|
Datapoint |
Description |
NHTSA Ref# |
Other Specifications
|
IDs and times
|
|
|
|
incident id
|
unique number for each incident reported to dispatch
|
1 |
|
agency id
|
Number assigned by the Health Services that identifies the agency
|
24 |
|
unit number
|
number or alphanumeric combination that designates the specific unit within an agency and is assigned by the agency
|
24 |
|
data_entry_date
|
last date of data entry or change
|
|
Automatically entered
|
data_entry_by
|
person entering data
|
|
Automatically entered
|
service type
|
type of service requested
|
20 |
|
vehicle type
|
type of vehicle used by unit responding to incident
|
25 |
Would like to add "Non-Transport Ground"
|
crew1 id
|
the EMT number, assigned by OHS, of the person completing the patient care report
|
26 |
|
crew2 id
|
EMT number for crew member #2
|
27 |
|
crew1 level
|
certification level of person writing the PCR
|
29 |
|
crew2 level
|
certification level of crew member #2
|
30 |
|
highest certification
|
most advanced level of EMT or other certification provided by the reporting agency at the scene of the incident
|
|
Defined following NHTSA 29 & 30
|
incident date
|
date/time of the occurrence
|
6,7 |
|
received date & time
|
date/time the incident is first reported to the dispatcher of the responding unit
|
8,10 |
|
dispatched date & time
|
date/time response unit is notified by dispatch
|
11,12 |
|
dispatch day of week
|
day of the week of dispatch
|
|
|
code to scene
|
urgency of response en-route to the scene
|
|
Defined following NHTSA 19. Use values of Code 1, Code 3
|
code change to scene
|
upgraded or downgraded response to the scene
|
|
Upgraded, downgraded, no change
|
canceled
|
indicates if call canceled
|
|
|
canceled date & time
|
date/time responding unit is notified of cancellation by dispatch
|
|
|
arrival date & time
|
date/time response unit physically stops at the scene
|
14 |
|
extrication minutes
|
time required for extrication
|
|
|
departure date & time
|
date/time unit began motion from the scene to destination
|
16 |
|
code from scene
|
urgency of departure from the scene
|
|
Defined following NHTSA 46. Use values of Code 1, Code 3
|
code change from scene
|
upgraded or downgraded departure from the scene
|
|
Upgraded, downgraded, no change
|
destination category
|
type of facility or agency that received the patient from the agency providing this report
|
44 |
Would like to add "Nursing home / extended care facility"
|
destination code
|
4 digit code assigned by the Health Services which identifies the hospital or prehospital unit that received the patient
|
|
|
destination determination
|
the primary reason a transport destination was selected
|
45 |
|
destination date & time
|
date/time the patient arrives at the destination or point for transfer of care
|
17 |
|
in service time
|
time response unit back in service and available for response
|
18 |
|
incident_disposition
|
the end result of this agency's involvement in this incident
|
47 |
|
|
|
|
|
Patient
|
|
|
|
last_name
|
legal last name of the patient
|
32 |
|
first_name
|
legal first name of the patient
|
32 |
|
middle_initial
|
patient's middle initial
|
32 |
|
unidentified
|
Unidentified patient
|
|
yes/no
|
birth_date
|
patient's date of birth
|
40 |
|
age
|
patient's age calculated from injury date
|
46 |
|
age_unit
|
patient's estimated or stated age
|
|
Include options for N days, N months
|
gender
|
gender of the patient
|
42 |
|
ethnicity
|
race and ethnicity of the patient
|
43 |
|
ssn
|
patient's social security number
|
39 |
|
address
|
patient's home street address
|
28 |
|
city
|
patient's city of residence
|
34 |
|
county
|
patient's county of residence
|
35 |
|
state
|
patient's state of residence
|
36 |
|
zip
|
patient's home zip code
|
37 |
|
insurance company
|
patient's insurance company
|
|
prepare a list
|
insurance ID
|
patient's insurance policy ID number
|
|
|
DNR
|
was there evidence of a DNR
|
|
|
|
|
|
|
Incident
|
|
|
|
nature_of_call
|
nature of call
|
|
See Nature of Call list, Footnote 1 below
|
address
|
street address to which the unit responded (incident address)
|
1 |
|
city
|
city in which the incident occurred
|
2 |
|
county
|
county in which the incident occurred
|
3 |
|
state
|
state in which the incident occurred
|
4 |
|
zip
|
zip code at which the incident occurred
|
|
|
latitude
|
geographic location of the incident
|
|
For future use.
