new york state supplement to the national ems information
TRANSCRIPT
Bureau of
Emergency Medical Services
& Trauma Systems
New York State Supplement
to the
National EMS Information System (NEMSIS)
Version 3.4.0 Data Dictionary
www.NEMSIS.org
Supplement Current as of: November 21, 2017
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 2 of 93
INTRODUCTION
This document is supplemental to the NEMSIS1 Data Dictionary – NHTSA v3.4.0 EMS Data Standard.2 Its purpose is:
1. to provide the New York State (NYS) specific information necessary for electronic Prehospital Care Report (e-PCR)
software vendors to deploy the NEMSIS Version 3 (v3) standard in NYS; and
2. to assist EMS Providers in understanding how to document EMS events using the NEMSIS v3 standard.
This NYS/NEMSIS v3 Supplement does not replace the NEMSIS v3 Data Dictionary2 but rather addresses the data needs of
the NYS EMS System within the established NEMSIS v3 schema.
This supplement is companion to any NYS Bureau of Emergency Medical Services and Trauma Systems (BEMSATS) Policy
Statement regarding paper or electronic PCRs and patient care documentation. As EMS is evidence-based medicine, data
and documentation needs will change over time. NEMSIS may add or modify data elements – and NYS (or any of its EMS
Regions) may customize data elements – to capture new information or assist EMS Providers in documenting specific
conditions or situations (i.e., naloxone, blood administration, stroke care, Community Paramedicine, etc.). As such, users
should anticipate periodic revisions to this supplement and related BEMSATS policy statements, and be mindful of the
“Supplement Current as of . . .” date found both on the front cover and at the bottom of each page of this supplement.
NYS collects only specific data from an e-PCR, not the entire e-PCR. This supplement includes only the data elements
required to be transmitted to NYS (and NEMSIS). It does not address additional data elements that may be required by
an EMS Agency, Regional Emergency Medical Services Council/Regional Emergency Medical Advisory Committee
(REMSCO/REMAC), or Physician Medical Director for quality improvement, medical oversight, and/or medicolegal
documentation purposes. It should not be assumed that an e-PCR containing only the data elements listed in this
supplement will represent a complete PCR, meet generally accepted patient care documentation standards, or be legally
defensible. When determining what data elements to collect in a local e-PCR system, EMS Agencies must include all the
data elements listed in this supplement and carefully consider (in consultation with the REMSCO/REMAC and Physician
Medical Director) what additional data elements should be collected.
Any e-PCR system deployed in NYS must remain compliant with the latest NEMSIS standards and compatible with the NYS
e-PCR system. It is intended that this supplement will provide both the direction needed for software vendors to develop
NEMSIS v3 e-PCR systems for use in NYS, and clarification to EMS Providers in documenting patient care within the NEMSIS
v3 format. Should further clarification be needed, please contact:
New York State – Department of Health
Bureau of Emergency Medical Services and Trauma Systems
875 Central Ave., Albany, NY 12206
(518) 402 – 0996
1. National Emergency Medical Services Information System (www.nemsis.org)
2. https://nemsis.org/media/nemsis_v3/release-3.4.0/DataDictionary/PDFHTML/DEMEMS/NEMSISDataDictionary.pdf
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GENERAL RULES
NYS CLARIFICATIONS ON HOW TO USE THE NEMSIS VALUES
A concern with the prior NEMSIS Version 2 standard was the use of data values (particularly “Not” values) that were not
relevant to the NYS EMS System, created confusion for EMS Providers when trying to document certain situations, or
created difficulties for software vendors trying to transmit data to NYS. For example, with Possible Injury it makes sense
to report “Yes” or “No” if there is a patient; but, what if there is no patient, or the situation is medical in nature, or possible
injury cannot be ascertained? What does the EMS Provider record in these situations, and what does the software vendor
transmit to NYS?
NEMSIS v2 Data Dictionary
This supplement provides the minimum list of NEMSIS v3 data elements that must be collected and transmitted to NYS,
as well as clarifications as to what NEMSIS or other values EMS Providers should document in certain situations, and how
e-PCR software vendors must transmit that documentation to NYS.
(See illustration on next page as an example of how clarifications are presented in this supplement.)
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ILLUSTRATION OF
NEMSIS v3 DATA DICTIONARY with NYS SUPPLEMENTAL INFORMATION CLARIFICATIONS
NEMSIS v3 DATA DICTIONARY
NYS SUPPLEMENTAL INFORMATION
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“DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS”
Where indicated, the NEMSIS values shown are NOT to be transmitted to NYS (unless otherwise specified). If transmitted,
the data file will be rejected.
EXAMPLE
“NOT” VALUES
Unless otherwise specified, NYS will use “NOT” values in accordance with the whitepaper NEMSIS V3 Guidance for the use
of NOT Values. See the white paper for further guidance and clarifying examples.
https://nemsis.org/media/nemsis_v3/master/UsageGuides/NEMSIS_v3_NOT_Values_Use_Guidance.pdf
Not Applicable
If the data element (question) is not pertinent to the situation, the value (answer) “Not Applicable” is to be
manually selected by the EMS Provider or auto-populated by the e-PCR software.
Not Recorded
If the data element (question) is pertinent to the situation but was not answered (left blank) by the EMS Provider,
the value (answer) “Not Recorded” is to be auto‐populate by the e-PCR software.
NOTE “Not Recorded” is to be used only in the software background and not available to the EMS Provider.
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Not Reporting
If the data element (question) is not being used by NYS or the EMS Agency, the e-PCR software is to auto‐populate
the value (answer) "Not Reporting".
NOTE “Not Reporting” is to be used only in the software background and not available to the EMS Provider.
NOTE Unless otherwise specified, all data elements listed in this supplement are required in NYS.
“Always Report . . .”
Where indicated, the NEMSIS/NISE value provided is the only value that will be accepted by NYS for that data element.
If any other value is transmitted to NYS – even if allowed by NEMSIS – the data file will be rejected.
“NO NYS SPECIFIC SUPPLEMENTAL INFORMATION”
Where indicated, the data element is required in NYS, but no NYS supplemental clarifying information is necessary. Unless
otherwise specified, the NEMSIS v3 Data Dictionary for that data element is to be followed, as is.
DATA TRANSMISSION TO NYS
Automated Web Service. NYS will only accept data transmitted through the automated web service provided. Manual
uploading of data to the NYS e-PCR system will not be allowed.
“d” (Demographic) Data. “d” element data is to be transmitted to NYS – as soon as practical – whenever there is a change
in the local e-PCR system to any “d” data element listed in this supplement.
“e” (Event) Data. “e” element data is to be transmitted to NYS as close to real-time as possible. Although some e-PCR
systems may not be capable of immediate transmission, transmission only monthly, weekly, or daily is unacceptable.
Ideally, when the EMS Provider “closes” the e-PCR, the system should automatically begin transmitting data to NYS.
Data Checks / Quality Reviews / Resubmissions. NYS collects only specific data from an e-PCR, not the entire e-PCR.
Local e-PCR systems should employ automated data validation/error checking to detect incomplete/inaccurate NYS
required data and prompt the EMS Provider for correction before the data is transmitted to NYS. All data is to be
transmitted to NYS as described above and is NOT to be held for quality review prior to transmission. However, should
NYS required data later be corrected, the corrected data (entire record) should be re-transmitted.
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NYS Element / Value Customizations
Below is a complete list of all NYS element/value customizations [NEMSIS Implemented State Enhancement (NISE) Codes]
with corresponding mappings to NEMSIS v3 values.
dAgency.11 – Level of Care
NISE Value it9917.125 – NYS EMT-Critical Care (EMT-CC) Maps To 9917007 – 2009 Paramedic
dConfiguration.02 – State Certification/Licensure Levels
NISE Value it9911.134 – NYS EMT-Critical Care (EMT-CC) Maps To 9911007 – 2009 Paramedic
dConfiguration.06 – EMS Certification Levels Permitted to Perform Each Procedure
NISE Value it9925.134 – NYS EMT-Critical Care (EMT-CC) Maps To 9911007 – 2009 Paramedic
dConfiguration.08 – EMS Certification Levels Permitted to Administer Each Medication
NISE Value it9911.134 – NYS EMT-Critical Care (EMT-CC) Maps To 9911007 – 2009 Paramedic
dPersonnel.24 – EMS Personnel’s State EMS Certification/Licensure Level
NISE Value it9925.134 – NYS EMT-Critical Care (EMT-CC) Maps To 9925007 – 2009 Paramedic
eResponse.15 – Level of Care of This Unit
NISE Value it.2215.100 – NYS EMT-Critical Care (EMT-CC) [ALS-Critical Care] Maps To 2215013 – ALS-Paramedic
NOTE it.2215.100 - - - The extra “.” is correct.
eCrew.02 – Crew Member Level
NISE Value it9925.134 – NYS EMT-Critical Care (EMT-CC) Maps To 9925007 – 2009 Paramedic
eScene.08 – Triage Classification for MCI Patient
NISE Value it2708.105 – ORANGE (NYC Only) – The patient is experiencing a medical emergency that is of higher importance than any traumatic injury the patient may have.
Maps To 2708003 – YELLOW – Delayed
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eHistory.05 – Advance Directives
NISE Value it3105.103 – NYS MOLST (DNR) – The standard NYS Medical Orders for Life-Sustaining Treatment (MOLST) form (DOH-5003) indicating DNR Order: Do Not Attempt Resuscitation (Allow Natural Death).
Maps To 3105009 – Other Healthcare Advance Directive Form
NISE Value it3105.107 – NYS MOLST (DNI) – The standard NYS Medical Orders for Life-Sustaining Treatment (MOLST) form (DOH-5003) indicating Do Not Intubate (DNI).
Maps To 3105009 – Other Healthcare Advance Directive Form
NISE Value it3105.106 – NYS MOLST (No IV Fluids) – The standard NYS Medical Orders for Life- Sustaining Treatment (MOLST) form (DOH-5003) indicating No IV Fluids.
Maps To 3105009 – Other Healthcare Advance Directive Form
NISE Value it3105.112 – NYS MOLST (Limited Interventions or Comfort Measures ONLY) – The standard NYS Medical Orders for Life-Sustaining Treatment (MOLST) form (DOH-5003) indicating Limited Medical Interventions or Comfort Measures Only.
Maps To 3105009 – Other Healthcare Advance Directive Form eExam.15 – Extremity Assessment Findings Location
NISE Value it3515.001 – Patella-Left Maps To 3515053 – Knee-Left
NISE Value it3515.002 – Patella-Right Maps To 3515055 – Knee-Right
eMedications.10 – Role/Type of Person Administering Medication
NISE Value it9905.179 – NYS Certified EMT-Critical Care (EMT-CC) Maps To 9905007 – 2009 Paramedic
eProcedures.10 – Role/Type of Person Performing the Procedure
NISE Value it9905.179 – NYS Certified EMT-Critical Care (EMT-CC) Maps To 9905007 – 2009 Paramedic
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Table of Contents (dState & eState Groups)
dState.01 – State Required Element NEMSIS DD Page 8
eState.01 – State Required Elements NEMSIS DD Page 193
This Table of Contents shall serve as NEMSIS data elements dState.01 and eState.01.
All data elements listed in this Table and supplement are required by NYS, unless otherwise specified.
NOTE For the NEMSIS required timestamp, report the “Supplement Current as of . . .“ date found both on
the front cover and at the bottom of each page of this supplement.
