location 10001

E02_16 Beginning Odometer Reading of Responding Vehicle 10001

E02_17 On-Scene Odometer Reading of Responding Vehicle 10001

E02_18 Patient Destination Odometer Reading of Responding Vehicle 10001

E02_19 Ending Odometer Reading of Responding Vehicle 10001

E02_20 Response Mode to Scene 380




E03_01 Complaint Reported by Dispatch -25

E03_01 Complaint Reported by Dispatch -15

E03_01 Complaint Reported by Dispatch -10E03_01 Complaint Reported by Dispatch -5

E03_01 Complaint Reported by Dispatch 400








12/106







E03_01 Complaint Reported by Dispatch 465E03_01 Complaint Reported by Dispatch 470










E03_01 Complaint Reported by Dispatch 520E03_01 Complaint Reported by Dispatch 525









E03_02 EMD Performed -25



E03_02 EMD Performed -5E03_02 EMD Performed 0

E03_02 EMD Performed 570

E03_02 EMD Performed 575

E03_03 EMD Card Number -25



E03_03 EMD Card Number 10001

E04_01 Crew Member ID -25



E04_01 Crew Member ID 10001

E04_02 Crew Member Role -25E04_02 Crew Member Role -10

E04_02 Crew Member Role -5

E04_02 Crew Member Role 580





E04_03 Crew Member Level -25


13/106



E04_03 Crew Member Level 635




E04_03 Crew Member Level 6100E04_03 Crew Member Level 6110




E05_01 Incident or Onset Date/Time 10001

E05_02 PSAP Call Date/Time 10001

E05_03 Dispatch Notified Date/Time 10001

E05_04 Unit Notified by Dispatch Date/Time 10001

E05_05 Unit En Route Date/Time 10001

E05_06 Unit Arrived on Scene Date/Time 10001

E05_07 Arrived at Patient Date/Time 10001

E05_08 Transfer of Patient Care Date/Time 10001E05_09 Unit Left Scene Date/Time 10001

E05_10 Patient Arrived at Destination Date/Time 10001

E05_11 Unit Back in Service Date/Time 10001

E05_12 Unit Cancelled Date/Time 10001

E05_13 Unit Back at Home Location Date/Time 10001

E06_01 Last Name -25

E06_01 Last Name -10

E06_01 Last Name -5

E06_01 Last Name 10001

E06_02 First Name -25



E06_02 First Name 10001E06_03 Middle Initial/Name -25

E06_03 Middle Initial/Name -10

E06_03 Middle Initial/Name -5

E06_03 Middle Initial/Name 10001

E06_04 Patient's Home Address -25



E06_04 Patient's Home Address 10001

E06_05 Patient's Home City -25



E06_05 Patient's Home City 10001E06_06 Patient's Home County -25

E06_06 Patient's Home County -10

E06_06 Patient's Home County -5

E06_06 Patient's Home County 10001

E06_07 Patient's Home State -25



E06_07 Patient's Home State 10001


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E06_08 Patient's Home Zip Code -25




E06_08 Patient's Home Zip Code 10001

E06_09 Patients Home Country -25

E06_09 Patients Home Country -10E06_09 Patients Home Country -5

E06_09 Patients Home Country 10001

E06_10 Social Security Number -25



E06_10 Social Security Number 10001

E06_11 Gender -25

E06_11 Gender -15

E06_11 Gender -10

E06_11 Gender -5

E06_11 Gender 650

E06_11 Gender 655E06_12 Race -25

E06_12 Race -15

E06_12 Race -10

E06_12 Race -5

E06_12 Race 660

E06_12 Race 665

E06_12 Race 670

E06_12 Race 675

E06_12 Race 680

E06_12 Race 685

E06_13 Ethnicity -25

E06_13 Ethnicity -15

E06_13 Ethnicity -10E06_13 Ethnicity -5

E06_13 Ethnicity 690

E06_13 Ethnicity 695

E06_14 Age 10001

E06_15 Age Units -25



E06_15 Age Units -5

E06_15 Age Units 700



E06_15 Age Units 715E06_16 Date of Birth 10001

E06_17 Primary or Home Telephone Number -25



E06_17 Primary or Home Telephone Number 10001

E06_18 State Issuing Driver's License -25




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E06_18 State Issuing Driver's License 10001

