Section Section Name Code Description D1.11 Other Agencies in Area -20 Not Recorded D1.11 Other Agencies in Area -15 Not Reporting D1.11 Other Agencies in Area -25 Not Applicable D1.11 Other Agencies in Area -10 Not Known D1.19 EMS Agency Time Zone -20 Not Recorded D1.19 EMS Agency Time Zone -15 Not Reporting D1.19 EMS Agency Time Zone 5900 GMT-11:00 Midway Island, Somoa D1.19 EMS Agency Time Zone 5910 GMT-10:00 Hawaii D1.19 EMS Agency Time Zone 5920 GMT-9:00 Alaska D1.19 EMS Agency Time Zone 5930 GMT-8:00 Pacific Time D1.19 EMS Agency Time Zone 5940 GMT-7:00 Mountain Time D1.19 EMS Agency Time Zone 5950 GMT-6:00 Central Time D1.19 EMS Agency Time Zone 5960 GMT-5:00 Eastern Time D1.19 EMS Agency Time Zone 5970 GMT-4:00 Atlantic Time D1.19 EMS Agency Time Zone -25 Not Applicable D1.19 EMS Agency Time Zone -10 Not Known D1.19 EMS Agency Time Zone -5 Not Available D1.20 EMS Agency Daylight Savings Time Use -20 Not Recorded D1.20 EMS Agency Daylight Savings Time Use -15 Not Reporting D1.20 EMS Agency Daylight Savings Time Use 0 No D1.20 EMS Agency Daylight Savings Time Use 1 Yes D1.20 EMS Agency Daylight Savings Time Use -25 Not Applicable D1.20 EMS Agency Daylight Savings Time Use -10 Not Known D1.20 EMS Agency Daylight Savings Time Use -5 Not Available D1.5 Primary Type Of Service -20 Not Recorded D1.5 Primary Type Of Service -15 Not Reporting 911 Response (Scene) with Transport D1.5 Primary Type Of Service 5610 Capability 911 Response (Scene) without Transport D1.5 Primary Type Of Service 5620 Capability D1.5 Primary Type Of Service 5630 Air Medical D1.5 Primary Type Of Service 5640 Hazmat D1.5 Primary Type Of Service 5650 Medical Transport (Convalescent) D1.5 Primary Type Of Service 5660 Paramedic Intercept D1.5 Primary Type Of Service 5670 Rescue D1.5 Primary Type Of Service 5680 Specialty Care Transport D1.5 Primary Type Of Service -25 Not Applicable D1.5 Primary Type Of Service -10 Not Known D1.5 Primary Type Of Service -5 Not Available D1.6 Other Types of Service -20 Not Recorded D1.6 Other Types of Service -15 Not Reporting 911 Response (Scene) with Transport D1.6 Other Types of Service 5690 Capability 911 Response (Scene) without Transport D1.6 Other Types of Service 5700 Capability D1.6 Other Types of Service 5710 Air Medical D1.6 Other Types of Service 5720 Hazmat D1.6 Other Types of Service 5730 Medical Transport (Convalescent) D1.6 Other Types of Service 5740 Paramedic Intercept D1.6 Other Types of Service 5750 Rescue D1.6 Other Types of Service 5760 Specialty Care Transport D1.6 Other Types of Service -25 Not Applicable D1.6 Other Types of Service -10 Not Known D1.7 Level of Service -20 Not Recorded D1.7 Level of Service -15 Not Reporting D1.7 Level of Service 6090 EMT Basic D1.7 Level of Service 6100 EMT Intermediate D1.7 Level of Service 6110 EMT Paramedic D1.7 Level of Service 6120 First Responder D1.7 Level of Service 6111 Nurse D1.7 Level of Service 6112 Physician D1.7 Level of Service -25 Not Applicable D1.7 Level of Service -10 Not Known D1.7 Level of Service -5 Not Available D1.8 Organizational Type -20 Not Recorded D1.8 Organizational