Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set   84429-0

LOINC Code


LOINC code84429-0
nameLevel 3 emergency medical services patient care report - recommended CDA R1 and R2 set
descriptionThis 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.
statusACTIVE

Fully-Specified Name

componentLevel 3 emergency medical services patient care report - recommended CDA R1 & R2 set
property-
timePt  =  Point in time:  To identify measures at a point in time. This is a synonym for “spot” or “random” as applied to urine measurements.
system{Setting}
scale-
method

Additional Names

short nameL3 EMS Pt Care Rpt CDA R1+R2 set

Basic Attributes

classPANEL.DOC
type2  Clinical

Panel Components

67840-9EMS advance directives Narrative NEMSIS
67516-5Advance directive NEMSIS
48765-2Allergies and adverse reactions Document
69747-4Does the patient have any environmental allergies NEMSIS
79151-7Known allergies to food or environmental agents
67794-8Does the patient have any medication allergies NEMSIS
67659-3EMS billing Narrative NEMSIS
67556-1EMS condition code NEMSIS
69464-6Centers for medicare - medicaid, CMS, service level NEMSIS
67799-7EMS cardiac arrest event Narrative NEMSIS
67503-3Cardiac arrest cause NEMSIS
67506-6Deprecated CPR prior to EMS arrival NEMSIS
67508-2AED use prior to EMS arrival NEMSIS
67844-1EMS current medications Narrative NEMSIS
67791-4Does the patient take any medications NEMSIS
67556-1EMS condition code NEMSIS
69749-0Is the patient on anticoagulants NEMSIS
67660-1EMS dispatch Narrative NEMSIS
67488-7Emergency medical dispatch performed NEMSIS
67547-0Patients transported in EMS unit [#]
67570-2Chief complaint per dispatch Reported.dispatch
67661-9EMS disposition Narrative NEMSIS
67547-0Patients transported in EMS unit [#]
67548-8Incident - patient disposition
67550-4Transport mode from scene NEMSIS
77153-5EMS Transport mode descriptors NEMSIS
67549-6Transport method NEMSIS
67550-4Transport mode from scene NEMSIS
77153-5EMS Transport mode descriptors NEMSIS
67800-3EMS injury incident description Narrative NEMSIS
67494-5General mechanism of the forces which caused the injury
67495-2CDC field triage criteria NEMSIS
67496-0Other injury risk factors NEMSIS
67497-8Location of impact on the vehicle NEMSIS
67498-6Location of patient in vehicle NEMSIS
67499-4Safety equipment NEMSIS
67500-9Airbag deployment NEMSIS
67501-7Height of fall
67849-0EMS medications administered Narrative NEMSIS
67540-5Response to medication NEMSIS
67541-3Medication complication NEMSIS
67539-7Medication administered prior to this unit's EMS care
67842-5EMS past medical history Narrative NEMSIS
67793-0Has the patient had any significant medical conditions NEMSIS
68487-8Medical - surgical history - ICD-9 and 10 codes
67781-5Summarization of encounter note Narrative
67658-5EMS exposures or injuries of EMS personnel Provider Narrative NEMSIS
67554-6Work related exposure, injury, or death Provider NEMSIS
29545-1Physical findings Narrative
67524-9Physical findings of Skin NEMSIS
67525-6Physical findings of Head NEMSIS
67536-3Neurological assessment Nervous system NEMSIS
67526-4Physical findings of Face NEMSIS
67527-2Physical findings of Neck NEMSIS
67528-0Physical findings of Chest+Lungs
67529-8Physical findings of Heart NEMSIS
67530-6Physical findings of Abdomen NEMSIS
67531-4Physical findings of Pelvis+Genitourinary NEMSIS
67532-2Physical findings of Back+Spine NEMSIS
67533-0Physical findings of Extremity NEMSIS
67534-8Physical findings of Eye NEMSIS
67535-5Mental status assessment NEMSIS
67471-3History of Pregnancy
67517-3Last oral intake [Date and time]
30525-0Age
67523-1Contraindication for thrombolytic use NEMSIS
67515-7Barriers to patient care NEMSIS
8335-2Body weight Estimated
67670-0Length-based tape measure category NEMSIS
29554-3Procedure Narrative
67542-1Procedure performed prior to this units EMS care NEMSIS
67543-9Procedure attempts [#]
67544-7Procedure successful NEMSIS