E06_19 Driver's License Number -25



E06_19 Driver's License Number 10001

E07_01 Primary Method of Payment -25

E07_01 Primary Method of Payment -10E07_01 Primary Method of Payment -5

E07_01 Primary Method of Payment 720







E07_02 Certificate of Medical Necessity -25



E07_02 Certificate of Medical Necessity 0E07_02 Certificate of Medical Necessity 1

E07_03 Insurance Company ID/Name -25



E07_03 Insurance Company ID/Name 10001

E07_04 Insurance Company Billing Priority -25



E07_04 Insurance Company Billing Priority 755



E07_05 Insurance Company Address -25

E07_05 Insurance Company Address -10E07_05 Insurance Company Address -5

E07_05 Insurance Company Address 10001

E07_06 Insurance Company City -25



E07_06 Insurance Company City 10001

E07_07 Insurance Company State -25



E07_07 Insurance Company State 10001

E07_08 Insurance Company Zip Code -25

E07_08 Insurance Company Zip Code -10E07_08 Insurance Company Zip Code -5

E07_08 Insurance Company Zip Code 10001

E07_09 Insurance Group ID/Name -25



E07_09 Insurance Group ID/Name 10001

E07_10 Insurance Policy ID Number -25



16/106


E07_10 Insurance Policy ID Number 10001

E07_11 Last Name of the Insured -25




E07_11 Last Name of the Insured 10001E07_12 First Name of the Insured -25

E07_12 First Name of the Insured -10

E07_12 First Name of the Insured -5

E07_12 First Name of the Insured 10001

E07_13 Middle Initial/Name of the Insured -25



E07_13 Middle Initial/Name of the Insured 10001

E07_14 Relationship to the Insured -25



E07_14 Relationship to the Insured 770E07_14 Relationship to the Insured 775

E07_14 Relationship to the Insured 780

E07_14 Relationship to the Insured 785

E07_15 Work-Related -25



E07_15 Work-Related 0

E07_15 Work-Related 1

E07_16 Patients Occupational Industry -25



E07_16 Patients Occupational Industry 790

E07_16 Patients Occupational Industry 795E07_16 Patients Occupational Industry 800







E07_17 Patients Occupation -25



E07_17 Patients Occupation 835

E07_17 Patients Occupation 840E07_17 Patients Occupation 845









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E07_17 Patients Occupation 915E07_17 Patients Occupation 920






E07_18 Closest Relative/Guardian Last Name -25



E07_18 Closest Relative/Guardian Last Name 10001

E07_19 First Name of the Closest Relative/ Guardian -25

E07_19 First Name of the Closest Relative/ Guardian -10E07_19 First Name of the Closest Relative/ Guardian -5

E07_19 First Name of the Closest Relative/ Guardian 10001

E07_20 Middle Initial/Name of the Closest Relative/ Guardian -25



E07_20 Middle Initial/Name of the Closest Relative/ Guardian 10001

E07_21 Closest Relative/ Guardian Street Address -25



E07_21 Closest Relative/ Guardian Street Address 10001

E07_22 Closest Relative/ Guardian City -25

E07_22 Closest Relative/ Guardian City -10

E07_22 Closest Relative/ Guardian City -5E07_22 Closest Relative/ Guardian City 10001

E07_23 Closest Relative/ Guardian State -25



E07_23 Closest Relative/ Guardian State 10001

E07_24 Closest Relative/ Guardian Zip Code -25



E07_24 Closest Relative/ Guardian Zip Code 10001

E07_25 Closest Relative/ Guardian Phone Number -25

E07_25 Closest Relative/ Guardian Phone Number -10

E07_25 Closest Relative/ Guardian Phone Number -5E07_25 Closest Relative/ Guardian Phone Number 10001

E07_26 Closest Relative/ Guardian Relationship -25



E07_26 Closest Relative/ Guardian Relationship 950





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E07_27 Patient's Employer -25



