Level 3 emergency medical services patient care report - recommended CDA R1 & R2 set:-:Pt:{Setting}:-:

Preferred Label : Level 3 emergency medical services patient care report - recommended CDA R1 & R2 set:-:Pt:{Setting}:-:;

LOINC status : ACTIVE;

LOINC long common name : Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set;

LOINC short name : L3 EMS Pt Care Rpt CDA R1 R2 set;

LOINC description : This panel contains the recommended section and entry level LOINCs for an EMS patient care report based on the HL7 Version 3 Implementation Guide for CDA Release 2 - Level 3: Emergency Medical Services; Patient Care Report, Release 1 & 2 - US Realm.;

Details

Origin ID

84429-0;

UMLS CUI

C4284567;

Has component
- Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set [LOINC component]
- Report [LOINC component]
Has system
- {Setting} [LOINC System]
Has time aspect
- Point in time (spot) [LOINC time aspect]
Panel of LOINC codes
- 911 call to public safety answering point or other designated entity requesting EMS services:TmStp:Pt:Facility:Qn: [LOINC code]
- AED use prior to EMS arrival:Find:Pt:^Patient:Ord:NEMSIS [LOINC code]
- Advance directive:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Age:Time:Pt:^Patient:Qn: [LOINC code]
- Airbag deployment:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Airway device placement confirmation method:Find:Pt:^Patient:Nom: [LOINC code]
- Alcohol - drug use:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Allergies &or adverse reactions:Find:Pt:^Patient:Doc: [LOINC code]
- Barriers to patient care:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Body weight:Mass:Pt:^Patient:Qn:Estimated [LOINC code]
- Breaths:NRat:Pt:Respiratory system:Qn: [LOINC code]
- CDC field triage criteria:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Carbon dioxide/Gas.total.at end expiration:VFr:Pt:Exhl gas:Qn: [LOINC code]
- Cardiac arrest cause:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Cardiac rhythm:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Centers for medicare - medicaid, CMS, service level:Find:Pt:^Patient:Ord:NEMSIS [LOINC code]
- Chief complaint per dispatch:Find:Pt:^Patient:Nom:Reported.dispatch [LOINC code]
- Chief complaint:Find:Pt:^Patient:Nar:Reported [LOINC code]
- Condition indicating eligibility for illness or injury registry:Find:Pt:^Patient:Nom: [LOINC code]
- Contraindication for thrombolytic use:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Counter or odometer reading^beginning of call:Num:Pt:^Vehicle:Qn: [LOINC code]
- Counter or odometer reading^end of call:Num:Pt:^Vehicle:Qn: [LOINC code]
- Counter or odometer reading^patient arrival:Num:Pt:^Vehicle:Qn: [LOINC code]
- Counter or odometer reading^patient destination:Num:Pt:^Vehicle:Qn: [LOINC code]
- Destination site latitude:Angle:Pt:Ambulance transport:Qn: [LOINC code]
- Destination site longitude:Angle:Pt:Ambulance transport:Qn: [LOINC code]
- Diffusion capacity.carbon monoxide:FldConduct:Pt:Respiratory system:Qn: [LOINC code]
- Dispatch delay:Type:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Dispatch was notified by the 911 call taker:TmStp:Pt:Facility:Qn: [LOINC code]
- Does the patient have any environmental allergies:Find:Pt:^Patient:Ord:NEMSIS [LOINC code]
- Does the patient have any medication allergies:Hx:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Does the patient take any medications:Hx:Pt:^Patient:Nom:NEMSIS [LOINC code]
- EMS advance directives:-:Pt:^Patient:Nar:NEMSIS [LOINC code]
- EMS billing:-:Pt:^Patient:Nar:NEMSIS [LOINC code]
- EMS cardiac arrest event:-:Pt:^Patient:Nar:NEMSIS [LOINC code]
- EMS condition code:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- EMS current medications:-:Pt:^Patient:Nar:NEMSIS [LOINC code]
- EMS dispatch:-:Pt:^Patient:Nar:NEMSIS [LOINC code]
- EMS disposition:-:Pt:^Patient:Nar:NEMSIS [LOINC code]
- EMS exposures or injuries of EMS personnel:-:Pt:Provider:Nar:NEMSIS [LOINC code]
- EMS injury incident description:-:Pt:^Patient:Nar:NEMSIS [LOINC code]
- EMS level of care capability:Type:Pt:EMS unit:Nom: [LOINC code]
- EMS medications administered:-:Pt:^Patient:Nar:NEMSIS [LOINC code]
- EMS past medical history:-:Pt:^Patient:Nar:NEMSIS [LOINC code]
- EMS protocol:-:Pt:^Patient:Nar:NEMSIS [LOINC code]
- EMS response:-:Pt:^Patient:Nar:NEMSIS [LOINC code]
- EMS scene:-:Pt:^Patient:Nar:NEMSIS [LOINC code]
- EMS situation:-:Pt:^Patient:Nar:NEMSIS [LOINC code]
- EMS social history:-:Pt:^Patient:Nar:NEMSIS [LOINC code]
- EMS times:-:Pt:^Patient:Nar:NEMSIS [LOINC code]
- Emergency medical dispatch performed:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- First EMS unit on scene:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- General mechanism of the forces which caused the injury:Find:Pt:^Patient:Nom: [LOINC code]
- Glasgow coma score special circumstances:Type:Pt:^Patient:Nom: [LOINC code]
- Glasgow coma score.eye opening:Fcn:Pt:^Patient:Ord: [LOINC code]
- Glasgow coma score.motor:Fcn:Pt:^Patient:Ord: [LOINC code]
- Glasgow coma score.total:Fcn:Pt:^Patient:Qn: [LOINC code]
- Glasgow coma score.verbal:Fcn:Pt:^Patient:Ord: [LOINC code]
- Glucose:MCnc:Pt:Bld:Qn: [LOINC code]
- Has the patient had any significant medical conditions:Find:Pt:^Patient:Ord:NEMSIS [LOINC code]
- Heart rate:NRat:Pt:XXX:Qn: [LOINC code]
- Height of fall:Len:Pt:^Patient:Qn: [LOINC code]