dAgency Group Supplement Page #
1. dAgency.01 – EMS Agency Unique State ID 17
2. dAgency.02 – EMS Agency Number 17
3. dAgency.04 – EMS Agency State 17
4. dAgency.05 – EMS Agency Service Area States 18
5. dAgency.06 – EMS Agency Service Area County(ies) 18
6. dAgency.07 – EMS Agency Census Tracts 18
7. dAgency.08 – EMS Agency Service Area ZIP Codes 18
8. dAgency.09 – Primary Type of Service 19
9. dAgency.11 – Level of Service 20
10. dAgency.12 – Organization Status 20
11. dAgency.13 – Organizational Type 21
12. dAgency.14 – EMS Agency Organizational Tax Status 21
13. dAgency.15 – Statistical Calendar Year 22
14. dAgency.16 – Total Primary Service Area Size 22
15. dAgency.17 – Total Service Area Population 22
16. dAgency.18 – 911 EMS Call Center Volume per Year 22
17. dAgency.19 – EMS Dispatch Volume per Year 22
18. dAgency.20 – EMS Patient Transport Volume per Year 22
19. dAgency.21 – EMS Patient Contact Volume per Year 22
20. dAgency.22 – EMS Billable Calls per Year 22
21. dAgency.25 – National Provider Identifier 22
22. dAgency.26 – Fire Department ID Number 23
dConfiguration Group Supplement Page #
23. dConfiguration.01 – State Associated with the Certification/Licensure Levels 24
24. dConfiguration.02 – State Certification/Licensure Levels 24
25. dConfiguration.03 – Procedures Permitted by the State 25
26. dConfiguration.04 – Medications Permitted by the State 25
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27. dConfiguration.05 – Protocols Permitted by the State 25
28. dConfiguration.06 – EMS Certification Levels Permitted to Perform Each Procedure 28
29. dConfiguration.07 – EMS Agency Procedures 28
30. dConfiguration.08 – EMS Certification Levels Permitted to Administer Each Medication 28
31. dConfiguration.09 – EMS Agency Medications 28
32. dConfiguration.10 – EMS Agency Protocols 28
33. dConfiguration.11 – EMS Agency Specialty Service Capability 29
34. dConfiguration.12 – Billing Status 29
35. dConfiguration.13 – Emergency Medical Dispatch (EMD) Provided to EMS Agency Service Area 29
36. dConfiguration.15 – Patient Monitoring Capability(ies) 29
37. dConfiguration.16 – Crew Call Sign 29
dPersonnel Group Supplement Page #
38. dPersonnel.01 – EMS Personnel's Last Name 30
39. dPersonnel.02 – EMS Personnel's First Name 30
40. dPersonnel.03 – EMS Personnel's Middle Name/Initial 30
41. dPersonnel.11 – EMS Personnel’s Date of Birth 31
42. dPersonnel.21 – EMS Personnel's Agency ID Number 31
43. dPersonnel.23 – EMS Personnel's State's Licensure ID Number 32
44. dPersonnel.24 – EMS Personnel's State EMS Certification Licensure Level 33
dFacility Group Supplement Page #
45. dFacility.02 – Facility Name 34
46. dFacility.03 – Facility Location Code 34
eRecord Group Supplement Page #
47. eRecord.01 – Patient Care Report Number 43
48. eRecord.02 – Software Creator 43
49. eRecord.03 – Software Name 43
50. eRecord.04 – Software Version 43
eResponse Group Supplement Page #
51. eResponse.01 – EMS Agency Number 44
52. eResponse.03 – Incident Number 44
53. eResponse.04 – EMS Response Number 44
54. eResponse.05 – Type of Service Requested 44
55. eResponse.06 – Standby Purpose 44
56. eResponse.07 – Primary Role of the Unit 44
57. eResponse.08 – Type of Dispatch Delay 45
58. eResponse.09 – Type of Response Delay 45
59. eResponse.10 – Type of Scene Delay 45
60. eResponse.11 – Type of Transport Delay 45
61. eResponse.12 – Type of Turn-Around Delay 45
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62. eResponse.13 – EMS Vehicle (Unit) Number 45
63. eResponse.14 – EMS Unit Call Sign 45
64. eResponse.15 – Level of Care of This Unit 46
65. eResponse.19 – Beginning Odometer Reading of Responding Vehicle 46
66. eResponse.20 – On-Scene Odometer Reading of Responding Vehicle 46
67. eResponse.21 – Patient Destination Odometer Reading of Responding Vehicle 46
68. eResponse.23 – Response Mode to Scene 46
69. eResponse.24 – Additional Response Mode Descriptors 47
eDispatch Group Supplement Page #
70. eDispatch.01 – Complaint Reported by Dispatch 48
71. eDispatch.02 – EMD Performed 48
eCrew Group Supplement Page #
72. eCrew.01 – Crew Member ID 49
73. eCrew.02 – Crew Member Level 50
74. eCrew.03 – Crew Member Response Role 51
eTimes Group Supplement Page #
75. eTimes.01 – PSAP Call Date/Time 52
76. eTimes.03 – Unit Notified by Dispatch Date/Time 52
77. eTimes.05 – Unit En Route Date/Time 52
78. eTimes.06 – Unit Arrived on Scene Date/Time 52
79. eTimes.07 – Arrived at Patient Date/Time 52
80. eTimes.08 – Transfer of EMS Patient Care Date/Time 52
81. eTimes.09 – Unit Left Scene Date/Time 52
82. eTimes.11 – Patient Arrived at Destination Date/Time 52
83. eTimes.12 – Destination Patient Transfer of Care Date/Time 52
84. eTimes.13 – Unit Back in Service Date/Time 52
85. eTimes.14 – Unit Canceled Date/Time 52
ePatient Group Supplement Page #
86. ePatient.01 – EMS Patient ID 53
87. ePatient.02 – Last Name 53
88. ePatient.03 – First Name 53
89. ePatient.07 – Patient's Home County 54
90. ePatient.08 – Patient's Home State 54
91. ePatient.09 – Patient's Home ZIP Code 54
92. ePatient.10 – Patient's Country of Residence 54
93. ePatient.12 – Social Security Number 54
94. ePatient.13 – Gender 54
95. ePatient.14 – Race 55
96. ePatient.15 – Age 55
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97. ePatient.16 – Age Units 55
98. ePatient.17 – Date of Birth 55
ePayment Group Supplement Page #
99. ePayment.01 – Primary Method of Payment 56
100. ePayment.50 – CMS Service Level 56
eScene Group Supplement Page #
101. eScene.01 – First EMS Unit on Scene 57
102. eScene.06 – Number of Patients at Scene 57
103. eScene.07 – Mass Casualty Incident 57
104. eScene.08 – Triage Classification for MCI Patient 57
105. eScene.09 – Incident Location Type 58
106. eScene.10 – Incident Facility Code 58
107. eScene.11 – Scene GPS Location 58
108. eScene.15 – Incident Street Address 58
109. eScene.17 – Incident City 58
110. eScene.18 – Incident State 58
111. eScene.19 – Incident ZIP Code 58
112. eScene.21 – Incident County 58
eSituation Group Supplement Page #
113. eSituation.01 – Date/Time of Symptom Onset 59
114. eSituation.02 – Possible Injury 59
115. eSituation.03 – Complaint Type 60
116. eSituation.04 – Complaint 60
117. eSituation.05 – Duration of Complaint 60
118. eSituation.06 – Time Units of Duration of Complaint 60
119. eSituation.07 – Chief Complaint Anatomic Location 60
120. eSituation.08 – Chief Complaint Organ System 60
121. eSituation.09 – Primary Symptom 60
122. eSituation.10 – Other Associated Symptoms 60
123. eSituation.11 – Provider's Primary Impression 60
124. eSituation.12 – Provider's Secondary Impressions 60
125. eSituation.13 – Initial Patient Acuity 60
126. eSituation.17 – Patient Activity 60
127. eSituation.18 – Date/Time Last Known Well 60
eInjury Group Supplement Page #
128. eInjury.01 – Cause of Injury 61
129. eInjury.02 – Mechanism of Injury 61
130. eInjury.03 – Trauma Center Criteria 61
131. eInjury.04 – Vehicular, Pedestrian, or Other Injury Risk Factor 61
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132. eInjury.05 – Main Area of the Vehicle Impacted by the Collision 61
133. eInjury.06 – Location of Patient in Vehicle 62
134. eInjury.07 – Use of Occupant Safety Equipment 62
135. eInjury.08 – Airbag Deployment 62
136. eInjury.09 – Height of Fall (feet) 62
eArrest Group Supplement Page #
137. eArrest.01 – Cardiac Arrest 63
138. eArrest.02 – Cardiac Arrest Etiology 63
139. eArrest.03 – Resuscitation Attempted By EMS 63
140. eArrest.04 – Arrest Witnessed By 63
141. eArrest.05 – CPR Care Provided Prior to EMS Arrival 63
142. eArrest.06 – Who Provided CPR Prior to EMS Arrival 63
143. eArrest.07 – AED Use Prior to EMS Arrival 63
144. eArrest.08 – Who Used AED Prior to EMS Arrival 63
145. eArrest.09 – Type of CPR Provided 64
146. eArrest.11 – First Monitored Arrest Rhythm of the Patient 64
147. eArrest.12 – Any Return of Spontaneous Circulation 64
148. eArrest.14 – Date/Time of Cardiac Arrest 64
149. eArrest.15 – Date/Time Resuscitation Discontinued 64
150. eArrest.16 – Reason CPR/Resuscitation Discontinued 64
151. eArrest.17 – Cardiac Rhythm on Arrival at Destination 64
152. eArrest.18 – End of EMS Cardiac Arrest Event 64
153. eArrest.19 – Date/Time of Initial CPR 64
eHistory Group Supplement Page #
154. eHistory.01 – Barriers to Patient Care 65
155. eHistory.05 – Advance Directives 65
156. eHistory.06 – Medication Allergies 66
157. eHistory.07 – Environmental/Food Allergies 66
158. eHistory.08 – Medical/Surgical History 66
159. eHistory.12 – Current Medications 66
160. eHistory.17 – Alcohol/Drug Use Indicators 66
161. eHistory.18 – Pregnancy 66
eNarrative Group Supplement Page #
162. eNarrative.01 – Patient Care Report Narrative 67
eVitals Group Supplement Page #
163. eVitals.01 – Date/Time Vital Signs Taken 68
164. eVitals.02 – Obtained Prior to this Unit's EMS Care 68
165. eVitals.03 – Cardiac Rhythm / Electrocardiography (ECG) 68
166. eVitals.04 – ECG Type 68
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167. eVitals.05 – Method of ECG Interpretation 68
168. eVitals.06 – SBP (Systolic Blood Pressure) 68
169. eVitals.07 – DBP (Diastolic Blood Pressure) 69
170. eVitals.08 – Method of Blood Pressure Measurement 69
171. eVitals.09 – Mean Arterial Pressure 70
172. eVitals.10 – Heart Rate 70
173. eVitals.11 – Method of Heart Rate Measurement 70
174. eVitals.12 – Pulse Oximetry 71
175. eVitals.13 – Pulse Rhythm 71
176. eVitals.14 – Respiratory Rate 71
177. eVitals.15 – Respiratory Effort 71
178. eVitals.16 – End Tidal Carbon Dioxide (ETCO2) 72
179. eVitals.17 – Carbon Monoxide (CO) 72
180. eVitals.18 – Blood Glucose Level 72
181. eVitals.19 – Glasgow Coma Score-Eye 72
182. eVitals.20 – Glasgow Coma Score-Verbal 72
183. eVitals.21 – Glasgow Coma Score-Motor 72
184. eVitals.22 – Glasgow Coma Score-Qualifier 72
185. eVitals.23 – Total Glasgow Coma Score 72
186. eVitals.24 – Temperature 73
187. eVitals.25 – Temperature Method 73
188. eVitals.26 – Level of Responsiveness (AVPU) 73
189. eVitals.27 – Pain Scale Score 73
190. eVitals.28 – Pain Scale Type 73
191. eVitals.29 – Stroke Scale Score 74
192. eVitals.30 – Stroke Scale Type 74
193. eVitals.31 – Reperfusion Checklist 74
194. eVitals.32 – APGAR 74
eExam Group Supplement Page #
195. eExam.01 – Estimated Body Weight in Kilograms 75
196. eExam.04 – Skin Assessment 76
197. eExam.05 – Head Assessment 76
198. eExam.06 – Face Assessment 76
199. eExam.07 – Neck Assessment 76
200. eExam.08 – Chest/Lungs Assessment 76
201. eExam.09 – Heart Assessment 76
202. eExam.10 – Abdominal Assessment Finding Location 76
203. eExam.11 – Abdomen Assessment 76
204. eExam.12 – Pelvis/Genitourinary Assessment 76
205. eExam.13 – Back and Spine Assessment Finding Location 76
206. eExam.14 – Back and Spine Assessment 76
207. eExam.15 – Extremity Assessment Finding Location 76
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208. eExam.16 – Extremities Assessment 76
209. eExam.17 – Eye Assessment Finding Location 76
210. eExam.18 – Eye Assessment 76
211. eExam.19 – Mental Status Assessment 76
212. eExam.20 – Neurological Assessment 76
213. eExam.21 – Stroke/CVA Symptoms Resolved 77
eProtocols Group Supplement Page #
214. eProtocols.01 – Protocols Used 78
215. eProtocols.02 – Protocol Age Category 78
eMedications Group Supplement Page #
216. eMedications.01 – Date/Time Medication Administered 79
217. eMedications.02 – Medication Administered Prior to this Unit's EMS Care 79
218. eMedications.03 – Medication Given 79
219. eMedications.04 – Medication Administered Route 79
220. eMedications.05 – Medication Dosage 79
221. eMedications.06 – Medication Dosage Units 79
222. eMedications.07 – Response to Medication 79
223. eMedications.08 – Medication Complication 79
224. eMedications.09 – Medication Crew (Healthcare Professionals) ID 80
225. eMedications.10 – Role/Type of Person Administering Medication 81
226. eMedications.11 – Medication Authorization 82
eProcedures Group Supplement Page #
227. eProcedures.01 – Date/Time Procedure Performed 83
228. eProcedures.02 – Procedure Performed Prior to this Unit's EMS Care 83
229. eProcedures.03 – Procedure 83
230. eProcedures.05 – Number of Procedure Attempts 83
231. eProcedures.06 – Procedure Successful 83
232. eProcedures.07 – Procedure Complication 83
233. eProcedures.08 – Response to Procedure 83
234. eProcedures.09 – Procedure Crew Members ID 83
235. eProcedures.10 – Role/Type of Person Performing the Procedure 84
236. eProcedures.11 – Procedure Authorization 85
237. eProcedures.13 – Vascular Access Location 85
eAirway Group Supplement Page #
238. eAirway.01 – Indications for Invasive Airway 86
239. eAirway.02 – Date/Time Airway Device Placement Confirmation 86
240. eAirway.03 – Airway Device Being Confirmed 86
241. eAirway.04 – Airway Device Placement Confirmed Method 86
242. eAirway.06 – Type of Individual Confirming Airway Device Placement 86
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243. eAirway.07 – Crew Member ID 86
244. eAirway.08 – Airway Complications Encountered 87
245. eAirway.09 – Suspected Reasons for Failed Airway Management 87
246. eAirway.10 – Date/Time Decision to Manage the Patient with an Invasive Airway 87
247. eAirway.11 – Date/Time Invasive Airway Placement Attempts Abandoned 87
eDisposition Group Supplement Page #
248. eDisposition.01 – Destination/Transferred To, Name 88
249. eDisposition.02 – Destination/Transferred To, Code 88
250. eDisposition.05 – Destination State 88
251. eDisposition.06 – Destination County 88
252. eDisposition.07 – Destination ZIP Code 88
253. eDisposition.12 – Incident/Patient Disposition 88
254. eDisposition.13 – How Patient Was Moved to Ambulance 89
255. eDisposiiton.14 – Position of Patient During Transport 89
256. eDisposition.16 – EMS Transport Method 89
257. eDisposition.17 – Transport Mode from Scene 89
258. eDisposition.18 – Additional Transport Mode Descriptors 89
259. eDisposition.19 – Final Patient Acuity 89
260. eDisposition.20 – Reason for Choosing Destination 89
261. eDisposition.21 – Type of Destination 89
262. eDisposition.22 – Hospital In-Patient Destination 89
263. eDisposition.23 – Hospital Capability 90
264. eDisposition.24 – Destination Team Pre-Arrival Alert or Activation 90
265. eDisposition.25 – Date/Time of Destination Prearrival Alert or Activation 90
eOutcome Group Supplement Page #
266. eOutcome.01 – Emergency Department Disposition 91
267. eOutcome.02 – Hospital Disposition 91
eOther Group Supplement Page #
268. eOther.05 – Suspected EMS Work Related Exposure, Injury, or Death 92
269. eOther.08 – Crew Member Completing this Report 92
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 17 of 93
dAgency Group
dAgency.01 – EMS Agency Unique State ID NEMSIS DD Page 22
NYS will use dAgency.01 to group together related EMS Agencies.
o i.e., All agencies associated with the New York City 911 system.
o i.e., All agencies operated by the AMR Corporation.
o i.e., Agencies operating more than one service (different NYS EMS Agency Codes).
o etc.
• Report same as dAgency.02 (EMS Agency Number);
• Unless the EMS Agency is identified by NYS as affiliated with a larger group,
Then contact NYS for clarification on what to report for dAgency.01.
dAgency.02 – EMS Agency Number NEMSIS DD Page 23
• Report the EMS Agency Code issued by NYS.
NOTE NYS EMS Agency Codes are currently issued as four (4) digits in length.
• Leading zeros (“0”) may be required.
• i.e., Agency Code “123” is actually “0123” and must be handled as such.
dAgency.04 – EMS Agency State NEMSIS DD Page 25
Always Report “36” for New York State (NYS).
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 18 of 93
dAgency.05 – EMS Agency Service Area States NEMSIS DD Page 26
dAgency.06 – EMS Agency Service Area County(ies) NEMSIS DD Page 27
dAgency.07 – EMS Agency Census Tracts NEMSIS DD Page 28
dAgency.08 – EMS Agency Service Area ZIP Codes NEMSIS DD Page 29
Use the NEMSIS V3 Agency Service Area Builder webtool to assist with these data elements.
https://nemsis.org/media/ServiceAreaBuilder/
• Report all territory in which the EMS Agency formally provides service:
- dAgency.05 Report ALL STATES (Including NYS).
- dAgency.06 Report ALL COUNTIES (Inside and Outside NYS).