67545-4Procedure complication NEMSIS
67546-2Response to procedure NEMSIS
71576-3Airway device placement confirmation method
67504-1Reason resuscitation not attempted NEMSIS
67663-5EMS protocol Narrative NEMSIS
67537-1Protocol used NEMSIS
67538-9Protocol age category NEMSIS
67553-8Condition indicating eligibility for illness or injury registry
67664-3EMS response Narrative NEMSIS
67480-4Dispatch delay NEMSIS
67557-9Response delay NEMSIS
67558-7Scene delay NEMSIS
67559-5Transport delay NEMSIS
67560-3Turn-around delay NEMSIS
69466-1Vehicle location Vehicle NEMSIS --at dispatch
52002-3Ambulance transport, Destination site latitude coordinate
52003-1Ambulance transport, Destination site longitude coordinate
67484-6Vehicle Counter or odometer reading --beginning of call
67485-3Vehicle Counter or odometer reading --patient arrival
67486-1Vehicle Counter or odometer reading --patient destination
67487-9Vehicle Counter or odometer reading --end of call
67482-0Response mode to scene NEMSIS
77157-6EMS Response mode descriptors NEMSIS
77156-8EMS unit Level of care capability
67665-0EMS scene Narrative NEMSIS
67481-2First EMS unit on scene NEMSIS
67489-5Total patients at the scene NEMSIS
67490-3Mass casualty incident NEMSIS
67666-8EMS situation Narrative NEMSIS
10154-3Chief complaint Narrative - Reported
69467-9Possible injury NEMSIS
67492-9Primary problem [Interpretation] NEMSIS
67776-5Other symptoms NEMSIS
67493-7Initial patient acuity NEMSIS
69542-9Secondary problem [Interpretation] NEMSIS
67843-3EMS social history Narrative NEMSIS
69757-3Indications of drug or alcohol use by the patient NEMSIS
67669-2Alcohol - drug use NEMSIS
67667-6EMS times Narrative NEMSIS
69469-5911 call to public safety answering point or other designated entity requesting EMS services [Date and time] Facility
69471-1Responding unit was notified by dispatch [Date and time] Vehicle
69472-9Unit responded [Date and time] Vehicle
69473-7Responding unit arrived on the scene [Date and time] Vehicle
69474-5Responding unit arrived at the patient's side [Date and time] Vehicle
69475-2Responding unit left the scene with a patient [Date and time] Vehicle
69476-0Responding unit arrived with the patient at the destination or transfer point [Date and time] Vehicle
69477-8Unit was back in service and available for response [Date and time] Vehicle
69470-3Dispatch was notified by the 911 call taker [Date and time] Facility
8716-3Vital signs
8480-6Systolic blood pressure
8462-4Diastolic blood pressure
8867-4Heart rate
9279-1Respiratory rate
59408-5Oxygen saturation in Arterial blood by Pulse oximetry
67520-7Stroke scale overall interpretation NEMSIS
56840-2Pain severity verbal numeric scale [Score]
67775-7Level of responsiveness
2339-0Glucose [Mass/volume] in Blood
19911-7Diffusion capacity.carbon monoxide
19889-5Carbon dioxide/Gas.total.at end expiration in Exhaled gas
67519-9Cardiac rhythm NEMSIS
9267-6Glasgow coma score eye opening
9268-4Glasgow coma score motor
9270-0Glasgow coma score verbal
55285-1Glasgow coma score special circumstances
9269-2Glasgow coma score total

Associated Observations

LOINC codes that represent optional associated observation(s) for a clinical observation or laboratory test. A LOINC term may represent a single associated observation or panel containing several associated observations.

History/Usage

first released
last updated2.72
last change typePANEL  - addition or removal of child elements or change in the conditionality of child elements in the panel or in sub-panels contained by the panel.

Related Names

Congenital dyserythropoietic anaemia
III
L3 EMS Pt Care Rpt CDA R1+R2 set
Levels
Levl
LV
LVL
Pan
Panel
PANEL.DOC
Panl
Pnl
Point in time
Random

Copyright © 2023 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © 1995-2023, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. See https://loinc.org/license for the full LOINC copyright and license.

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