E07_27 Patient's Employer 10001

E07_28 Patient's Employer's Address -25E07_28 Patient's Employer's Address -10

E07_28 Patient's Employer's Address -5

E07_28 Patient's Employer's Address 10001

E07_29 Patients Employers City -25



E07_29 Patients Employers City 10001

E07_30 Patients Employers State -25



E07_30 Patients Employers State 10001

E07_31 Patients Employers Zip Code -25E07_31 Patients Employers Zip Code -10

E07_31 Patients Employers Zip Code -5

E07_31 Patients Employers Zip Code 10001

E07_32 Patient's Work Telephone Number -25



E07_32 Patient's Work Telephone Number 10001

E07_33 Response Urgency -25



E07_33 Response Urgency 980

E07_33 Response Urgency 985

E07_34 CMS Service Level -25E07_34 CMS Service Level -15

E07_34 CMS Service Level -10

E07_34 CMS Service Level -5

E07_34 CMS Service Level 990








E07_34 CMS Service Level 1030E07_35 Condition Code Number -25

E07_35 Condition Code Number -15



E07_35 Condition Code Number 8001





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E07_35 Condition Code Number 8011E07_35 Condition Code Number 8012











































20/106


















E07_36 ICD-9 Code for the Condition Code Number -25E07_36 ICD-9 Code for the Condition Code Number -10

E07_36 ICD-9 Code for the Condition Code Number -5

E07_36 ICD-9 Code for the Condition Code Number 10001

E07_37 Condition Code Modifier -25



E07_37 Condition Code Modifier 1035






E07_37 Condition Code Modifier 1041E07_37 Condition Code Modifier 1042



E08_01 Other EMS Agencies at Scene -25



E08_01 Other EMS Agencies at Scene 10001

E08_02 Other Services at Scene -25



E08_02 Other Services at Scene 1060

E08_02 Other Services at Scene 1065E08_02 Other Services at Scene 1070






E08_03 Estimated Date/Time Initial Responder Arrived on Scene -25



21/106


E08_03 Estimated Date/Time Initial Responder Arrived on Scene 1100




E08_04 Date/Time Initial Responder Arrived on Scene 10001

E08_05 Number of Patients at Scene -25E08_05 Number of Patients at Scene -15

E08_05 Number of Patients at Scene -10

E08_05 Number of Patients at Scene -5

E08_05 Number of Patients at Scene 1120



E08_06 Mass Casualty Incident -25




E08_06 Mass Casualty Incident 0

E08_06 Mass Casualty Incident 1E08_07 Incident Location Type -25

E08_07 Incident Location Type -15



E08_07 Incident Location Type 1135








E08_07 Incident Location Type 1175E08_07 Incident Location Type 1180



E08_08 Incident Facility Code -25



E08_08 Incident Facility Code 10001

E08_09 Scene Zone Number -25



E08_09 Scene Zone Number 10001

E08_10 Scene GPS Location 10001E08_11 Incident Address -25

E08_11 Incident Address -10

E08_11 Incident Address -5

E08_11 Incident Address 10001

E08_12 Incident City -25



E08_12 Incident City 10001


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E08_13 Incident County -25



E08_13 Incident County 10001

E08_14 Incident State -25

E08_14 Incident State -10

E08_14 Incident State -5E08_14 Incident State 10001

E08_15 Incident ZIP Code -25




E08_15 Incident ZIP Code 10001

E09_01 Prior Aid -25



E09_01 Prior Aid -5

E09_01 Prior Aid 10001

E09_02 Prior Aid Performed by -25E09_02 Prior Aid Performed by -15

E09_02 Prior Aid Performed by -10

E09_02 Prior Aid Performed by -5

E09_02 Prior Aid Performed by 1195





E09_03 Outcome of the Prior Aid -25




E09_03 Outcome of the Prior Aid 1220E09_03 Outcome of the Prior Aid 1225

E09_03 Outcome of the Prior Aid 1230

E09_04 Possible Injury -25




E09_04 Possible Injury 0

E09_04 Possible Injury 1

E09_05 Chief Complaint -25



E09_05 Chief Complaint 10001E09_06 Duration of Chief Complaint 10001

E09_07 Time Units of Duration of Chief Complaint 1235








23/106


E09_08 Secondary Complaint Narrative -25



E09_08 Secondary Complaint Narrative 10001

E09_09 Duration of Secondary Complaint 10001

E09_10 Time Units of Duration of Secondary Complaint 1270E09_10 Time Units of Duration of Secondary Complaint 1275