- dAgency.07 Report ALL US CENSUS TRACTS (Inside and Outside NYS).
- dAgency.08 Report ALL ZIP CODES (Inside and Outside NYS)
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701001 – Not Applicable
7701003 – Not Recorded
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 19 of 93
dAgency.09 – Primary Type of Service NEMSIS DD Page 30
In NYS, type of service is defined under NYS Law.
Thereby, these are the only NEMSIS values allowable in NYS.
NEMSIS
VALUE
NEMSIS
DESCRIPTION
NYS
DESCRIPTION
9920001 911 Response (Scene) with Transport Capability Ambulance
9920003 911 Response (Scene) without Transport Capability BLSFR (Basic Life Support First Response)
9920005 Air Medical Air Medical
9920007 ALS Intercept ALSFR (Advanced Life Support First Response)
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
9920011 – Hazmat
9920013 – Medical Transport (Convalescent, Interfacility Transfer Hospital and Nursing Home)
9920015 – Rescue
9920017 – Community Paramedicine
9920019 – Critical Care (Ground)
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 20 of 93
dAgency.11 – Level of Service NEMSIS DD Page 32
In NYS, level of service is defined under NYS Law.
Thereby, these are the only NEMSIS/NISE values allowable in NYS.
NEMSIS/NISE
VALUE
NEMSIS
DESCRIPTION
NYS
DESCRIPTION
9917001 2009 Advanced Emergency Medical Technician (AEMT) NYS Advanced EMT (AEMT)
9917003 2009 Emergency Medical Responder (EMR) NYS Certified First Responder (CFR)
9917005 2009 Emergency Medical Technician (EMT) NYS Emergency Medical Technician (EMT)
9917007 2009 Paramedic NYS Paramedic
it9917.125 NYS EMT – Critical Care (EMT–CC)
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
9917009 – First Responder
9917011 – EMT-Basic
9917013 – EMT-Intermediate
9917015 – EMT-Paramedic
9917019 – Physician
9917021 – Critical Care Paramedic
9917023 – Community Paramedicine
9917025 – Nurse Practitioner
9917027 – Physician Assistant
9917029 – Licensed Practical Nurse (LPN)
9917031 – Registered Nurse
dAgency.12 – Organization Status NEMSIS DD Page 33
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 21 of 93
dAgency.13 – Organizational Type NEMSIS DD Page 34
Report based on the
Certificate of Need (CON) holder to whom NYS issued the NYS EMS Agency Code,
not a contracted operator of the service.
IF THE EMS AGENCY IS OWNED BY… REPORT NEMSIS VALUE…
College 9912007 – Private, Nonhospital
Commercial, Private, Independent, or Industrial Company 9912007 – Private, Nonhospital
Fire Department, Company, District, or Protection District 9912001 – Fire Department
Hospital 9912005 – Hospital
Municipality (Other than Fire-Service Based) 9912003 – Governmental, Non-Fire
NYS / Federal Government 9912003 – Governmental, Non-Fire
Tribal Nation 9912009 – Tribal
dAgency.14 – EMS Agency Organizational Tax Status NEMSIS DD Page 35
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 22 of 93
dAgency.15 – Statistical Calendar Year NEMSIS DD Page 36
dAgency.16 – Total Primary Service Area Size NEMSIS DD Page 37
dAgency.17 – Total Service Area Population NEMSIS DD Page 38
dAgency.18 – 911 EMS Call Center Volume per Year NEMSIS DD Page 39
dAgency.19 – EMS Dispatch Volume per Year NEMSIS DD Page 40
dAgency.20 – EMS Patient Transport Volume per Year NEMSIS DD Page 41
dAgency.21 – EMS Patient Contact Volume per Year NEMSIS DD Page 42
dAgency.22 – EMS Billable Calls per Year NEMSIS DD Page 43
Use the NEMSIS V3 Agency Service Area Builder webtool to assist with dAgency.16 and dAgency.17.
https://nemsis.org/media/ServiceAreaBuilder/
• dAgency.18 NOTE: Report ONLY the number of EMS calls, not the total of all calls.
• dAgency.22 Report “7701001” (Not Applicable) only if
dAgency.25 (National Provider Identifier) = “7701001” (Not Applicable).
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701001 – Not Applicable (Except dAgency.22)
7701003 – Not Recorded
7701005 – Not Reporting
dAgency.25 – National Provider Identifier NEMSIS DD Page 46
Report the National Provider Identifier (NPI) issued to the actual EMS Agency,
NOT a parent company of the EMS Agency.
• Report “7701001” (Not Applicable) only if the EMS Agency does not routinely bill for services.
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701003 – Not Recorded
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 23 of 93
dAgency.26 – Fire Department ID Number NEMSIS DD Page 47
• If the EMS Agency is fire-based [dAgency.13 = “9912001” (Fire Department)],
report the Fire Department Identifier (FDID) issued by the NYS Office of Fire Prevention and Control (OFPC).
OFPC FDID Lookup http://www.dhses.ny.gov/ofpc/faq/fdid.cfm
• Otherwise, report “7701001” (Not Applicable).
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701003 – Not Recorded
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 24 of 93
dConfiguration Group
dConfiguration.01 – State Associated with the Certification/Licensure Levels NEMSIS DD Page 68
Always Report “36” for New York State (NYS).
dConfiguration.02 – State Certification/Licensure Levels NEMSIS DD Page 69
In NYS, certification levels are defined under NYS Law.
Thereby, these are the only NEMSIS/NISE values allowable in NYS.
NEMSIS/NISE
VALUE
NEMSIS
DESCRIPTION
NYS
DESCRIPTION
9911001 2009 Advanced Emergency Medical Technician (AEMT) NYS Advanced EMT (AEMT)
9911003 2009 Emergency Medical Responder (EMR) NYS Certified First Responder (CFR)
9911005 2009 Emergency Medical Technician (EMT) NYS Emergency Medical Technician (EMT)
9911007 2009 Paramedic NYS Paramedic
it9911.134 NYS EMT – Critical Care (EMT–CC)
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
9911009 – EMT-Basic
9911011 – EMT-Intermediate
9911013 – EMT-Paramedic
9911015 – First Responder
9911019 – Other
9911021 – Physician
9911023 – Critical Care Paramedic
9911025 – Community Paramedicine
9911027 – Nurse Practitioner
9911029 – Physician Assistant
9911031 – Licensed Practical Nurse (LPN)
9911033 – Registered Nurse
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 25 of 93
dConfiguration.03 – Procedures Permitted by the State NEMSIS DD Page 70
dConfiguration.04 – Medications Permitted by the State NEMSIS DD Page 71
dConfiguration.05 – Protocols Permitted by the State NEMSIS DD Page 72
In NYS, permitted procedures, medications, and protocols vary by region, agency, and certification level.
Therefore, comprehensive lists of procedures/medications/protocols “permitted by the state” do not exist.
Always Report “7701001” (Not Applicable).
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701003 – Not Recorded
9914001 – Airway
9914003 – Airway-Failed
9914005 – Airway-Obstruction/Foreign Body
9914007 – Airway-Rapid Sequence Induction (RSI-Paralytic)
9914009 – Airway-Sedation Assisted (Non-Paralytic)
9914011 – Cardiac Arrest-Asystole
9914013 – Cardiac Arrest-Hypothermia-Therapeutic
9914015 – Cardiac Arrest-Pulseless Electrical Activity
9914017 – Cardiac Arrest-Ventricular Fibrillation/ Pulseless Ventricular Tachycardia
9914019 – Cardiac Arrest-Post Resuscitation Care
9914021 – Environmental-Altitude Sickness
9914023 – Environmental-Cold Exposure
9914025 – Environmental-Frostbite/Cold Injury
9914027 – Environmental-Heat Exposure/Exhaustion
9914029 – Environmental-Heat Stroke/Hyperthermia
9914031 – Environmental-Hypothermia
9914033 – Exposure-Airway/Inhalation Irritants
9914035 – Exposure-Biological/Infectious
9914037 – Exposure-Blistering Agents
9914041 – Exposure-Chemicals to Eye
9914043 – Exposure-Cyanide
9914045 – Exposure-Explosive/ Blast Injury
9914047 – Exposure-Nerve Agents
9914049 – Exposure-Radiologic Agents
9914051 – General-Back Pain
9914053 – General-Behavioral/Patient Restraint
9914055 – General-Cardiac Arrest
9914057 – General-Dental Problems
9914059 – General-Epistaxis
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 26 of 93
9914061 – General-Fever
9914063 – General-Individualized Patient Protocol
9914065 – General-Indwelling Medical Devices/Equipment
9914067 – General-IV Access
9914069 – General-Medical Device Malfunction
9914071 – General-Pain Control
9914073 – General-Spinal Immobilization/Clearance
9914075 – General-Universal Patient Care/ Initial Patient Contact
9914077 – Injury-Amputation
9914079 – Injury-Bites and Envenomation-Land
9914081 – Injury-Bites and Envenomation-Marine
9914083 – Injury-Bleeding/ Hemorrhage Control
9914085 – Injury-Burns-Thermal
9914087 – Injury-Cardiac Arrest
9914089 – Injury-Crush Syndrome
9914091 – Injury-Diving Emergencies
9914093 – Injury-Drowning/Near Drowning
9914095 – Injury-Electrical Injuries
9914097 – Injury-Extremity
9914099 – Injury-Eye
9914101 – Injury-Head
9914103 – Injury-Impaled Object
9914105 – Injury-Multisystem
9914107 – Injury-Spinal Cord
9914109 – Medical-Abdominal Pain
9914111 – Medical-Allergic Reaction/Anaphylaxis
9914113 – Medical-Altered Mental Status
9914115 – Medical-Bradycardia
9914117 – Medical-Cardiac Chest Pain
9914119 – Medical-Diarrhea
9914121 – Medical-Hyperglycemia
9914123 – Medical-Hypertension
9914125 – Medical-Hypoglycemia/Diabetic Emergency
9914127 – Medical-Hypotension/Shock (Non-Trauma)
9914129 – Medical-Influenza-Like Illness/ Upper Respiratory Infection
9914131 – Medical-Nausea/Vomiting
9914133 – Medical-Newborn/ Neonatal Resuscitation
9914135 – General-Overdose/Poisoning/Toxic Ingestion
9914137 – Medical-Pulmonary Edema/CHF
9914139 – Medical-Respiratory Distress/Asthma/COPD/Reactive Airway
9914141 – Medical-Seizure
9914143 – Medical-ST-Elevation Myocardial Infarction (STEMI)
9914145 – Medical-Stroke/TIA
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 27 of 93
9914147 – Medical-Supraventricular Tachycardia (Including Atrial Fibrillation)
9914149 – Medical-Syncope
9914151 – Medical-Ventricular Tachycardia (With Pulse)
9914153 – Not Done
9914155 – OB/GYN-Childbirth/Labor/Delivery
9914157 – OB/GYN-Eclampsia
9914159 – OB/GYN-Gynecologic Emergencies
9914161 – OB/GYN-Pregnancy Related Emergencies
9914163 – OB/GYN-Post-Partum Hemorrhage
9914165 – Other
9914167 – Exposure-Carbon Monoxide
9914169 – Cardiac Arrest-Do Not Resuscitate
9914171 – Cardiac Arrest-Special Resuscitation Orders
9914173 – Exposure-Smoke Inhalation
9914175 – General-Community Paramedicine / Mobile Integrated Healthcare
9914177 – General-Exception Protocol
9914179 – General-Extended Care Guidelines
9914181 – General-Interfacility Transfers
9914183 – General-Law Enforcement - Blood for Legal Purposes
9914185 – General-Law Enforcement - Assist with Law Enforcement Activity
9914187 – General-Neglect or Abuse Suspected
9914189 – General-Refusal of Care
9914191 – Injury-Mass/Multiple Casualties
9914193 – Injury-Thoracic
9914195 – Medical-Adrenal Insufficiency
9914197 – Medical-Apparent Life Threatening Event (ALTE)
9914199 – Medical-Tachycardia
9914201 – Cardiac Arrest-Determination of Death / Withholding Resuscitative Efforts
9914203 – Injury-Conducted Electrical Weapon (e.g., Taser)
9914205 – Injury-Facial Trauma
9914207 – Injury-General Trauma Management
9914209 – Injury-Lightning/Lightning Strike
9914211 – Injury-SCUBA Injury/Accidents
9914213 – Injury-Topical Chemical Burn
9914215 – Medical-Beta Blocker Poisoning/Overdose
9914217 – Medical-Calcium Channel Blocker Poisoning/Overdose
9914219 – Medical-Opioid Poisoning/Overdose
9914221 – Medical-Respiratory Distress-Bronchiolitis
9914223 – Medical-Respiratory Distress-Croup
9914225 – Medical-Stimulant Poisoning/Overdose
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 28 of 93
dConfiguration.06 – EMS Certification Levels Permitted to Perform Each Procedure NEMSIS DD Page 75
dConfiguration.07 – EMS Agency Procedures NEMSIS DD Page 76
dConfiguration.08 – EMS Certification Levels Permitted to Administer Each Medication NEMSIS DD Page 77
dConfiguration.09 – EMS Agency Medications NEMSIS DD Page 78
dConfiguration.10 – EMS Agency Protocols NEMSIS DD Page 79
In NYS, certification levels are defined under NYS Law.
Thereby, these are the only NEMSIS/NISE values allowable in NYS.
NEMSIS/NISE
VALUE
NEMSIS
DESCRIPTION
NYS
DESCRIPTION
9917001 2009 Advanced Emergency Medical Technician (AEMT) NYS Advanced EMT (AEMT)
9917003 2009 Emergency Medical Responder (EMR) NYS Certified First Responder (CFR)
9917005 2009 Emergency Medical Technician (EMT) NYS Emergency Medical Technician (EMT)
9917007 2009 Paramedic NYS Paramedic
it9925.134 NYS EMT – Critical Care (EMT–CC)
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
9917009 – First Responder
9917011 – EMT-Basic
9917013 – EMT-Intermediate
9917015 – EMT-Paramedic
9917019 – Physician
9917021 – Critical Care Paramedic
9917023 – Community Paramedicine
9917025 – Nurse Practitioner
9917027 – Physician Assistant
9917029 – Licensed Practical Nurse (LPN)
9917031 – Registered Nurse
Consult the following resources to determine the procedures/medications/protocols
permitted for the EMS Agency and its certified EMS Providers.
- NYS Statewide Pre-Hospital Protocols (http://www.health.ny.gov/professionals/ems/protocol.htm)
- NYS SEMAC Advisories (http://www.health.ny.gov/professionals/ems/semac_advisories.htm)
- NYS Bureau of EMS Policy Statements (http://www.health.ny.gov/professionals/ems/policy/policy.htm)
- Respective Regional EMS Council Protocols (http://www.health.ny.gov/professionals/ems/regional.htm)
- Respective Regional EMS Program Agency (http://www.health.ny.gov/professionals/ems/charta.htm)
- Individual EMS Agency Protocols
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 29 of 93
dConfiguration.11 – EMS Agency Specialty Service Capability NEMSIS DD Page 82
NYS EMS Agencies are officially recognized as providing only their Primary Type of Service (dAgency.09).