- Incident - patient disposition:Type:Pt:^Patient:Nom: [LOINC code]
- Indications of drug or alcohol use by the patient:Find:Pt:^Patient:Ord:NEMSIS [LOINC code]
- Initial patient acuity:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Intravascular diastolic:Pres:Pt:Arterial system:Qn: [LOINC code]
- Intravascular systolic:Pres:Pt:Arterial system:Qn: [LOINC code]
- Is the patient on anticoagulants:Find:Pt:^Patient:Ord:NEMSIS [LOINC code]
- Known allergies to food or environmental agents:Find:Pt:^Patient:Nom: [LOINC code]
- Last oral intake:TmStp:Pt:^Patient:Qn: [LOINC code]
- Length-based tape measure category:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Level of responsiveness:Find:Pt:^Patient:Ord: [LOINC code]
- Location of impact on the vehicle:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Location of patient in vehicle:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Mass casualty incident:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Medical - surgical history - ICD-9 and 10 codes:Hx:Pt:^Patient:Nom: [LOINC code]
- Medication administered prior to this unit's EMS care:Find:Pt:^Patient:Ord: [LOINC code]
- Medication complication:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Mental status assessment:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Neurological assessment:Find:Pt:Neurologic system:Nom:NEMSIS [LOINC code]
- Other injury risk factors:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Other symptoms:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Oxygen saturation:MFr:Pt:BldA:Qn:Pulse oximetry [LOINC code]
- Pain severity verbal numeric scale:Score:Pt:^Patient:Qn: [LOINC code]
- Patients transported in EMS unit:Num:Pt:^Patient:Qn: [LOINC code]
- Physical findings:Find:Pt:Abdomen:Nom:NEMSIS [LOINC code]
- Physical findings:Find:Pt:Back+Spine:Nom:NEMSIS [LOINC code]
- Physical findings:Find:Pt:Chest+Lungs:Nom: [LOINC code]
- Physical findings:Find:Pt:Extremity:Nom:NEMSIS [LOINC code]
- Physical findings:Find:Pt:Eye:Nom:NEMSIS [LOINC code]
- Physical findings:Find:Pt:Face:Nom:NEMSIS [LOINC code]
- Physical findings:Find:Pt:Head:Nom:NEMSIS [LOINC code]
- Physical findings:Find:Pt:Heart:Nom:NEMSIS [LOINC code]
- Physical findings:Find:Pt:Neck:Nom:NEMSIS [LOINC code]
- Physical findings:Find:Pt:Pelvis+Genitourinary:Nom:NEMSIS [LOINC code]
- Physical findings:Find:Pt:Skin:Nom:NEMSIS [LOINC code]
- Physical findings:Find:Pt:^Patient:Nar:Observed [LOINC code]
- Possible injury:Find:Pt:^Patient:Ord:NEMSIS [LOINC code]
- Pregnancy:Hx:Pt:^Patient:Ord: [LOINC code]
- Primary problem:Imp:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Procedure attempts:Num:Pt:^Patient:Qn: [LOINC code]
- Procedure complication:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Procedure performed prior to this units EMS care:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Procedure successful:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Procedure:Type:Pt:^Patient:Nar: [LOINC code]
- Protocol age category:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Protocol used:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Reason resuscitation not attempted:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Responding unit arrived at the patient's side:TmStp:Pt:^Vehicle:Qn: [LOINC code]
- Responding unit arrived on the scene:TmStp:Pt:^Vehicle:Qn: [LOINC code]
- Responding unit arrived with the patient at the destination or transfer point:TmStp:Pt:^Vehicle:Qn: [LOINC code]
- Responding unit left the scene with a patient:TmStp:Pt:^Vehicle:Qn: [LOINC code]
- Responding unit was notified by dispatch:TmStp:Pt:^Vehicle:Qn: [LOINC code]
- Response delay:Type:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Response mode descriptors:Type:Pt:EMS response:Nom:NEMSIS [LOINC code]
- Response mode to scene:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Response to medication:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Response to procedure:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Safety equipment:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Scene delay:Type:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Secondary problem:Imp:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Stroke scale overall interpretation:Imp:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Summarization of encounter note:Hx:Pt:{Setting}:Nar:{Role} [LOINC code]
- Total patients at the scene:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Transport delay:Type:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Transport method:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Transport mode descriptors:Type:Pt:EMS transport:Nom:NEMSIS [LOINC code]
- Transport mode from scene:Find:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Turn-around delay:Type:Pt:^Patient:Nom:NEMSIS [LOINC code]
- Unit responded:TmStp:Pt:^Vehicle:Qn: [LOINC code]
- Unit was back in service and available for response:TmStp:Pt:^Vehicle:Qn: [LOINC code]
- Vehicle location^at dispatch:Loc:Pt:^Vehicle:Ord:NEMSIS [LOINC code]
- Vital signs:Find:Pt:^Patient:Nar:Observed [LOINC code]
- Work related exposure, injury, or death:Find:Pt:Provider:Ord:NEMSIS [LOINC code]
Semantic type(s)
- Clinical Attribute [UMLS semantic type]

Keyword's position in hierarchy(ies) :

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