E09_10 Time Units of Duration of Secondary Complaint 1280





E09_11 Chief Complaint Anatomic Location -25




E09_11 Chief Complaint Anatomic Location 1305

E09_11 Chief Complaint Anatomic Location 1310E09_11 Chief Complaint Anatomic Location 1315







E09_12 Chief Complaint Organ System -25




E09_12 Chief Complaint Organ System 1350

E09_12 Chief Complaint Organ System 1355E09_12 Chief Complaint Organ System 1360









E09_13 Primary Symptom -25

E09_13 Primary Symptom -15

E09_13 Primary Symptom -10E09_13 Primary Symptom -5

E09_13 Primary Symptom 1405








24/106







E09_13 Primary Symptom 1470E09_13 Primary Symptom 1475







E09_14 Other Associated Symptoms -25




E09_14 Other Associated Symptoms 1510E09_14 Other Associated Symptoms 1515

E09_14 Other Associated Symptoms 1520











E09_14 Other Associated Symptoms 1575E09_14 Other Associated Symptoms 1580







E09_15 Providers Primary Impression -25




E09_15 Providers Primary Impression 1615E09_15 Providers Primary Impression 1620

E09_15 Providers Primary Impression 1625








25/106







E09_15 Providers Primary Impression 1690E09_15 Providers Primary Impression 1695











E09_16 Providers Secondary Impression -25E09_16 Providers Secondary Impression -15

E09_16 Providers Secondary Impression -10

E09_16 Providers Secondary Impression -5

E09_16 Providers Secondary Impression 1750









E09_16 Providers Secondary Impression 1795E09_16 Providers Secondary Impression 1800











E09_16 Providers Secondary Impression 1855E09_16 Providers Secondary Impression 1860





E10_01 Cause of Injury -25




26/106


E10_01 Cause of Injury 9500





E10_01 Cause of Injury 9525E10_01 Cause of Injury 9530











E10_01 Cause of Injury 9585E10_01 Cause of Injury 9590












E10_01 Cause of Injury 9650E10_02 Intent of the Injury -25

E10_02 Intent of the Injury -10

E10_02 Intent of the Injury -5

E10_02 Intent of the Injury 2020



E10_03 Mechanism of Injury -25



E10_03 Mechanism of Injury 2035

E10_03 Mechanism of Injury 2040

E10_03 Mechanism of Injury 2045E10_03 Mechanism of Injury 2050

E10_04 Vehicular Injury Indicators -25



E10_04 Vehicular Injury Indicators 2055





27/106






E10_05 Area of the Vehicle impacted by the collision -25

E10_05 Area of the Vehicle impacted by the collision -10E10_05 Area of the Vehicle impacted by the collision -5

E10_05 Area of the Vehicle impacted by the collision 2100









E10_06 Seat Row Location of Patient in Vehicle 10001

E10_06 Seat Row Location of Patient in Vehicle 18033E10_07 Position of Patient in the Seat of the Vehicle -25

E10_07 Position of Patient in the Seat of the Vehicle -10

E10_07 Position of Patient in the Seat of the Vehicle -5

E10_07 Position of Patient in the Seat of the Vehicle 2145





E10_08 Use of Occupant Safety Equipment -25



E10_08 Use of Occupant Safety Equipment 2170

E10_08 Use of Occupant Safety Equipment 2175E10_08 Use of Occupant Safety Equipment 2180