Always Report “1211019” (None).
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
1211001 – Air Rescue
1211003 – CBRNE
1211005 – Community Health Medicine
1211007 – Disaster Medical Assistance Team (DMAT)
1211009 – Disaster Mortuary (DMORT)
1211011 – Dive Rescue
1211013 – Farm Rescue
1211015 – High Angle Rescue
1211017 – Machinery Disentanglement
1211021 – Ski / Snow Rescue
1211023 – Tactical EMS
1211025 – Trench / Confined Space Rescue
1211027 – Urban Search and Rescue (USAR)
1211029 – Vehicle Extrication
1211031 – Veterinary Medical Assistance Team (VMAT)
1211033 – Water or Ice Related Rescue (Incl Swift Water)
1211035 – Wilderness Search and Rescue
dConfiguration.12 – Billing Status NEMSIS DD Page 83
dConfiguration.13 – Emergency Medical Dispatch (EMD) Provided to EMS Agency . . . NEMSIS DD Page 84
dConfiguration.15 – Patient Monitoring Capability(ies) NEMSIS DD Page 86
dConfiguration.16 – Crew Call Sign NEMSIS DD Page 87
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 30 of 93
dPersonnel Group
dPersonnel.01 – EMS Personnel's Last Name NEMSIS DD Page 121
dPersonnel.02 – EMS Personnel's First Name NEMSIS DD Page 122
dPersonnel.03 – EMS Personnel's Middle Name/Initial NEMSIS DD Page 123
If the EMS Provider holds multiple NYS EMS certifications,
report the highest certification applicable to the EMS Agency.
• If the EMS Provider has EVER held NYS EMS certification (regardless if expired or not),
- Report the name elements as appearing on the Provider’s NYS EMS Certificate (“EMT Card”).
• If the EMS Provider has NEVER held NYS EMS certification, or certificate information is unavailable,
- Report the name elements as appearing on any other document of legal identification routinely used by the
EMS Agency (i.e., Driver’s License, Social Security Card, Birth Certificate, Passport, Government I.D., etc.).
• DO NOT USE NICKNAMES OR ABBREVIATIONS
- EMS Personnel names will be associated with (and may appear in) the legal e-PCR.
- e-PCRs may be reviewed for legal action many years after the EMS event, and after the EMS Provider is no
longer associated with the EMS Agency.
- Therefore, it is imperative the EMS Agency be able to clearly and accurately identify the EMS Provider using
the name elements copied exactly as appearing on the associated NYS EMS certification or substitute legal
identification document.
• dPersonnel.03 If the EMS Provider does not have a middle name or the middle name is unknown,
leave blank and report “7701003” (Not Recorded).
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701001 – Not Applicable
7701003 – Not Recorded (Except dPersonnel.03)
7701005 – Not Reporting
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 31 of 93
dPersonnel.11 – EMS Personnel's Date of Birth NEMSIS DD Page 131
dPersonnel.11 is included for the purpose of populating eCrew.01 (Crew Member ID).
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701001 – Not Applicable
7701003 – Not Recorded
7701005 – Not Reporting
dPersonnel.21 – EMS Personnel's Agency ID Number NEMSIS DD Page 142
This is NOT the EMS Provider Certification Number (“EMT Number”) Issued by NYS.
• Report only if the EMS Provider has a UNIQUE (issued only once and never reused) identification number issued by
the EMS Agency or larger entity (municipality, county, EMS region, etc.) and routinely used by the EMS Agency.
- i.e., Badge Number
- i.e., MAC Number
- i.e., TEK (TECH) Number
- etc.
• Otherwise, do not include in the XML export to NYS.
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 32 of 93
dPersonnel.23 – EMS Personnel's State's Licensure ID Number NEMSIS DD Page 144
As the e-PCR is a legal record,
it is imperative that all personnel actively engaged in treating the patient be accurately recorded,
not just the certified EMS Providers.
Therefore, NYS will expand dPersonnel.23 [and the related eCrew.01 (Crew Member ID)]
to allow for recording of both certified and non-certified EMS Providers.
If the EMS Provider holds multiple NYS EMS certifications,
report the highest certification applicable to the EMS Agency.
• If the EMS Provider holds a current (unexpired) NYS EMS Provider certification (“EMT Card”),
- Report the number of this NYS EMS Certificate (the Provider’s “EMT Number”).
NOTE NYS EMS Provider certification numbers are currently issued as six (6) digits in length.
• Leading zeros (“0”) may be required.
• i.e., Certificate number “1234” is actually “001234” and must be handled as such.
• If the EMS Provider does NOT hold a current (unexpired) NYS EMS Provider certification:
- Report a construct of the EMS Provider’s name and date of birth in the following format:
“dPersonnel.11 (Date of Birth)dPersonnel.01 (Last Name)dPersonnel.02 (First Name)”
- i.e., John Doe (d.o.b. 01/01/1900) Report “1900-01-01doejohn”
NOTE Max Length = 50 Characters - - - If more, truncate to the first 50.
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701001 – Not Applicable
7701003 – Not Recorded
7701005 – Not Reporting
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 33 of 93
dPersonnel.24 – EMS Personnel's State EMS Certification/Licensure Level NEMSIS DD Page 145
In NYS, certification levels are defined under NYS Law.
Thereby, these are the only NEMSIS/NISE values allowable in NYS.
If the EMS Provider holds multiple NYS EMS certifications,
report the highest certification applicable to the EMS Agency
• Report “7701001” (Not Applicable) only if the EMS Provider does NOT hold a current (unexpired) NYS EMS Provider
certification.
NEMSIS/NISE
VALUE
NEMSIS
DESCRIPTION
NYS
DESCRIPTION
9925001 2009 Advanced Emergency Medical Technician (AEMT) NYS Advanced EMT (AEMT)
9925003 2009 Emergency Medical Responder (EMR) NYS Certified First Responder (CFR)
9925005 2009 Emergency Medical Technician (EMT) NYS Emergency Medical Technician (EMT)
9925007 2009 Paramedic NYS Paramedic
it9925.134 NYS EMT – Critical Care (EMT–CC)
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701003 – Not Recorded
7701005 – Not Reporting
9925013 – First Responder
9925015 – EMT-Basic
9925017 – EMT-Intermediate
9925019 – EMT-Paramedic
9925023 – Other Healthcare Professional
9925025 – Other Non-Healthcare Professional
9925027 – Physician
9925029 – Respiratory Therapist
9925031 – Student
9925033 – Critical Care Paramedic
9925035 – Community Paramedicine
9925037 – Nurse Practitioner
9925039 – Physician Assistant
9925041 – Licensed Practical Nurse (LPN)
9925043 – Registered Nurse
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 34 of 93
dFacility Group
dFacility.02 – Facility Name NEMSIS DD Page 172
dFacility.03 – Facility Location Code NEMSIS DD Page 173
Transmit to NYS ONLY those facilities to which the EMS Agency routinely transports patients.
With implementation of NEMSIS Version 3, NYS will move away from the traditional “NYS EMS Disposition Code”
and instead use the NYS Department of Health “Permanent Facility Identifier” (NYSDOH PFI).
• Below is the complete list of NYS recognized Emergency Department facility names with corresponding PFI.
- For locations/facilities not listed, report the General Locations and PFI provided at the top of the list.
• dFacility.02 ONLY FACILITY NAMES PROVIDED BY NYS (below) are to be transmitted to NYS.
- NO Abbreviations.
- NO Local Names.
• dFacility.03 ONLY THE PFI NUMBERS PROVIDED BY NYS (below) are to be transmitted to NYS.
- NO NYS EMS Disposition Codes.
- NO Local/Regional Codes/Names.
- NO Facility Names/Abbreviations.
NOTE The PFI is always four (4) digits (characters) in length.
• Leading zeros (“0”) may be required.
• i.e., PFI “123” is actually “0123” and must be handled as such.
NOTE If a facility undergoes a name, ownership, or other organizational change, contact NYS for assistance.
CONTINUED NEXT 8 PAGES
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 35 of 93
• Local e-PCR systems are allowed to use local/regional facility names/codes; however, these must be mapped to the
appropriate names/codes provided in the list below prior to transmission to NYS;
- AND -
All nursing homes, medical facilities (not otherwise specified), private residences, and other non-hospital facilities
must be mapped, respectively, to:
NAME PFI
“Nursing Home” NH01
“Medical Facility” M001
“Residence” R001
“Other Non-Hospital Facility” X001
- i.e., A nursing home locally known as “Acme Elder Care” would be mapped/transmitted to NYS as:
• dFacility.02 = “Nursing Home”
• dFacility.03 = “NH01”
- i.e., A physician’s office would be mapped/transmitted to NYS as:
• dFacility.02 = “Non-Hospital Facility”
• dFacility.03 = “X001”
- i.e., Albany Medical Center locally known as “AMC” (EMS Disposition Code “018”) would be
mapped/transmitted to NYS as:
• dFacility.02 = “Albany Medical Center Hospital”
• dFacility.03 = “0001”
- - - - - Please Notify NYS of Any Errors or Omissions in This Table - - - - -
COUNTY or
STATE
Old NYS EMS
Disposition Code
New NYSDOH
PFI FACILITY NAME
GENERAL LOCATIONS
001 NH01 Nursing Home (Any nursing home facility.)
002 M001 Medical Facility (Any medical facility not otherwise specified.)
003 R001 Residence (Any private residence not a nursing home.)
010 X001 Other Non–Hospital Facility (Any non–hospital facility not otherwise specified.)
IN STATE
Albany 018 0001 Albany Medical Center Hospital
Albany 012 0002 Albany Medical Center – South Clinical Campus
Albany 014 0004 Albany Memorial Hospital
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 36 of 93
Albany 015 0005 St. Peters Hospital
Albany 016 VA01 Albany Stratton VA Medical Center
Allegany 021 0037 Cuba Memorial Hospital
Allegany 023 0039 Hospital of William F. & Gertrude F. Jones (Jones Memorial Hospital)
Bronx 636 1164 Bronx–Lebanon Hospital Center – Fulton Division
Bronx 621 1165 Jacobi Medical Center
Bronx 627 1168 Montefiore Medical Center – Wakefield Hospital
Bronx 637 1169 Montefiore Medical Center – Henry & Lucy Moses Division
Bronx 626 1172 Lincoln Medical & Mental Health Center
Bronx 624 1175 Calvary Hospital
Bronx 629 1176 St. Barnabas Hospital Health System
Bronx 635 1178 Bronx – Lebanon Hospital Center – Concourse Division
Bronx 623 1185 Montefiore Medical Center – Montefiore Westchester Square
Bronx 628 1186 North Central Bronx Hospital
Bronx 639 3058 Montefiore Medical Center – Weiler Hospital of Albert Einstein College
Bronx 634 VA71 James J. Peters VA Medical Center
Broome 031 0042 United Health Services Hospitals, Inc. – Binghamton General Hospital
Broome 034 0043 Our Lady of Lourdes Memorial Hospital, Inc.
Broome 032 0058 United Health Services Hospitals, Inc. – Wilson Medical Center
Broome 037 U031 SUNY Binghamton Infirmary
Cattaraugus 041 0066 Olean General Hospital
Cattaraugus 662 0074 TLC Health Network – Tri–County Memorial Hospital
Cayuga 053 0085 Auburn Community Hospital
Chautauqua 061 0098 Brooks Memorial Hospital
Chautauqua 062 0102 Woman's Christian Association Hospital at Jones Memorial Health Center
Chautauqua 065 0103 Woman's Christian Association
Chautauqua 064 0111 Westfield Memorial Hospital, Inc.
Chautauqua 063 0114 TLC Health Network – Lake Shore Hospital
Chemung 071 0116 Arnot Ogden Medical Center
Chemung 072 0118 St. Joseph's Hospital
Chenango 081 0128 Chenango Memorial Hospital, Inc.
Clinton 091 0135 Champlain Valley Physicians Hospital Medical Center
Columbia 101 0146 Columbia Memorial Hospital
Cortland 114 0158 Cortland Regional Medical Center, Inc.
Delaware 125 0165 O'Connor Hospital
Delaware 123 0170 Margaretville Hospital
Delaware 122 0174 Delaware Valley Hospital, Inc.
Delaware 127 8554 Tri–Town Regional Healthcare
Dutchess 136 0180 Mid–Hudson Valley Division of Westchester Medical Center
Dutchess 134 0181 Vassar Brothers Medical Center
Dutchess 132 0192 Northern Dutchess Hospital
Dutchess 135 VA13 VA Hudson Valley Health Care System – Castle Point Campus
Erie 643 0207 Buffalo General Medical Center
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 37 of 93
Erie 937 0208 John R. Oishei Children's Hospital
Erie 646 0210 Erie County Medical Center
Erie 657 0213 Mercy Hospital
Erie 661 0216 Roswell Park Memorial Cancer Institute
Erie 654 0218 Sisters of Charity Hospital
Erie 648 0267 Kenmore Mercy Hospital
Erie 641 0280 Bertrand Chaffee Hospital
Erie 656 0292 Sisters of Charity Hospital – St. Joseph Campus
Erie 659 1723 Mercy Hospital – Mercy Hospital Orchard Park Division
Erie 652 3067 Millard Fillmore Suburban Hospital
Erie 663 M141 Brylin Hospital
Erie 655 VA14 VA Western NY Healthcare System – Buffalo VA Medical Center
Essex 151 0303 Elizabethtown Community Hospital
Essex 154 0306 Adirondack Medical Center – Lake Placid Site
Essex 153 0309 Moses–Ludington Hospital
Franklin 162 0324 Adirondack Medical Center – Saranac Lake Site
Franklin 161 0325 Alice Hyde Medical Center
Fulton 172 0330 Nathan Littauer Hospital
Genesee 181 0339 United Memorial Medical Center – North Street Campus
Genesee 182 0340 United Memorial Medical Center – Bank Street Campus
Genesee 183 VA18 VA Western NY Healthcare System – Batavia VA Medical Center
Herkimer 212 0362 Little Falls Hospital
Jefferson 223 0367 Samaritan Medical Center
Jefferson 227 0377 River Hospital, Inc.
Jefferson 221 0379 Carthage Area Hospital, Inc.
Kings 902 1286 Brookdale Hospital Medical Center
Kings 929 1288 Brooklyn Hospital Center – Downtown Campus
Kings 905 1293 New York Community Hospital of Brooklyn, Inc.