|
longitude
|
geographic location of the incident
|
|
For future use.
|
location_type
|
place where the injury occurred
|
5 |
|
site_condition
|
special factors affecting EMS response or delivery of care
|
56 |
|
patients_on_scene
|
number of persons requesting or consenting to examination by EMS providers
|
|
|
mps
|
multiple patient scene
|
|
|
mci
|
scene declared a mass casualty incident by EMS providers
|
|
|
injury_cause
|
external cause of injury
|
49 |
|
job_injury
|
identifies patients who were injured while at work
|
|
|
protective_equipment
|
protective equipment used by primary EMT
|
|
Gloves, Eye Protection, Mask, Gown, Other
|
clinical_impression
|
provider's clinical impression which led to the management given the patient
|
50 |
|
severity_assessment
|
EMT assessment of the severity of the patient's illness/injury
|
|
|
past_medical_history
|
pre-existing medical conditions known to the provider
|
51 |
|
symptom
|
signs or symptoms reported to or observed by provider
|
52 |
Would like to add "Pregnancy Related"
|
body_site
|
body site of injury
|
53a |
|
injury_type
|
clinical description of injury
|
53b |
|
etoh_suspected
|
provider suspects alcohol use by the patient
|
57 |
|
drugs_suspected
|
provider suspects illicit drug use by the patient
|
57 |
|
veh_restraint
|
safety equipment in use by patient at time of injury
|
55 |
Negotiable. May be changed to multiple-entry list.
|
veh_ptlocation
|
if vehicular: patient's location
|
|
Driver; passenger; pedestrian
|
veh_number1
|
if vehicular: type of patient's vehicle
|
|
Car; truck; bus; motorcycle; bicycle; stationary object; other
|
veh_number2
|
if vehicular: type of object that patient's vehicle was involved with
|
|
Car; truck; bus; motorcycle; bicycle; stationary object; other
|
trauma patient
|
|
|
|
trauma_id
|
six digit trauma id band number
|
|
|
trauma_system_entry_date & time
|
date/time the trauma hospital or MRH was contacted by EMS
|
|
|
triage_criteria
|
trauma triage criteria marked
|
|
See Triage Criteria list.
|
|
|
|
|
Assessment and Interventions
|
|
|
respiration_effort
|
patient's effort at respiration
|
69 |
|
perfusion
|
patient's skin perfusion
|
72 |
|
responsiveness
|
assessment of patient's level of consciousness
|
|
Alert, Verbal, Pain, Unconscious; alternative to GCS scores
|
airway_initial
|
type of airway management performed on the patient by the agency
|
|
Would like a variable indicating airway status at time of initial assessment, with the following values: Normal, Oral/Nasal, BVM, ET Intubation, PEAD, Cric, Trach, CombiTube, LMA, Other
|
paralytics_initial
|
was the patient chemically paralyzed
|
|
Would like a variable indicating paralyzed status at time of initial assessment
|
pulse_initial
|
patient's palpated or auscultated pulse rate expressed in number per minute
|
65 |
|
respiration_initial
|
unassisted respiratory rate expressed as number per minute
|
68 |
|
sbp_initial
|
patient's systolic blood pressure
|
70 |
|
gcs_eye_initial
|
patient's eye opening component of the Glasgow Coma Scale taken or acted upon by the agency providing this report
|
73 |
|
gcs_verbal_initial
|
patient's verbal response component of the Glasgow Coma Scale taken or acted upon by the agency providing this report
|
74 |
|
gcs_motor_initial
|
patient's motor response component of the Glasgow Coma Scale taken or acted upon by the agency providing this report
|
75 |
|
gcs_total_initial
|
patient's total Glasgow Coma Scale taken or acted upon by the agency providing this report
|
76 |
|
airway_final
|
type of airway management performed on the patient by the agency
|
|