E10_09 Airbag Deployment -25



E10_09 Airbag Deployment 2215E10_09 Airbag Deployment 2220

E10_09 Airbag Deployment 2225



E10_10 Height of Fall 10001

E11_01 Cardiac Arrest -25




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E11_01 Cardiac Arrest 0



E11_02 Cardiac Arrest Etiology -25

E11_02 Cardiac Arrest Etiology -15

E11_02 Cardiac Arrest Etiology -10E11_02 Cardiac Arrest Etiology -5

E11_02 Cardiac Arrest Etiology 2250






E11_03 Resuscitation Attempted -25




E11_03 Resuscitation Attempted 2280E11_03 Resuscitation Attempted 2285

E11_03 Resuscitation Attempted 2290




E11_04 Arrest Witnessed by -25



E11_04 Arrest Witnessed by 2310



E11_05 First Monitored Rhythm of the Patient -25

E11_05 First Monitored Rhythm of the Patient -10E11_05 First Monitored Rhythm of the Patient -5

E11_05 First Monitored Rhythm of the Patient 2325









E11_06 Any Return of Spontaneous Circulation -25

E11_06 Any Return of Spontaneous Circulation -10E11_06 Any Return of Spontaneous Circulation -5

E11_06 Any Return of Spontaneous Circulation 0



E11_07 Neurological Outcome at Hospital Discharge -25



E11_07 Neurological Outcome at Hospital Discharge 2380


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E11_07 Neurological Outcome at Hospital Discharge 2385

E11_08 Estimated Time of Arrest Prior to EMS Arrival -25



E11_08 Estimated Time of Arrest Prior to EMS Arrival 2390


E11_08 Estimated Time of Arrest Prior to EMS Arrival 2400E11_08 Estimated Time of Arrest Prior to EMS Arrival 2405





E11_09 Date/Time Resuscitation Discontinued 10001

E11_10 Reason CPR Discontinued -25



E11_10 Reason CPR Discontinued 2430


E11_10 Reason CPR Discontinued 2440E11_10 Reason CPR Discontinued 2445


E11_11 Cardiac Rhythm on Arrival at Destination -25



E11_11 Cardiac Rhythm on Arrival at Destination 2455







E11_11 Cardiac Rhythm on Arrival at Destination 2490E11_11 Cardiac Rhythm on Arrival at Destination 2495











E11_11 Cardiac Rhythm on Arrival at Destination 2550E11_11 Cardiac Rhythm on Arrival at Destination 2555









30/106


E12_01 Barriers to Patient Care -25




E12_01 Barriers to Patient Care 2600

E12_01 Barriers to Patient Care 2605E12_01 Barriers to Patient Care 2610







E12_02 Sending Facility Medical Record Number -25



E12_02 Sending Facility Medical Record Number 10001

E12_03 Destination Medical Record Number -25E12_03 Destination Medical Record Number -10

E12_03 Destination Medical Record Number -5

E12_03 Destination Medical Record Number 10001

E12_04 First Name of Patient's Primary Practitioner -25



E12_04 First Name of Patient's Primary Practitioner 10001

E12_05 Middle Name of Patient's Primary Practitioner -25



E12_05 Middle Name of Patient's Primary Practitioner 10001

E12_06 Last Name of Patient's Primary Practitioner -25

E12_06 Last Name of Patient's Primary Practitioner -10E12_06 Last Name of Patient's Primary Practitioner -5

E12_06 Last Name of Patient's Primary Practitioner 10001

E12_07 Advanced Directives -25



E12_07 Advanced Directives 2645






E12_08 Medication Allergies -25E12_08 Medication Allergies -10

E12_08 Medication Allergies -5

E12_08 Medication Allergies 10001

E12_08 Medication Allergies 10008

E12_09 Environmental/Food Allergies -25



E12_09 Environmental/Food Allergies 2675


31/106






E12_10 Medical/Surgical History -25

E12_10 Medical/Surgical History -10E12_10 Medical/Surgical History -5

E12_10 Medical/Surgical History 10001

E12_11 Medical History Obtained From -25



E12_11 Medical History Obtained From 2705





E12_12 Immunization History 2730

E12_12 Immunization History 2735E12_12 Immunization History 2740









E12_13 Immunization Date -25



E12_13 Immunization Date 10001E12_14 Current Medications 10001

E12_15 Current Medication Dose 10001

E12_16 Current Medication Dosage Unit 2785









E12_16 Current Medication Dosage Unit 2830E12_16 Current Medication Dosage Unit 2835