Kings 921 1294 Coney Island Hospital
Kings 672 1301 Kings County Hospital Center
Kings 934 1302 SUNY Downstate Medical Center at Long Island College Hospital
Kings 913 1304 NYU Lutheran Medical Center
Kings 914 1305 Maimonides Medical Center
Kings 915 1306 New York Methodist Hospital
Kings 916 1309 Interfaith Medical Center
Kings 927 1315 Kingsbrook Jewish Medical Center
Kings 935 1318 Wyckoff Heights Medical Center
Kings 918 1320 University Hospital of Brooklyn
Kings 926 1324 Mount Sinai Beth Israel Brooklyn
Kings 903 1692 Woodhull Medical & Mental Health Center
Kings 931 9753 NYU–Lincoln Medical Center – Cobble Hill
Kings 925 VA72 VA Harbor Healthcare System – Brooklyn Campus
Lewis 241 0383 Lewis County General Hospital
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 38 of 93
Livingston 251 0393 Nicholas H. Noyes Memorial Hospital
Madison 262 0397 Oneida Healthcare
Madison 261 0401 Community Memorial Hospital, Inc.
Monroe 272 0409 Highland Hospital
Monroe 276 0411 Rochester General Hospital
Monroe 277 0412 The Unity Hospital of Rochester – St. Mary's Campus
Monroe 278 0413 Strong Memorial Hospital
Monroe 285 0414 Monroe Community Hospital
Monroe 275 0471 The Unity Hospital of Rochester
Monroe 279 9531 University of Rochester Medical Center – Strong West
Montgomery 281 0482 St. Mary's Healthcare – Amsterdam Memorial Campus
Montgomery 282 0484 St. Mary's Healthcare
Nassau 692 0490 Glen Cove Hospital
Nassau 704 0511 NYU Winthrop Hospital
Nassau 945 0513 Mercy Medical Center
Nassau 694 0518 Franklin Hospital
Nassau 706 0527 South Nassau Communities Hospital
Nassau 702 0528 Nassau University Medical Center
Nassau 705 0541 North Shore University Hospital
Nassau 703 0550 Syosset Hospital
Nassau 701 0551 St. Joseph Hospital
Nassau 691 0552 Plainview Hospital
Nassau 707 0563 St. Francis Hospital
Nassau 708 9691 South Nassau Communities Hospital Off–Campus Emergency Department
Nassau 693 A291 Patten Infirmary – Merchant Marine Academy
New York 941 1437 New York–Presbyterian – Lower Manhattan Hospital
New York 712 1438 Bellevue Hospital Center
New York 713 1439 Mount Sinai Beth Israel
New York 721 1445 Harlem Hospital Center
New York 735 1446 NYU Hospital for Joint Diseases
New York 723 1447 Hospital for Special Surgery
New York 728 1450 Lenox Hill Hospital
New York 731 1453 Memorial Hospital for Cancer & Allied Diseases
New York 732 1454 Metropolitan Hospital Center
New York 734 1456 Mount Sinai Hospital
New York 737 1458 New York Presbyterian Hospital – New York Weill Cornell Center
New York 736 1460 New York Eye & Ear Infirmary of Mount Sinai
New York 739 1463 NYU Hospitals Center
New York 742 1464 New York Presbyterian Hospital – Columbia Presbyterian Center
New York 743 1465 Rockefeller University Hospital
New York 759 1466 Mount Sinai Roosevelt Hospital
New York 745 1469 Mount Sinai – St. Luke's
New York 720 1486 Henry J. Carter Specialty Hospital
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 39 of 93
New York 749 3975 New York Presbyterian Hospital – Allen Hospital
New York 738 9700 Lenox Hill Healthplex (North Shore – LIJ)
New York 724 VA73 VA Harbor Healthcare System – Manhattan Campus
Niagara 313 0565 Eastern Niagara Hospital – Lockport Division
Niagara 312 0585 Eastern Niagara Hospital – Newfane Division
Niagara 316 0574 Niagara Falls Memorial Medical Center
Niagara 317 0581 Degraff Memorial Hospital
Niagara 314 0583 Mount St. Mary's Hospital & Health Center
Oneida 324 0589 Rome Memorial Hospital, Inc.
Oneida 326 0598 St. Elizabeth Medical Center
Oneida 327 0599 Faxton–St. Luke's Healthcare – St. Luke's Division
Onondaga 331 0628 Upstate University Hospital at Community General
Onondaga 334 0630 St. Joseph's Hospital Health Center
Onondaga 336 0635 University Hospital SUNY Health Science Center
Onondaga 332 0636 Crouse Hospital
Onondaga 335 M332 Hutchings Psychiatric Hospital
Onondaga 338 VA33 Syracuse VA Medical Center
Ontario 343 0671 Geneva General Hospital
Ontario 341 0676 Clifton Springs Hospital and Clinic
Ontario 342 0678 F. F. Thompson Hospital
Ontario 345 VA34 Canandaigua VA Medical Center
Orange 357 0694 St. Luke's Cornwall Hospital – Newburgh
Orange 352 0698 St. Luke's Cornwall Hospital – Cornwall
Orange 351 0699 Orange Regional Medical Center
Orange 363 0704 St. Anthony Community Hospital
Orange 353 0708 Bon Secours Community Hospital
Orange 359 A351 Keller Army Community Hospital
Orleans 362 0718 Medina Memorial Hospital
Oswego 370 0012 Oswego Hospital – Alvin L. Krakau Community Mental Health Center Division
Oswego 372 0727 Oswego Hospital
Otsego 381 0739 Aurelia Osborn Fox Memorial Hospital
Otsego 383 0746 Mary Imogene Bassett Hospital
Putnam 392 0752 Putnam Hospital Center
Queens 764 1626 Elmhurst Hospital Center
Queens 765 1628 Flushing Hospital Medical Center
Queens 768 1629 Jamaica Hospital Medical Center
Queens 763 1630 Long Island Jewish Medical Center
Queens 775 1633 Queens Hospital Center
Queens 776 1635 St. John's Episcopal Hospital – South Shore
Queens 762 1637 New York Hospital Medical Center of Queens
Queens 769 1638 Forest Hills Hospital
Queens 761 1639 Mount Sinai Hospital – Mount Sinai Hospital of Queens
Queens 753 VA74 VA Harbor Healthcare System – St. Albans Community Living Center
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 40 of 93
Rensselaer 413 0755 St. Mary's Hospital
Rensselaer 412 0756 Samaritan Hospital
Rensselaer 417 9250 Burdett Care Center
Richmond 785 1473 Richmond University Medical Center – Bayley Seton
Richmond 782 1737 Staten Island University Hospital – South
Richmond 783 1738 Richmond University Medical Center
Richmond 784 1740 Staten Island University Hospital – North
Richmond 781 1741 Staten Island University Hospital – Concord Division
Rockland 437 0775 Helen Hayes Hospital
Rockland 436 0776 Nyack Hospital
Rockland 431 0779 Good Samaritan Hospital of Suffern
Rockland 438 0793 Summit Park Hospital – Rockland County Infirmary
Saratoga 453 0818 Saratoga Hospital
Saratoga 457 M451 Four Winds Hospital
Schenectady 462 0823 Ellis Hospital
Schenectady 476 0831 Sunnyview Hospital & Rehabilitation Center
Schenectady 465 0848 Ellis Hospital – Bellevue Women's Care Center
Schoharie 471 0851 Cobleskill Regional Hospital
Schuyler 481 0858 Schuyler Hospital
St. Lawrence 441 0798 Claxton–Hepburn Medical Center
St. Lawrence 448 0812 Gouverneur Hospital
St. Lawrence 445 0814 Massena Memorial Hospital
St. Lawrence 446 0815 Canton–Potsdam Hospital
St. Lawrence 442 0817 Clifton–Fine Hospital
Steuben 502 0866 Corning Hospital
Steuben 504 0870 St. James Mercy Hospital
Steuben 503 0873 Ira Davenport Memorial Hospital, Inc.
Steuben 505 VA50 Bath VA Medical Center
Suffolk 527 0245 University Hospital
Suffolk 525 0885 Brookhaven Memorial Hospital Medical Center, Inc.
Suffolk 520 0889 Southampton Hospital
Suffolk 514 0891 Eastern Long Island Hospital
Suffolk 517 0895 John T. Mather Memorial Hospital of Port Jefferson New York, Inc.
Suffolk 528 0896 St. Charles Hospital
Suffolk 516 0913 Huntington Hospital
Suffolk 521 0924 Southside Hospital
Suffolk 515 0925 Good Samaritan Hospital Medical Center
Suffolk 513 0938 Peconic Bay Medical Center
Suffolk 523 0943 St. Catherine of Siena Hospital
Suffolk 524 VA51 Northport VA Medical Center
Sullivan 791 0968 Catskill Regional Medical Center – G. Hermann Site
Sullivan 796 0971 Catskill Regional Medical Center
Tompkins 541 0977 Cayuga Medical Center at Ithaca
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 41 of 93
Ulster 551 0989 HealthAlliance Hospital – Mary's Avenue Campus
Ulster 553 0990 HealthAlliance Hospital – Broadway Campus
Ulster 552 1002 Ellenville Regional Hospital
Warren 561 1005 Glens Falls Hospital
Wayne 584 1028 Newark–Wayne Community Hospital
Westchester 825 1039 New York Presbyterian – Hudson Valley Hospital Center
Westchester 817 1045 White Plains Hospital Medical Center
Westchester 820 1046 The W. M. Burke Rehabilitation Hospital
Westchester 823 1047 New York Presbyterian Hospital – Westchester Division
Westchester 808 1061 Montefiore Mount Vernon Hospital
Westchester 809 1072 Montefiore New Rochelle Hospital
Westchester 814 1097 St. John's Riverside Hospital – St. John’s Division
Westchester 815 1098 St. Joseph's Medical Center
Westchester 818 1099 St. John's Riverside – Park Care Pavilion
Westchester 810 1117 Northern Westchester Hospital
Westchester 806 1122 New York–Presbyterian – Lawrence Hospital
Westchester 804 1124 St. John's Riverside Hospital – Dobbs Ferry Pavilion
Westchester 812 1129 Phelps Memorial Hospital Association
Westchester 824 1133 St. Joseph’s Medical Center – St. Vincent's Westchester Division
Westchester 821 1138 Blythedale Children's Hospital
Westchester 803 1139 Westchester Medical Center
Westchester 827 M591 Four Winds Hospital
Westchester 805 VA59 VA Hudson Valley Health Care System – Montrose Campus
Wyoming 601 1153 Wyoming County Community Hospital
Yates 612 1158 Soldiers & Sailors Memorial Hospital of Yates County, Inc.
OUT OF STATE
Connecticut 830 CT09 Connecticut (Any location/facility not otherwise specified.)
Connecticut 831 CT01 Connecticut Medical Center
Connecticut 832 CT02 Stamford Hospital
Connecticut 833 CT03 Danbury Hospital
Connecticut 834 CT04 Norwalk Hospital
Connecticut 835 CT05 Greenwich Hospital
Connecticut 836 CT06 Sharon Hospital
Massachusetts 840 MA09 Massachusetts (Any location/facility not otherwise specified.)
Massachusetts 841 MA01 Bay State Medical Center
New Jersey 850 NJ09 New Jersey (Any location/facility not otherwise specified.)
New Jersey 851 NJ01 Medical University of Newark
Pennsylvania 860 PA09 Pennsylvania (Any location/facility not otherwise specified.)
Pennsylvania 861 PA01 Robert Packer Hospital
Pennsylvania 862 PA02 Hamot Hospital
Pennsylvania 863 PA03 St. Vincent's Hospital
Vermont 870 VT09 Vermont (Any location/facility not otherwise specified.)
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 42 of 93
Vermont 871 VT01 University of Vermont Medical Center
Vermont 872 VT02 South West Vermont Medical Center
Vermont 873 VT03 Fletcher Allen Healthcare – Burlington
Vermont 874 VT04 Porter Medical Center – Middlebury
Quebec 890 QC09 Quebec Province, Canada (Any location/facility not otherwise specified.)
Ontario 880 OC09 Ontario Province, Canada (Any location/facility not otherwise specified.)
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 43 of 93
eRecord Group
eRecord.01 – Patient Care Report Number NEMSIS DD Page 207
NEMSIS defines eRecord.01 as:
“The unique number automatically assigned by the EMS Agency for each Patient Care Report (PCR).
This should be a unique number for the EMS Agency for all of time.”
eRecord.01 MUST ALWAYS be the same in the local e-PCR system as it is in the NYS e-PCR system so that NYS can
provide an eRecord.01 value to an EMS Agency and the EMS Agency can find that exact eRecord.01 value (e-PCR) in its
local e-PCR system.
Further, NYS will use eRecord.01 in overwriting (correcting) records, and linking e-PCRs to other data.
As such, e-PCR numbers must be unique not only within an EMS Agency,
but across all EMS Agencies and e-PCR systems, across all NYS, for all of time.
To accomplish the above objectives,
any e-PCR system deployed in NYS MUST automatically generate eRecord.01
using the computer industry standards of the
Universally Unique Identifier (UUID) / Globally Unique Identifier (GUID).
https://en.wikipedia.org/wiki/Globally_unique_identifier
eRecord.02 – Software Creator NEMSIS DD Page 208
eRecord.03 – Software Name NEMSIS DD Page 209
eRecord.04 – Software Version NEMSIS DD Page 210
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 44 of 93
eResponse Group
eResponse.01 – EMS Agency Number NEMSIS DD Page 213
• Must always be the same as dAgency.02 (EMS Agency Number).
eResponse.03 – Incident Number NEMSIS DD Page 215
eResponse.04 – EMS Response Number NEMSIS DD Page 216
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
eResponse.05 – Type of Service Requested NEMSIS DD Page 217
NOTE “Mutual Aid” (2205009) should be reported ANY TIME the EMS Unit responds to an incident
not within the EMS Agency’s primary operating territory – outside its “CON” (Certificate of Need).
eResponse.06 – Standby Purpose NEMSIS DD Page 218
• Report only if eResponse.05 = “2205013” (Standby).
• Otherwise, do not include in the XML export to NYS.
eResponse.07 – Primary Role of the Unit NEMSIS DD Page 219
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 45 of 93
eResponse.08 – Type of Dispatch Delay NEMSIS DD Page 220
eResponse.09 – Type of Response Delay NEMSIS DD Page 221
eResponse.10 – Type of Scene Delay NEMSIS DD Page 222
eResponse.11 – Type of Transport Delay NEMSIS DD Page 223
eResponse.12 – Type of Turn-Around Delay NEMSIS DD Page 224
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701001 – Not Applicable
eResponse.13 – EMS Vehicle (Unit) Number NEMSIS DD Page 225
eResponse.14 – EMS Unit Call Sign NEMSIS DD Page 226
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 46 of 93
eResponse.15 – Level of Care of This Unit NEMSIS DD Page 227
In NYS, level of care is defined under NYS Law.
Thereby, these are the only NEMSIS/NISE values allowable in NYS.
NEMSIS/NISE
VALUE
NEMSIS
DESCRIPTION
NYS
DESCRIPTION
2215001 BLS – First Responder/EMR NYS Certified First Responder (CFR)
2215003 BLS – Basic/EMT NYS Emergency Medical Technician (EMT)
2215009 ALS – AEMT NYS Advanced EMT (AEMT)
2215013 ALS – Paramedic NYS Paramedic
it.2215.100 NYS EMT – Critical Care (EMT–CC) [ALS – Critical Care]
NOTE it.2215.100 - - - The extra “.” is correct.