Would like a variable indicating airway status at time of final assessment, with the following values: Normal, Oral/Nasal, BVM, ET Intubation, PEAD, Cric, Trach, CombiTube, LMA, Other
|
paralytics_final
|
was the patient chemically paralyzed
|
|
Would like a variable indicating paralyzed status at time of final assessment
|
pulse_final
|
patient's palpated or auscultated pulse rate expressed in number per minute
|
65 |
|
respiration_final
|
unassisted respiratory rate expressed as number per minute
|
68 |
|
sbp_final
|
patient's systolic blood pressure
|
70 |
|
gcs_eye_final
|
patient's eye opening component of the Glasgow Coma Scale taken or acted upon by the agency providing this report
|
73 |
|
gcs_verbal_final
|
patient's verbal response component of the Glasgow Coma Scale taken or acted upon by the agency providing this report
|
74 |
|
gcs_motor_final
|
patient's motor response component of the Glasgow Coma Scale taken or acted upon by the agency providing this report
|
75 |
|
gcs_total_final
|
patient's total Glasgow Coma Scale taken or acted upon by the agency providing this report
|
76 |
|
end tidal CO2 detection
|
|
|
|
ectopy
|
|
|
|
pulse_oximetry
|
|
|
|
first cpr
|
provider of first CPR
|
59 |
|
initial_ecg
|
initial monitored cardiac rhythm as interpreted by EMS personnel
|
66 |
|
destination_ecg
|
monitored cardiac rhythm upon arrival at destination
|
67 |
|
arrest witness
|
witness of cardiac arrest if one occurred
|
62 |
|
return of spontaneous circ
|
was a palpable pulse or blood pressure restored following cardiac arrest and resuscitation
|
64 |
|
return of spont circ. time
|
|
|
|
field_procedure_time
|
time of procedure
|
|
|
field_procedure_number
|
ordinal number of procedure
|
|
alternative to time of procedure
|
field_procedure
|
procedures performed on the patient by the agency completing this report
|
78 |
|
field_procedure_performed_by
|
EMT performing the procedure
|
|
|
number_of_attempts
|
time the procedure was attempted
|
79 |
|
successful
|
was the procedure successful
|
|
|
patient_response
|
patient response to procedure
|
|
Improved, No Change, Other
|
medication
|
medications administered to the patient
|
80 |
|
solution
|
|
|
|
amount
|
|
|
|
online_advice
|
communication with medical control attempted by EMS providers
|
|
|
online_advice_date & time
|
|
|
|
|
|
|
|
|
|
|
|
Footnote 1: Possible values for Nature of Call
|
|
|
|
Medical Causes
|
|
Trauma Causes
|
|
Cardiac arrest
|
|
Motor vehicle accident
|
|
Chest pain
|
|
Gunshot
|
|
Difficulty breathing
|
|
Stabbing
|
|
Seizure
|
|
Domestic violence
|
|
Diabetic
|
|
Other assault
|
|
Overdose
|
|
Other trauma
|
|
Neurologic
|
|
|
|
Maternity/obstetric
|
|
Other Causes
|
|
Behavioral/psychiatric
|
|
Fire/Standby
|
|
Other medical reason
|
|
Scheduled transport
|
|
|
|
Other
|
|
|
|
|
Footnote 2: Trauma System Criteria
|
|
|
|
Mandatory Entry
|
|
Discretionary Entry
|
|
SBP < 90 mm Hg
|
|
Fall > 20 feet
|
|
Respiratory distress; resp rate <10 or >29 or requiring management
|
Pedestrian hit at 20 mph or thrown 15 feet
|
|
GCS <= 12
|
|
Roolover
|
|
Penetrating injury to head, neck, torso, or groin
|
|
Motorcycle, ATV, bicycle crash
|
|
Amputation above wrist or ankle
|
|
Impact / significant intrusion
|
|
Spinal cord injury with limb paralysis
|
|
Age <5 or age > 55
|
|
Flail chest
|
|
Bleeding disorder, or on anticoagulants
|
|
Two or more obvious fractures of femur or humerus
|
|
Card / resp deisease, diabetes, cirrhosis, or morbid obesity
|
|
Death of same car occupant
|
|
Pregnancy
|
|
Patient ejected from enclosed vehicle
|
|
Immunosuppressed
|
|
Heavy extrication time (> 20 minutes)
|
|
Presence of intoxicants
|
|
|
|
Other
|
|
|
|
|