E12_17 Current Medication Administration Route -25



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E12_17 Current Medication Administration Route 2865





E12_17 Current Medication Administration Route 2895E12_17 Current Medication Administration Route 2900











E12_17 Current Medication Administration Route 2955E12_17 Current Medication Administration Route 2960





E12_18 Presence of Emergency Information Form -25



E12_18 Presence of Emergency Information Form 0

E12_18 Presence of Emergency Information Form 1

E12_19 Alcohol/Drug Use Indicators -25

E12_19 Alcohol/Drug Use Indicators -15

E12_19 Alcohol/Drug Use Indicators -10E12_19 Alcohol/Drug Use Indicators -5

E12_19 Alcohol/Drug Use Indicators 2985




E12_20 Pregnancy -25

E12_20 Pregnancy -10

E12_20 Pregnancy -5

E12_20 Pregnancy 0

E12_20 Pregnancy 1

E13_01 Run Report Narrative -25

E13_01 Run Report Narrative -10E13_01 Run Report Narrative -5

E13_01 Run Report Narrative 10001

E14_01 Date/Time Vital Signs Taken 10001

E14_02 Obtained Prior to this Units EMS Care -25



E14_02 Obtained Prior to this Units EMS Care 0

E14_02 Obtained Prior to this Units EMS Care 1


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E14_03 Cardiac Rhythm -25



E14_03 Cardiac Rhythm 3005



E14_03 Cardiac Rhythm 3020E14_03 Cardiac Rhythm 3025











E14_03 Cardiac Rhythm 3080E14_03 Cardiac Rhythm 3085












E14_03 Cardiac Rhythm 3145E14_04 SBP (Systolic Blood Pressure) 10001

E14_05 DBP (Diastolic Blood Pressure) 10001

E14_06 Method of Blood Pressure Measurement 3150





E14_07 Pulse Rate 10001

E14_08 Electronic Monitor Rate 10001

E14_09 Pulse Oximetry 10001

E14_10 Pulse Rhythm -25

E14_10 Pulse Rhythm -10E14_10 Pulse Rhythm -5

E14_10 Pulse Rhythm 3175

E14_10 Pulse Rhythm 3180

E14_11 Respiratory Rate 10001

E14_12 Respiratory Effort -25



E14_12 Respiratory Effort 3185


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E14_13 Carbon Dioxide 10001

E14_14 Blood Glucose Level 10001

E14_15 Glasgow Coma Score-Eye 18000E14_15 Glasgow Coma Score-Eye 18000.5

E14_15 Glasgow Coma Score-Eye 18001

E14_15 Glasgow Coma Score-Eye 18001.5





E14_16 Glasgow Coma Score-Verbal 18004




E14_16 Glasgow Coma Score-Verbal 18008E14_16 Glasgow Coma Score-Verbal 18009






E14_16 Glasgow Coma Score-Verbal 18016.5






E14_16 Glasgow Coma Score-Verbal 18019.5E14_16 Glasgow Coma Score-Verbal 18020

E14_17 Glasgow Coma Score-Motor 18021













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E14_18 Glasgow Coma Score-Qualifier -25



E14_18 Glasgow Coma Score-Qualifier 3210

E14_18 Glasgow Coma Score-Qualifier 3215

E14_18 Glasgow Coma Score-Qualifier 3220E14_18 Glasgow Coma Score-Qualifier 3225

E14_19 Total Glasgow Coma Score 10001

E14_20 Temperature 10001

E14_21 Temperature Method 3230





E14_22 Level of Responsiveness -25



E14_22 Level of Responsiveness 3255E14_22 Level of Responsiveness 3260

E14_22 Level of Responsiveness 3265

E14_22 Level of Responsiveness 3270

E14_23 Pain Scale 10001

E14_24 Stroke Scale -25



E14_24 Stroke Scale 3275





E14_24 Stroke Scale 3300E14_25 Thrombolytic Screen -25

E14_25 Thrombolytic Screen -10

E14_25 Thrombolytic Screen -5

E14_25 Thrombolytic Screen 3305



E14_26 APGAR 10001

E14_27 Revised Trauma Score 10001

E14_28 Pediatric Trauma Score 10001

E15_01 NHTSA Injury Matrix External/Skin -25

E15_01 NHTSA Injury Matrix External/Skin -10

E15_01 NHTSA Injury Matrix External/Skin -5E15_01 NHTSA Injury Matrix External/Skin 3320