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
2215005 – BLS-AEMT
2215007 – BLS-Intermediate
2215023 – BLS-Community Paramedicine
2215011 – ALS Intermediate
2215015 – ALS-Community Paramedicine
2215017 – Nurse
2215019 – Physician
2215021 – Specialty Critical Care
eResponse.19 – Beginning Odometer Reading of Responding Vehicle NEMSIS DD Page 231
eResponse.20 – On-Scene Odometer Reading of Responding Vehicle NEMSIS DD Page 232
eResponse.21 – Patient Destination Odometer Reading of Responding Vehicle NEMSIS DD Page 233
• Report only if captured by the EMS Agency.
• Otherwise, do not include in the XML export to NYS.
eResponse.23 – Response Mode to Scene NEMSIS DD Page 235
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 47 of 93
eResponse.24 – Additional Response Mode Descriptors NEMSIS DD Page 236
Always Report “7701003” (Not Recorded).
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701001 – Not Applicable
2224001 – Intersection Navigation-Against Normal Light Patterns 2224003 – Intersection Navigation-With Automated Light Changing Technology 2224005 – Intersection Navigation-With Normal Light Patterns 2224007 – Scheduled 2224009 – Speed-Enhanced per Local Policy 2224011 – Speed-Normal Traffic 2224013 – Unscheduled 2224015 – Lights and Sirens 2224017 – Lights and No Sirens 2224019 – No Lights or Sirens 2224021 – Initial No Lights or Sirens, Upgraded to Lights and Sirens 2224023 – Initial Lights and Sirens, Downgraded to No Lights or Sirens
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 48 of 93
eDispatch Group
eDispatch.01 – Complaint Reported by Dispatch NEMSIS DD Page 239
eDispatch.02 – EMD Performed NEMSIS DD Page 241
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 49 of 93
eCrew Group
eCrew.01 – Crew Member ID NEMSIS DD Page 248
As the e-PCR is a legal record,
it is imperative that all personnel actively engaged in treating the patient be accurately recorded,
not just the certified EMS Providers.
Therefore, NYS will expand eCrew.01 [and the related dPersonnel.23 (EMS Personnel’s State’s Licensure ID Number)]
to allow for recording of both certified and non-certified EMS Providers.
eCrew.01 IS NOT “EITHER / OR”
If the EMS Provider holds a current NYS EMS Provider certification, the number of that certificate MUST be reported.
“Name/Birthdate” reporting [see dPersonnel.23 (EMS Personnel's State's Licensure ID Number)]
is to be used ONLY when there is no current NYS EMS Provider certification.
DO NOT REPORT EXPIRED CERTIFICATIONS FOR eCrew.01
Any NYS EMS Provider certification number (“EMT Number”) reported in eCrew.01 implies that the associated NYS
certificate is current (unexpired) and the associated EMS Provider is permitted to practice under that certification;
– Which They Are Not If Their Certificate Is Expired –
• Report from dPersonnel.23 (EMS Personnel’s State’s Licensure ID Number).
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701003 – Not Recorded
7701005 – Not Reporting
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 50 of 93
eCrew.02 – Crew Member Level NEMSIS DD Page 249
In NYS, certification levels are defined under NYS Law.
Thereby, these are the only NEMSIS/NISE values allowable in NYS.
• Report from dPersonnel.24 (EMS Personnel’s State EMS Certification License Level).
NEMSIS/NISE
VALUE
NEMSIS
DESCRIPTION
NYS
DESCRIPTION
9925001 2009 Advanced Emergency Medical Technician (AEMT) NYS Advanced EMT (AEMT)
9925003 2009 Emergency Medical Responder (EMR) NYS Certified First Responder (CFR)
9925005 2009 Emergency Medical Technician (EMT) NYS Emergency Medical Technician (EMT)
9925007 2009 Paramedic NYS Paramedic
it9925.134 NYS EMT – Critical Care (EMT–CC)
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701003 – Not Recorded
7701005 – Not Reporting
9925013 – First Responder
9925015 – EMT-Basic
9925017 – EMT-Intermediate
9925019 – EMT-Paramedic
9925023 – Other Healthcare Professional
9925025 – Other Non-Healthcare Professional
9925027 – Physician
9925029 – Respiratory Therapist
9925031 – Student
9925033 – Critical Care Paramedic
9925035 – Community Paramedicine
9925037 – Nurse Practitioner
9925039 – Physician Assistant
9925041 – Licensed Practical Nurse (LPN)
9925043 – Registered Nurse
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 51 of 93
eCrew.03 – Crew Member Response Role NEMSIS DD Page 250
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701001 – Not Applicable
7701005 – Not Reporting
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eTimes Group
eTimes.01 – PSAP Call Date/Time NEMSIS DD Page 253
eTimes.03 – Unit Notified by Dispatch Date/Time NEMSIS DD Page 255
eTimes.05 – Unit En Route Date/Time NEMSIS DD Page 257
eTimes.06 – Unit Arrived on Scene Date/Time NEMSIS DD Page 258
eTimes.07 – Arrived at Patient Date/Time NEMSIS DD Page 259
eTimes.08 – Transfer of EMS Patient Care Date/Time NEMSIS DD Page 260
eTimes.09 – Unit Left Scene Date/Time NEMSIS DD Page 261
eTimes.11 – Patient Arrived at Destination Date/Time NEMSIS DD Page 263
eTimes.12 – Destination Patient Transfer of Care Date/Time NEMSIS DD Page 264
eTimes.13 – Unit Back in Service Date/Time NEMSIS DD Page 265
eTimes.14 – Unit Canceled Date/Time NEMSIS DD Page 266
• eTimes.08 NOTE: This is transfer to another EMS unit, not hospital or other facility.
• eTimes.11 NOTE: In case of hospital emergency department, this is
ARRIVAL AT THE EMERGENCY DEPARTMENT, NOT JUST THE HOSPITAL CAMPUS.
• eTimes.12 NOTE: Transfer of patient care is considered to have occurred when BOTH:
1. the patient has been PHYSICALLY MOVED OFF THE AMBULANCE STRETCHER; and
2. FACE-TO-FACE VERBAL REPORT HAS BEEN GIVEN to the receiving hospital/EMS unit staff.
• eTimes.14 If unit was not cancelled, do not include in the XML export to NYS.
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 53 of 93
ePatient Group
ePatient.01 – EMS Patient ID NEMSIS DD Page 271
RESERVED FOR NYS USE
ePatient.01 is reserved by NYS to hold the SPARCS3 or other unique patient identifier, as determined by NYS.
Local e-PCR systems are allowed to use ePatient.01; however,
DO NOT TRANSMIT ePatient.01 TO NYS
(Do not include in the XML export to NYS)
3. Statewide Planning And Research Cooperative System (www.health.ny.gov/statistics/sparcs/)
ePatient.02 – Last Name NEMSIS DD Page 272
ePatient.03 – First Name NEMSIS DD Page 273
NOTE Although NYS will allow use of “8801019” (Refused) and “8801023” (Unable to Complete), the EMS
Agency should consider if not indicating a patient name on the legal e-PCR is best policy/practice; or, if
the agency should adopt a policy/practice of using a commonly accepted “unknown name” (such as
“John Doe”) for cases where the actual patient name is unobtainable.
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701003 – Not Recorded
7701005 – Not Reporting
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 54 of 93
ePatient.07 – Patient's Home County NEMSIS DD Page 277
ePatient.08 – Patient's Home State NEMSIS DD Page 278
ePatient.09 – Patient's Home ZIP Code NEMSIS DD Page 279
ePatient.10 – Patient's Country of Residence NEMSIS DD Page 280
• ePatient.10 If the Country of Residence cannot be determined,
leave blank and do not include in the XML export to NYS.
ePatient.12 – Social Security Number NEMSIS DD Page 282
NYS uses the last four digits of a patient’s Social Security Number
in matching medical records across various healthcare datasets.
• A full nine (9) digit social security number must be transmitted to NYS.
• It is acceptable to report only the last four digits, provided the first five digits are all zeros.
- i.e., Transmit either “123456789” or “000006789”
• Transmit all zeros (“000000000”) only if:
1. the patient does not have a Social Security Number; or
2. the last four digits are otherwise unobtainable.
ePatient.13 – Gender NEMSIS DD Page 283
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 55 of 93
ePatient.14 – Race NEMSIS DD Page 284
Always Report “7701003” (Not Recorded).
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701001 – Not Applicable
2514001 – American Indian or Alaska Native
2514003 – Asian
2514005 – Black or African American
2514007 – Hispanic or Latino
2514009 – Native Hawaiian or Other Pacific Islander
2514011 – White
ePatient.15 – Age NEMSIS DD Page 285
ePatient.16 – Age Units NEMSIS DD Page 286
An EMS Agency should exercise caution
in having its e-PCR software calculate the age from the date of birth.
The context of the e-PCR (the legal medical record) can drastically change
simply by the EMS Provider incorrectly entering the year of the patient’s date of birth.
i.e., A DOB 01/01/1917 makes the patient geriatric, while a DOB 01/01/2017 makes the patient pediatric.
e-PCR software should auto-check and prompt when “Year of Birth = Current Year”.
ePatient.17 – Date of Birth NEMSIS DD Page 287
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 56 of 93
ePayment Group
ePayment.01 – Primary Method of Payment NEMSIS DD Page 295
ePayment.50 – CMS Service Level NEMSIS DD Page 344
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 57 of 93
eScene Group
eScene.01 – First EMS Unit on Scene NEMSIS DD Page 354
eScene.06 – Number of Patients at Scene NEMSIS DD Page 359
eScene.07 – Mass Casualty Incident NEMSIS DD Page 360
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
eScene.08 – Triage Classification for MCI Patient NEMSIS DD Page 361
NEMSIS/NISE
VALUE DESCRIPTION
2708001 RED – Immediate
2708003 YELLOW – Delayed
2708005 GREEN – Minimal (Minor)
2708009 BLACK – Deceased
it2708.105
ORANGE (NYC Only)
The patient is experiencing a medical
condition that is of higher importance than
any traumatic injury the patient may have.
* NYC ORANGE Triage Level *
- This triage level is not nationally recognized; therefore, there is no NEMSIS Value.
- However, software vendors are expected to create the ORANGE triage level in any e-PCR system used in the
greater New York City EMS region (for any EMS Agency that normally would respond to an MCI within NYC),
and transmit this ORANGE level to NYS using the NISE value shown.
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
2708007 – GRAY-Expectant
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 58 of 93
eScene.09 – Incident Location Type NEMSIS DD Page 362
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
eScene.10 – Incident Facility Code NEMSIS DD Page 363
• Report the NYSDOH PFI from dFacility.03 (Facility Location Code).
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
eScene.11 – Scene GPS Location NEMSIS DD Page 364
• Report if available – either imported from dispatch or calculated from incident address.
• Otherwise, do not include in the XML export to NYS.
eScene.15 – Incident Street Address NEMSIS DD Page 368
eScene.17 – Incident City NEMSIS DD Page 370
eScene.18 – Incident State NEMSIS DD Page 371
eScene.19 – Incident ZIP Code NEMSIS DD Page 372
eScene.21 – Incident County NEMSIS DD Page 374
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 59 of 93
eSituation Group
eSituation.01 – Date/Time of Symptom Onset NEMSIS DD Page 379
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
eSituation.02 – Possible Injury NEMSIS DD Page 380
Report if consideration of “Possible Injury” is pertinent to the situation/assessment.
• If no patient or not pertinent, report “7701001” (Not Applicable).
• If considered, but no injury is determined, report “9922001” (No).
• If considered, and injury is known or likely to have occurred, report “9922005” (Yes).
• If considered, but the situation is unclear so that Possible Injury cannot be determined,
report “9922003” (Unknown).
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 60 of 93
eSituation.03 – Complaint Type NEMSIS DD Page 381
eSituation.04 – Complaint NEMSIS DD Page 382
eSituation.05 – Duration of Complaint NEMSIS DD Page 383
eSituation.06 – Time Units of Duration of Complaint NEMSIS DD Page 384
eSituation.07 – Chief Complaint Anatomic Location NEMSIS DD Page 385
eSituation.08 – Chief Complaint Organ System NEMSIS DD Page 386
eSituation.09 – Primary Symptom NEMSIS DD Page 387
eSituation.10 – Other Associated Symptoms NEMSIS DD Page 388
eSituation.11 – Provider's Primary Impression NEMSIS DD Page 389
eSituation.12 – Provider's Secondary Impressions NEMSIS DD Page 390
eSituation.13 – Initial Patient Acuity NEMSIS DD Page 391
eSituation.17 – Patient Activity NEMSIS DD Page 395
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
eSituation.18 – Date/Time Last Known Well NEMSIS DD Page 396
Report if “Date/Time Last Known Well” is pertinent to the situation/assessment.
• Do not include in the XML export to NYS only if:
1. the information cannot reliably be determined; or
2. the information is not pertinent to the situation/assessment.
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 61 of 93
eInjury Group
eInjury.01 – Cause of Injury NEMSIS DD Page 400
eInjury.02 – Mechanism of Injury NEMSIS DD Page 401
eInjury.03 – Trauma Center Criteria NEMSIS DD Page 402
eInjury.04 – Vehicular, Pedestrian, or Other Injury Risk Factor NEMSIS DD Page 403
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
eInjury.05 – Main Area of the Vehicle Impacted by the Collision NEMSIS DD Page 404
• Report only if this information is pertinent to the situation/assessment.
• Otherwise, do not include in the XML export to NYS.
Note This is the U.S.D.O.T. standard diagram. Variations may exist between e-PCR software.
2014 FARS/NASS GES Coding and Validation Manual (DOT HS 812 216)
http://www.nber.org/fars/ftp.nhtsa.dot.gov/FARS/FARS-DOC/2014%20FARS%20NASS%20GES%20C&V%20Manual.pdf
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 62 of 93
eInjury.06 – Location of Patient in Vehicle NEMSIS DD Page 405
• Report only if this information is pertinent to the situation/assessment.
• Otherwise, do not include in the XML export to NYS.
eInjury.07 – Use of Occupant Safety Equipment NEMSIS DD Page 406
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
eInjury.08 – Airbag Deployment NEMSIS DD Page 407
• Report only if this information is pertinent to the situation/assessment.
• Otherwise, do not include in the XML export to NYS.
eInjury.09 – Height of Fall (Feet) NEMSIS DD Page 408
• Report only this information is pertinent to the situation/assessment.
• Otherwise, do not include in the XML export to NYS.
NOTE Same level falls (i.e., “tripped and fell to the floor”) are falls of “0” (zero) feet.
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 63 of 93
eArrest Group
eArrest.01 – Cardiac Arrest NEMSIS DD Page 431
eArrest.02 – Cardiac Arrest Etiology NEMSIS DD Page 432
eArrest.03 – Resuscitation Attempted By EMS NEMSIS DD Page 433
eArrest.04 – Arrest Witnessed By NEMSIS DD Page 434
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
eArrest.05 – CPR Care Provided Prior to EMS Arrival NEMSIS DD Page 435
eArrest.06 – Who Provided CPR Prior to EMS Arrival NEMSIS DD Page 436
• eArrest.06 Report only if eArrest.05 (CPR Care Provided Prior to EMS Arrival) = “9903003” (Yes);
Otherwise, do not include in the XML export to NYS.
eArrest.07 – AED Use Prior to EMS Arrival NEMSIS DD Page 437
eArrest.08 – Who Used AED Prior to EMS Arrival NEMSIS DD Page 438
• eArrest.08 Report only if eArrest.07 (AED Use Prior to EMS Arrival) =
1. “3007003” (Yes, Applied without Defibrillation); or
2. “3007005” (Yes, With Defibrillation).
Otherwise, do not include in the XML export to NYS.
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 64 of 93
eArrest.09 – Type of CPR Provided NEMSIS DD Page 439
eArrest.11 – First Monitored Arrest Rhythm of the Patient NEMSIS DD Page 440
eArrest.12 – Any Return of Spontaneous Circulation NEMSIS DD Page 441
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
eArrest.14 – Date/Time of Cardiac Arrest NEMSIS DD Page 443
eArrest.15 – Date/Time Resuscitation Discontinued NEMSIS DD Page 444
eArrest.16 – Reason CPR/Resuscitation Discontinued NEMSIS DD Page 445
• eArrest.14 NOTE: If specific Date/Time of Cardiac Arrest is unknown, estimate.
• eArrest.15 NOTE: This is only for when resuscitative efforts are discontinued BY THIS EMS CREW IN THE FIELD.
Report “7701001” (Not Applicable) only if the patient is transferred to the hospital/other EMS crew,
AND at the time of transfer the patient remains in arrest,
AND resuscitative efforts are continued by the hospital or other EMS crew.
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
eArrest.17 – Cardiac Rhythm on Arrival at Destination NEMSIS DD Page 446
eArrest.18 – End of EMS Cardiac Arrest Event NEMSIS DD Page 448
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
eArrest.19 – Date/Time of Initial CPR NEMSIS DD Page 449
• If eArrest.01 (Cardiac Arrest) = “3001001” (No), do not include in the XML export to NYS.
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 65 of 93
eHistory Group
eHistory.01 – Barriers to Patient Care NEMSIS DD Page 452
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
eHistory.05 – Advance Directives NEMSIS DD Page 456
NEMSIS/NISE
VALUE DESCRIPTION
NYS
CLARIFICATION
3105005 None The EMS Crew inquired about advance directives but found none.
3105011 NYS DNR The standard NYS Do Not Resuscitate (DNR) form (DOH-3474).
it3105.103 NYS MOLST
(DNR)
The standard NYS Medical Orders for Life-Sustaining Treatment
(MOLST) form (DOH-5003) indicating DNR Order: Do Not Attempt
Resuscitation (Allow Natural Death).
it3105.107 NYS MOLST
(DNI)
The standard NYS Medical Orders for Life-Sustaining Treatment
(MOLST) form (DOH-5003) indicating Do Not Intubate (DNI).
it3105.106 NYS MOLST
(No IV Fluids)
The standard NYS Medical Orders for Life-Sustaining Treatment
(MOLST) form (DOH-5003) indicating No IV Fluids.
it3105.112
NYS MOLST
(Limited Interventions or
Comfort Measures ONLY)
The standard NYS Medical Orders for Life-Sustaining Treatment
(MOLST) form (DOH-5003) indicating Limited Medical Interventions or
Comfort Measures Only.
3105009 Other Healthcare Advanced
Directive Form
Any other type of healthcare advance directive (Physician Order Form,
Living Will, Healthcare Proxy, Out of State DNR Order, etc.).
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
3105001 – Family/Guardian request DNR (but no documentation)
3105003 – Living Will
3105007 – Other
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 66 of 93
eHistory.06 – Medication Allergies NEMSIS DD Page 457
eHistory.07 – Environmental Allergies NEMSIS DD Page 458
eHistory.08 – Medical/Surgical History NEMSIS DD Page 459
eHistory.12 – Current Medications NEMSIS DD Page 463
eHistory.17 – Alcohol/Drug Use Indicators NEMSIS DD Page 468
• eHistory.07 If no Environmental Allergies, do not include in the XML export to NYS.
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
eHistory.18 – Pregnancy NEMSIS DD Page 469
EMS is expected to assess for pregnancy in any female patient of child-bearing age.
“Female patient of child-bearing age” is not defined by NYS,
but rather should be defined by the individual EMS Agency in consultation with the Agency Medical Director.
• Do not include in the XML export to NYS only if:
1. ePatient.13 (Gender) = “9906003” (Male); or
2. ePatient.13 (Gender) = “9906005” [Unknown (Unable to Determine)]; or
3. pregnancy is not assessed (answer left blank).
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 67 of 93
eNarrative Group
eNarrative.01 – Patient Care Report Narrative NEMSIS DD Page 473
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 68 of 93
eVitals Group
eVitals.01 – Date/Time Vital Signs Taken NEMSIS DD Page 477
eVitals.02 – Obtained Prior to this Unit's EMS Care NEMSIS DD Page 478
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
eVitals.03 – Cardiac Rhythm / Electrocardiography (ECG) NEMSIS DD Page 479
eVitals.04 – ECG Type NEMSIS DD Page 481
eVitals.05 – Method of ECG Interpretation NEMSIS DD Page 482
• eVtials.03 Report “8801023” (Unable to Complete) only if an ECG would normally be required/appropriate/
necessary for the patient circumstances, AND the EMS crew is qualified/equipped to obtain an
ECG, BUT the incident situation does not allow for an ECG to be obtained.
eVitals.06 – SBP (Systolic Blood Pressure) NEMSIS DD Page 483
• Report “8801005” (Exam Findings Not Present) only if measuring a SBP is attempted, but found unobtainable.
• Report “8801023” (Unable to Complete) only if the patient circumstances or incident situation do not allow for a
blood pressure to be measured.
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 69 of 93
eVitals.07 – DBP (Diastolic Blood Pressure) NEMSIS DD Page 484
Although allowed by NEMSIS, for NYS
DO NOT REPORT “P” OR “p” (for palpation) or “D” or “d” (for Doppler)
as this is reported in eVitals.08 (Method of Blood Pressure Measurement).
• Report “8801005” (Exam Findings Not Present) only if measuring a DBP is attempted, but found unobtainable.
• Report “8801023” (Unable to Complete) only if the patient circumstances or incident situation do not allow for a
blood pressure to be measured.
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
“P” (Uppercase)
“p” (Lowercase)
eVitals.08 – Method of Blood Pressure Measurement NEMSIS DD Page 485
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 70 of 93
eVitals.09 – Mean Arterial Pressure NEMSIS DD Page 486
Mean Arterial Pressure (MAP) is included as reference for Advanced Life Support EMS Providers.
e-PCR software MUST AUTOMATICALLY CALCULATE MAP based on the formula below:
- recording the result in eVitals.09, AND
- displaying for use by the EMS Provider.
EMS Providers must NOT manually calculate MAP and complete eVitals.09.
( 2 x DBP ) + SBP DBP Diastolic Blood Pressure (eVitals.07)
MAP = ------------------------- SBP Systolic Blood Pressure (eVitals.06)
3
2017 New York State EMS Collaborative Protocols – Resource: Mean Arterial Pressure Chart
(http://www.remo-ems.com/images/uploads/pdfs/FINAL_2017_Collaborative_Protocols_012717_(1).pdf)
• If MAP cannot be calculated, do not include in the XML export to NYS.
eVitals.10 – Heart Rate NEMSIS DD Page 487
eVitals.11 – Method of Heart Rate Measurement NEMSIS DD Page 488
• Report “8801005” (Exam Findings Not Present) only if measuring a heart rate is attempted, but found unobtainable.
• Report “8801023” (Unable to Complete) only if the patient circumstances or incident situation do not allow for a
heart rate to be measured.
• eVitals.11 Do not include in the XML export to NYS only if there is no corresponding Heart Rate (eVitals.10).
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 71 of 93
eVitals.12 – Pulse Oximetry NEMSIS DD Page 489
• Report “8801005” (Exam Findings Not Present) only if obtaining a pulse oximetry is attempted, but found
unobtainable.
• Report “8801023” (Unable to Complete) only if pulse oximetry would normally be required/appropriate/necessary
for the patient circumstances, AND the EMS crew is qualified/equipped to monitor pulse oximetry, BUT the
incident situation does not allow for pulse oximetry monitoring.
eVitals.13 – Pulse Rhythm NEMSIS DD Page 490
• Do not include in the XML export to NYS only if there is no corresponding Heart Rate (eVitals.10).
eVitals.14 – Respiratory Rate NEMSIS DD Page 491
eVitals.15 – Respiratory Effort NEMSIS DD Page 492
• Report “8801005” (Exam Findings Not Present) only if measuring a respiratory rate is attempted, but found
unobtainable.
• Report “8801023” (Unable to Complete) only if the patient circumstances or the incident situation do not allow for
a respiratory rate to be measured.
• eVitals.15 Do not include in the XML export to NYS only if there is no corresponding Respiratory Rate (eVitals.14).
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 72 of 93
eVitals.16 – End Tidal Carbon Dioxide (ETCO2) NEMSIS DD Page 493
eVitals.17 – Carbon Monoxide (CO) NEMSIS DD Page 494
eVitals.18 – Blood Glucose Level NEMSIS DD Page 495
• Report “8801023” (Unable to Complete) only if measuring/monitoring the vital sign would normally be required/
appropriate/necessary for the patient circumstances, AND the EMS crew is qualified/equipped to
measure/monitor the vital sign, BUT the incident situation does not allow for measuring/monitoring the vital sign.
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
eVitals.19 – Glasgow Coma Score (GCS) – Eye NEMSIS DD Page 496
eVitals.20 – Glasgow Coma Score (GCS) – Verbal NEMSIS DD Page 497
eVitals.21 – Glasgow Coma Score (GCS) – Motor NEMSIS DD Page 498
eVitals.22 – Glasgow Coma Score (GCS) – Qualifier NEMSIS DD Page 499
eVitals.23 – Glasgow Coma Score (GCS) – Total NEMSIS DD Page 500
• Report “8801023” (Unable to Complete) only if the patient circumstances or incident situation do not allow for GCS
measurement.
• eVitals.23 Report GCS – Total as calculated from: eVitals.19 + eVitals.20 + eVitals.21.
NOTE e-PCR software MUST AUTOMATICALLY CALCULATE GCS – Total for the EMS Provider:
- recording the result in eVitals.23, AND
- displaying for use by the EMS Provider.
EMS Providers must NOT manually calculate GCS – Total and complete eVitals.23.
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 73 of 93
eVitals.24 – Temperature NEMSIS DD Page 501
eVitals.25 – Temperature Method NEMSIS DD Page 502
• Report “8801023” (Unable to Complete) only if temperature measurement would normally be required/appropriate/
necessary for the patient circumstances, AND the EMS crew is qualified/equipped to measure temperature, BUT
the incident situation does not allow for a temperature measurement.
• eVitals.25 Do not Include in the XML export to NYS only if there is no corresponding Temperature (eVitals.24).
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
eVitals.26 – Level of Responsiveness (AVPU) NEMSIS DD Page 503
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
eVitals.27 – Pain Scale Score NEMSIS DD Page 504
eVitals.28 – Pain Scale Type NEMSIS DD Page 505
• Report “8801023” (Unable to Complete) only if the patient circumstances or incident situation do not allow for a pain
assessment.
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 74 of 93
eVitals.29 – Stroke Scale Score NEMSIS DD Page 506
eVitals.30 – Stroke Scale Type NEMSIS DD Page 507
• Report “8801023” (Unable to Complete) only if stroke assessment would normally be required/appropriate/necessary
for the patient circumstances, BUT the incident situation does not allow for stroke assessment.
eVitals.31 – Reperfusion Checklist NEMSIS DD Page 508
Use of reperfusion checklists is dictated by local protocol and is not uniformly required across NYS.
• Report “8801023” (Unable to Complete) only if use of a reperfusion checklist would normally be required/
appropriate/necessary for the patient circumstances, BUT the incident situation does not allow for a reperfusion
assessment.
eVitals.32 – APGAR NEMSIS DD Page 509
• Report “8801023” (Unable to Complete) only if APGAR assessment would normally be required/appropriate/
necessary for the patient circumstances, BUT the incident situation does not allow for an APGAR assessment.
• If APAR is not assessed, do not include in the XML export to NYS.
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 75 of 93
eExam Group
eExam.01 – Estimated Body Weight in Kilograms NEMSIS DD Page 524
• Report “8801023” (Unable to Complete) only if weight measurement would normally be required/appropriate/
necessary for the patient circumstances, BUT the incident situation does not allow for an actual, reported, or
estimated weight determination.
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 76 of 93
eExam.04 – Skin Assessment NEMSIS DD Page 527
eExam.05 – Head Assessment NEMSIS DD Page 528
eExam.06 – Face Assessment NEMSIS DD Page 529
eExam.07 – Neck Assessment NEMSIS DD Page 530
eExam.08 – Chest/Lungs Assessment NEMSIS DD Page 531
eExam.09 – Heart Assessment NEMSIS DD Page 533
eExam.10 – Abdominal Assessment Finding Location NEMSIS DD Page 534
eExam.11 – Abdomen Assessment NEMSIS DD Page 535
eExam.12 – Pelvis/Genitourinary Assessment NEMSIS DD Page 536
eExam.13 – Back and Spine Assessment Finding Location NEMSIS DD Page 537
eExam.14 – Back and Spine Assessment NEMSIS DD Page 538
eExam.15 – Extremity Assessment Finding Location NEMSIS DD Page 539
eExam.16 – Extremities Assessment NEMSIS DD Page 541
eExam.17 – Eye Assessment Finding Location NEMSIS DD Page 542
eExam.18 – Eye Assessment NEMSIS DD Page 543
eExam.19 – Mental Status Assessment NEMSIS DD Page 544
eExam.20 – Neurological Assessment NEMSIS DD Page 545
Assessment data elements should never default to “Normal”.
“Normal” should only be reported when the particular assessment is actually performed by the EMS Provider,
and the EMS Provider determines their assessment findings to be normal for that particular patient.
The Provider Should Report “Normal” – The System Should Never Assume Normal
• If the particular assessment is not performed, do not include in the XML export to NYS.
• eExam.15 NYS Added NISE Values it3515.001 = Patella–Left
it3515.002 = Patella–Right
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
8801005 – Exam Finding Not Present
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 77 of 93
eExam.21 – Stroke/CVA Symptoms Resolved NEMSIS DD Page 546
• Report “7701001” (Not Applicable) only if eVitals.29 (Stroke Scale Score) = “3323001” (Negative).