E15_01 NHTSA Injury Matrix External/Skin 3325








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E15_02 NHTSA Injury Matrix Head -25



E15_02 NHTSA Injury Matrix Head 3320E15_02 NHTSA Injury Matrix Head 3325

E15_02 NHTSA Injury Matrix Head 3330









E15_03 NHTSA Injury Matrix Face -25

E15_03 NHTSA Injury Matrix Face -10E15_03 NHTSA Injury Matrix Face -5

E15_03 NHTSA Injury Matrix Face 3320











E15_04 NHTSA Injury Matrix Neck -25E15_04 NHTSA Injury Matrix Neck -10

E15_04 NHTSA Injury Matrix Neck -5

E15_04 NHTSA Injury Matrix Neck 3320









E15_04 NHTSA Injury Matrix Neck 3365E15_04 NHTSA Injury Matrix Neck 3370

E15_05 NHTSA Injury Matrix Thorax -25



E15_05 NHTSA Injury Matrix Thorax 3320





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E15_05 NHTSA Injury Matrix Thorax 3370E15_06 NHTSA Injury Matrix Abdomen -25

E15_06 NHTSA Injury Matrix Abdomen -10

E15_06 NHTSA Injury Matrix Abdomen -5

E15_06 NHTSA Injury Matrix Abdomen 3320








E15_06 NHTSA Injury Matrix Abdomen 3360E15_06 NHTSA Injury Matrix Abdomen 3365


E15_07 NHTSA Injury Matrix Spine -25



E15_07 NHTSA Injury Matrix Spine 3320







E15_07 NHTSA Injury Matrix Spine 3355E15_07 NHTSA Injury Matrix Spine 3360



E15_08 NHTSA Injury Matrix Upper Extremities -25



E15_08 NHTSA Injury Matrix Upper Extremities 3320





E15_08 NHTSA Injury Matrix Upper Extremities 3345E15_08 NHTSA Injury Matrix Upper Extremities 3350





E15_09 NHTSA Injury Matrix Pelvis -25




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E15_09 NHTSA Injury Matrix Pelvis 3320






E15_09 NHTSA Injury Matrix Pelvis 3350E15_09 NHTSA Injury Matrix Pelvis 3355




E15_10 NHTSA Injury Matrix Lower Extremities -25



E15_10 NHTSA Injury Matrix Lower Extremities 3320




E15_10 NHTSA Injury Matrix Lower Extremities 3340E15_10 NHTSA Injury Matrix Lower Extremities 3345






E15_11 NHTSA Injury Matrix Unspecified -25



E15_11 NHTSA Injury Matrix Unspecified 3320



E15_11 NHTSA Injury Matrix Unspecified 3335E15_11 NHTSA Injury Matrix Unspecified 3340







E16_01 Estimated Body Weight 10001

E16_02 Broselow/Luten Color -25



E16_02 Broselow/Luten Color 3375E16_02 Broselow/Luten Color 3380

E16_02 Broselow/Luten Color 3385








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E16_03 Date/Time of Assessment 10001

E16_04 Skin Assessment -25



E16_04 Skin Assessment 3420


E16_04 Skin Assessment 3430E16_04 Skin Assessment 3435







E16_05 Head/Face Assessment -25



E16_05 Head/Face Assessment 3470

E16_05 Head/Face Assessment 3475E16_05 Head/Face Assessment 3480




E16_06 Neck Assessment -25



E16_06 Neck Assessment 3500





E16_06 Neck Assessment 3525E16_07 Chest/Lungs Assessment -25

E16_07 Chest/Lungs Assessment -10

E16_07 Chest/Lungs Assessment -5

E16_07 Chest/Lungs Assessment 3530





E16_07 Chest

nemsis data elements and values v2.2.1.1.2009 002

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