• Report “8801023” (Unable to Complete) only if stroke/CVA assessment would normally be required/appropriate/
necessary for the patient circumstances, BUT the incident situation does not allow for stroke/CVA assessment.
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 78 of 93
eProtocols Group
eProtocols.01 – Protocols Used NEMSIS DD Page 549
eProtocols.02 – Protocol Age Category NEMSIS DD Page 552
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 79 of 93
eMedications Group
eMedications.01 – Date/Time Medication Administered NEMSIS DD Page 555
eMedications.02 – Medication Administered Prior to this Unit's EMS Care NEMSIS DD Page 556
eMedications.03 – Medication Given NEMSIS DD Page 557
eMedications.04 – Medication Administered Route NEMSIS DD Page 558
eMedications.05 – Medication Dosage NEMSIS DD Page 559
eMedications.06 – Medication Dosage Units NEMSIS DD Page 560
eMedications.07 – Response to Medication NEMSIS DD Page 561
eMedications.08 – Medication Complication NEMSIS DD Page 562
• eMedications.04 If no medication is administered, do not include in the XML export to NYS.
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
8801001 – Contraindication Noted
8801003 – Denied By Order
8801007 – Medication Allergy
8801009 – Medication Already Taken
8801019 – Refused
8801023 – Unable to Complete
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 80 of 93
eMedications.09 – Medication Crew (Healthcare Professionals) ID NEMSIS DD Page 563
If Medication Administered By: NYS Certified EMS Provider
• Report the EMS Provider’s NYS EMS certification number from dPersonnel.23 (EMS Personnel's State's Licensure ID
Number).
NOTE NYS EMS Provider certification numbers are currently issued as six (6) digits in length.
• Leading zeros (“0”) may be required.
• i.e., Certificate number “1234” is actually “001234” and must be handled as such.
If Medication Administered By: Other Certified/Licensed Healthcare Provider
• Report the provider’s certification/license number.
If Medication Administered By: Other Provider/Responder OR the Certified Provider’s Number is Unknown
• Leave blank and report “7701003” (Not Recorded).
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 81 of 93
eMedications.10 – Role/Type of Person Administering Medication NEMSIS DD Page 564
In NYS, certification/licensure levels allowed to administer medications are defined under NYS Law.
Thereby, these are the only NEMSIS/NISE values allowable in NYS.
NEMSIS/NISE
VALUE
NEMSIS
DESCRIPTION
NYS
DESCRIPTION
9905001 2009 Advanced Emergency
Medical Technician (AEMT) NYS Certified Advanced EMT (AEMT)
9905003 2009 Emergency Medical
Responder (EMR) NYS Certified First Responder (CFR)
9905005 2009 Emergency Medical
Technician (EMT) NYS Certified Emergency Medical Technician (EMT)
9905007 2009 Paramedic NYS Certified Paramedic
9905015 First Responder Any person – not otherwise specified – acting in the capacity of a
professional first responder (i.e., Firefighter, Police Officer, etc.).
9905019 Other Healthcare
Professional
Any healthcare provider acting in the capacity of their own (non-EMS)
healthcare certification/license (i.e., Physician, Physician Assistant,
Nurse Practitioner, Registered Nurse, Licensed Practical Nurse,
Respiratory Therapist, etc.).
9905023 Patient / Lay Person The Patient, or any Lay Person – not otherwise specified.
9905029 Student
Any provider having valid/current standing as a student in a training
program leading to NYS EMS certification, and acting in the capacity of
that student role.
it9905.179 NYS Certified EMT – Critical Care (EMT–CC)
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
9905009 – EMT-Basic
9905011 – EMT-Intermediate
9905013 – EMT-Paramedic
9905021 – Other Non-Healthcare Professional
9905025 – Physician
9905027 – Respiratory Therapist
9905031 – Critical Care Paramedic
9905033 – Community Paramedicine
9905035 – Nurse Practitioner
9905037 – Physician Assistant
9905039 – Licensed Practical Nurse (LPN)
9905041 – Registered Nurse
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 82 of 93
eMedications.11 – Medication Authorization NEMSIS DD Page 565
• If no medication is administered, do not include in the XML export to NYS.
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 83 of 93
eProcedures Group
eProcedures.01 – Date/Time Procedure Performed NEMSIS DD Page 569
eProcedures.02 – Procedure Performed Prior to this Unit's EMS Care NEMSIS DD Page 570
eProcedures.03 – Procedure NEMSIS DD Page 571
eProcedures.05 – Number of Procedure Attempts NEMSIS DD Page 573
eProcedures.06 – Procedure Successful NEMSIS DD Page 574
eProcedures.07 – Procedure Complication NEMSIS DD Page 575
eProcedures.08 – Response to Procedure NEMSIS DD Page 576
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
8801001 – Contraindication Noted
8801003 – Denied By Order
8801019 – Refused
8801023 – Unable to Complete
eProcedures.09 – Procedure Crew Members ID NEMSIS DD Page 577
If Procedure Performed By: NYS Certified EMS Provider
• Report the EMS Provider’s NYS EMS certification number from dPersonnel.23 (EMS Personnel's State's Licensure ID
Number).
NOTE NYS EMS Provider certification numbers are currently issued as six (6) digits in length.
• Leading zeros (“0”) may be required.
• i.e., Certificate number “1234” is actually “001234” and must be handled as such.
If Procedure Performed By: Other Certified/Licensed Healthcare Provider
• Report the provider’s certification/license number.
If Procedure Performed By: Other Provider/Responder OR the Certified Provider’s Number is Unknown
• Leave blank and report “7701003” (Not Recorded).
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 84 of 93
eProcedures.10 – Role/Type of Person Performing the Procedure NEMSIS DD Page 578
In NYS, certification/licensure levels allowed to perform procedures are defined under NYS Law.
Thereby, these are the only NEMSIS/NISE values allowable in NYS.
NEMSIS/NISE
VALUE
NEMSIS
DESCRIPTION
NYS
DESCRIPTION
9905001 2009 Advanced Emergency
Medical Technician (AEMT) NYS Certified Advanced EMT (AEMT)
9905003 2009 Emergency Medical
Responder (EMR) NYS Certified First Responder (CFR)
9905005 2009 Emergency Medical
Technician (EMT) NYS Certified Emergency Medical Technician (EMT)
9905007 2009 Paramedic NYS Certified Paramedic
9905015 First Responder Any person – not otherwise specified – acting in the capacity of a
professional first responder (i.e., Firefighter, Police Officer, etc.).
9905019 Other Healthcare
Professional
Any healthcare provider acting in the capacity of their own (non-EMS)
healthcare certification/license (i.e., Physician, Physician Assistant,
Nurse Practitioner, Registered Nurse, Licensed Practical Nurse,
Respiratory Therapist, etc.).
9905023 Patient / Lay Person The Patient, or any Lay Person – not otherwise specified.
9905029 Student
Any provider having valid/current standing as a student in a training
program leading to NYS EMS certification, and acting in the capacity of
that student role.
it9905.179 NYS Certified EMT – Critical Care (EMT–CC)
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
9905009 – EMT-Basic
9905011 – EMT-Intermediate
9905013 – EMT-Paramedic
9905021 – Other Non-Healthcare Professional
9905025 – Physician
9905027 – Respiratory Therapist
9905031 – Critical Care Paramedic
9905033 – Community Paramedicine
9905035 – Nurse Practitioner
9905037 – Physician Assistant
9905039 – Licensed Practical Nurse (LPN)
9905041 – Registered Nurse
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 85 of 93
eProcedures.11 – Procedure Authorization NEMSIS DD Page 579
• If no procedure is performed, do not include in the XML export to NYS.
eProcedures.13 – Vascular Access Location NEMSIS DD Page 581
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
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eAirway Group
eAirway.01 – Indications for Invasive Airway NEMSIS DD Page 584
eAirway.02 – Date/Time Airway Device Placement Confirmation NEMSIS DD Page 585
eAirway.03 – Airway Device Being Confirmed NEMSIS DD Page 586
eAirway.04 – Airway Device Placement Confirmed Method NEMSIS DD Page 587
eAirway.06 – Type of Individual Confirming Airway Device Placement NEMSIS DD Page 589
eAirway.07 – Crew Member ID NEMSIS DD Page 590
• eAirway.07 - - -
If Airway Placement Confirmed By: NYS Certified EMS Provider
• Report the EMS Provider’s NYS EMS certification number from dPersonnel.23 (EMS Personnel's State's Licensure
ID Number).
NOTE NYS EMS Provider certification numbers are currently issued as six (6) digits in length.
• Leading zeros (“0”) may be required.
• i.e., Certificate number “1234” is actually “001234” and must be handled as such.
If Airway Placement Confirmed By: Other Certified/Licensed Healthcare Provider
• Report the provider’s certification/license number.
If Airway Placement Confirmed By: Other Provider/Responder OR the Certified Provider’s Number is Unknown
• Leave blank and report “7701003” (Not Recorded).
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 87 of 93
eAirway.08 – Airway Complications Encountered NEMSIS DD Page 591
• Report “7701001” (Not Applicable) only if no complications were encountered during the invasive airway procedure.
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
eAirway.09 – Suspected Reasons for Failed Airway Management NEMSIS DD Page 592
eAirway.10 – Date/Time Decision to Manage the Patient with an Invasive Airway NEMSIS DD Page 593
eAirway.11 – Date/Time Invasive Airway Placement Attempts Abandoned NEMSIS DD Page 594
• Do not include in the XML export to NYS only if:
1. no invasive airway procedure is performed; or
2. the invasive airway procedure is successful.
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 88 of 93
eDisposition Group
eDisposition.01 – Destination/Transferred To, Name NEMSIS DD Page 611
eDisposition.02 – Destination/Transferred To, Code NEMSIS DD Page 612
Transported/Delivered to a Facility/Nursing Home/Residence/etc.
1. eDispostioin.01 Report the Location/Facility Name from dFacility.02 (Facility Name).
2. eDisposition.02 Report the NYSDOH PFI from dFacility.03 (Facility Location Code).
Transported/Delivered to Another EMS Unit
1. eDisposition.01 Report the commonly used name/initials/identifier of the receiving EMS unit.
2. eDisposition.02 Report the NYS EMS Agency Code of the receiving EMS unit.
NOTE NYS EMS Agency Codes are currently issued as four (4) digits in length.
- i.e., Agency Code “123” is actually “0123” and must be handled as such.
▪ If the receiving EMS unit’s Agency Code is unknown, report the word “UNKNOWN”.
▪ If the receiving EMS unit is from out of state, report the words “OUT OF STATE”.
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701005 – Not Reporting
eDisposition.05 – Destination State NEMSIS DD Page 615
eDisposition.06 – Destination County NEMSIS DD Page 616
eDisposition.07 – Destination ZIP Code NEMSIS DD Page 617
eDisposition.12 – Incident/Patient Disposition NEMSIS DD Page 622
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 89 of 93
eDisposition.13 – How Patient Was Moved to Ambulance NEMSIS DD Page 623
eDisposition.14 – Position of Patient During Transport NEMSIS DD Page 624
• If there is no patient transport by this EMS Unit, do not include in the XML export to NYS.
eDisposition.16 – EMS Transport Method NEMSIS DD Page 626
eDisposition.17 – Transport Mode from Scene NEMSIS DD Page 627
eDisposition.18 – Additional Transport Mode Descriptors NEMSIS DD Page 628
• eDisposition.18 Always Report “7701003” (Not Recorded).
eDisposition.19 – Final Patient Acuity NEMSIS DD Page 629
Always Report “7701003” (Not Recorded).
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701001 – Not Applicable
4219001 – Critical (Red)
4219003 – Emergent (Yellow)
4219005 – Lower Acuity (Green)
4219007 – Dead without Resuscitation Efforts (Black)
eDisposition.20 – Reason for Choosing Destination NEMSIS DD Page 630
eDisposition.21 – Type of Destination NEMSIS DD Page 631
eDisposition.22 – Hospital In-Patient Destination NEMSIS DD Page 632
NO NYS SPECIFIC SUPPLEMENTAL INFORMATION
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eDisposition.23 – Hospital Capability NEMSIS DD Page 633
eDisposition.24 – Destination Team Pre-Arrival Alert or Activation NEMSIS DD Page 634
eDisposition.25 – Date/Time of Destination Prearrival Alert or Activation NEMSIS DD Page 635
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
9908005 – Critical Access Hospital
9908029 – Trauma Center Level 5
9908033 – Cardiac-STEMI/PCI Capable (24/7)
9908035 – Cardiac-STEMI/Non-PCI Capable
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 91 of 93
eOutcome Group
eOutcome.01 – Emergency Department Disposition NEMSIS DD Page 639
eOutcome.02 – Hospital Disposition NEMSIS DD Page 640
Always Report “7701003” (Not Recorded).
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701001 – Not Applicable
01 – Discharged to home or self care (routine discharge)
02 – Discharged/transferred to another short term general hospital for inpatient care
03 – Discharged/transferred to a skilled nursing facility (SNF)
04 – Discharged/transferred to an intermediate care facility (ICF)
05 – Discharged/transferred to another type of institution not defined elsewhere in this code list
06 – Discharged/transferred to home under care of organized home health service organization in
anticipation of covered skills care
07 – Left against medical advice or discontinued care
09 – Admitted as an inpatient to this hospital.
20 – Deceased/Expired (or did not recover - Religious Non Medical Health Care Patient)
21 – Discharged/transferred to court/law enforcement
30 – Still a patient or expected to return for outpatient services.
43 – Discharged/transferred to a Federal Health Care Facility (e.g., VA or federal health care facility)
50 – Discharged/transferred to Hospice - home.
51 – Discharged/transferred to Hospice - medical facility
61 – Discharged/transferred within this institution to a hospital based Medicare approved swing bed.
62 – Discharged/transferred to a inpatient rehabilitation facility including distinct part units of a hospital.
63 – Discharged/transferred to long term care hospitals
64 – Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare
65 – Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital.
66 – Discharged/transferred to a Critical Access Hospital (CAH).
70 – Discharged/transferred to another type of health care institution not defined elsewhere in the code list.
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 92 of 93
eOther Group
eOther.05 – Suspected EMS Work Related Exposure, Injury, or Death NEMSIS DD Page 667
• Report “9923003” (Yes) only if an EMS Provider (of any type or status) receives a dangerous exposure to a hazardous
or biohazardous substance, becomes ill, is injured, or dies as a result of providing care during this EMS incident.
• Otherwise, report “9923001” (No).
eOther.08 – Crew Member Completing this Report NEMSIS DD Page 670
• Report from dPersonnel.23 (EMS Personnel’s State’s Licensure ID Number).
DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS
7701001 – Not Applicable
7701003 – Not Recorded
7701005 – Not Reporting
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 93 of 93
For further assistance interpreting the NEMSIS v3 Data Dictionary or this NYS Supplement,
or implementing v3 e-PCR in NYS, contact:
New York State – Department of Health Bureau of Emergency Medical Services and Trauma Systems
875 Central Ave., Albany, NY 12206 (518) 402 – 0996