Type -15 Not Reporting D1.8 Organizational Type 5810 Community, Non-Profit D1.8 Organizational Type 5820 Fire Department D1.8 Organizational Type 5830 Governmental, Non-Fire D1.8 Organizational Type 5840 Hospital D1.8 Organizational Type 5850 Private, Non Hospital D1.8 Organizational Type 5860 Tribal D1.8 Organizational Type 103001 Contact Center D1.8 Organizational Type -25 Not Applicable D1.8 Organizational Type -10 Not Known D1.8 Organizational Type -5 Not Available D1.9 Organization Status -20 Not Recorded D1.9 Organization Status -15 Not Reporting D1.9 Organization Status 5870 Mixed D1.9 Organization Status 5880 Non-Volunteer D1.9 Organization Status 5890 Volunteer D1.9 Organization Status -25 Not Applicable D1.9 Organization Status -10 Not Known D1.9 Organization Status -5 Not Available
D3.10 Agency Medical Directors Medical Specialty -20 Not Recorded
D3.10 Agency Medical Directors Medical Specialty -15 Not Reporting
D3.10 Agency Medical Directors Medical Specialty 5980 Anesthesiology
D3.10 Agency Medical Directors Medical Specialty 5990 Cardiology
D3.10 Agency Medical Directors Medical Specialty 6000 Emergency Medicine
D3.10 Agency Medical Directors Medical Specialty 6010 Family Practice
D3.10 Agency Medical Directors Medical Specialty 6020 General Practice (not board certified)
D3.10 Agency Medical Directors Medical Specialty 6030 Internal Medicine
D3.10 Agency Medical Directors Medical Specialty 6040 Obstetrics and Gynecology D3.10 Agency Medical Directors Medical Specialty 6050 Orthopedics
D3.10 Agency Medical Directors Medical Specialty 6060 Other
D3.10 Agency Medical Directors Medical Specialty 6070 Pediatrics
D3.10 Agency Medical Directors Medical Specialty 6080 Surgery
D3.10 Agency Medical Directors Medical Specialty -25 Not Applicable
D3.10 Agency Medical Directors Medical Specialty -10 Not Known
D3.10 Agency Medical Directors Medical Specialty -5 Not Available D4.1 State Certification Licensure Levels 6090 EMT-Basic D4.1 State Certification Licensure Levels 6100 EMT-Intermediate D4.1 State Certification Licensure Levels 6110 EMT-Paramedic D4.1 State Certification Licensure Levels 6120 First Responder D4.1 State Certification Licensure Levels 6111 Nurse D4.1 State Certification Licensure Levels 6112 Physician D4.10 Billing Status -20 Not Recorded D4.10 Billing Status -15 Not Reporting D4.10 Billing Status 0 No D4.10 Billing Status 1 Yes D4.10 Billing Status -25 Not Applicable D4.10 Billing Status -10 Not Known D4.10 Billing Status -5 Not Available D4.15 Destination Type -20 Not Recorded D4.15 Destination Type -15 Not Reporting D4.15 Destination Type 7270 Home D4.15 Destination Type 7280 Hospital D4.15 Destination Type 7290 Medical Office/Clinic D4.15 Destination Type 7300 Morgue D4.15 Destination Type 7320 Nursing Home D4.15 Destination Type 7330 Other D4.15 Destination Type 7340 Other EMS Responder (air) D4.15 Destination Type 7350 Other EMS Responder (ground) D4.15 Destination Type 7360 Police/Jail D4.15 Destination Type -25 Not Applicable D4.15 Destination Type -10 Not Known D4.15 Destination Type -5 Not Available D4.4 Procedures 6380 Airway - Capnography D4.4 Procedures 6150 Airway - Change Tracheostomy Tube D4.4 Procedures 6420 Airway - Chest Decompression D4.4 Procedures 6160 Airway - Cleared, Opened, or Heimlich D4.4 Procedures 6170 Airway - Combitube D4.4 Procedures 6180 Airway - CPAP D4.4 Procedures 6280 Airway - Endotracheal Intubation D4.4 Procedures 154069 Airway - Extubation D4.4 Procedures 154032 Airway - Impedance Threshold Device D4.4 Procedures 6200 Airway - Intubation Confirm CO2 Airway - Intubation Confirm Esophageal D4.4 Procedures 6210 Detector Device/Bulb (EDD) D4.4 Procedures 154034 Airway - King Airway D4.4 Procedures 6220 Airway - Laryngeal Mask D4.4 Procedures 154071 Airway - Laryngoscopy D4.4 Procedures 6225 Airway - Magill Forceps D4.4 Procedures 6530 Airway - Nasogastric Tube D4.4 Procedures 6230 Airway - Nasopharyngeal D4.4 Procedures 6240 Airway - Nasotracheal Intubation D4.4 Procedures 6250 Airway - Nebulizer Treatment D4.4 Procedures 6260 Airway - Needle Cricothyrotomy D4.4 Procedures 6270 Airway - Oropharyngeal D4.4 Procedures 6140 Airway - Positive Pressure Ventilation D4.4 Procedures 6300 Airway - Rapid Sequence Induction D4.4 Procedures 6320 Airway - Suctioning Airway - Supraglottic Airway (not King or D4.4 Procedures 154126 Combitube) D4.4 Procedures 6340 Airway - Ventilator D4.4 Procedures 154022 Assessment - Adult D4.4 Procedures 6370 Assessment - Blood Glucose Analysis Assessment - Orthostatic Blood Pressure D4.4 Procedures 154027 Measurement D4.4 Procedures 154028 Assessment - Pain Measurement D4.4 Procedures 154023 Assessment - Pediatric D4.4 Procedures 154029 Assessment - Pulse Oximetry Assessment - Return of spontaneous D4.4 Procedures 154047 circulation (ROSC) Assessment - Spinal Assessment - Deficits D4.4 Procedures 154020 Noted Assessment - Spinal Assessment - No D4.4 Procedures 154021 Deficits Noted D4.4 Procedures 154030 Assessment - Temperature Measurement D4.4 Procedures 6130 Cardiac - 12 Lead ECG D4.4 Procedures 154060 Cardiac - 12 Lead ECG Transmitted D4.4 Procedures 6720 Cardiac - AICD Deactivation D4.4 Procedures 6390 Cardiac - Cardiac Monitor D4.4 Procedures 6400 Cardiac - Cardioversion (Synchronized) D4.4 Procedures 154001 Cardiac - CPR by Automated Device Cardiac - CPR (Cardiopulmonary D4.4 Procedures 6460 Resuscitation) Cardiac - Defibrillation - Pad placement for D4.4 Procedures 6470 Monitoring/Analysis D4.4 Procedures 6480 Cardiac - Defibrillation - Automated (AED) D4.4 Procedures 6490 Cardiac - Defibrillation - Manual D4.4 Procedures 154048 Cardiac - Discontinue CPR D4.4 Procedures 6500 Cardiac - External Cardiac Pacing D4.4 Procedures 154045 Cardiac - Hold CPR D4.4 Procedures 154085 Cardiac - STEMI/Cath lab activated D4.4 Procedures 154031 Cardiac - Thrombolytic screen D4.4 Procedures 154024 Cardiac - Transvenous pacing D4.4 Procedures 6860 Cardiac - Valsalva Maneuver D4.4 Procedures 6430 Childbirth D4.4 Procedures 6800 Cold Pack D4.4 Procedures 154025 Decontamination D4.4 Procedures 154046 External Cooling D4.4 Procedures 6510 Extrication D4.4 Procedures 6810 Hot Pack D4.4 Procedures 6820 Isolation Procedures D4.4 Procedures 6520 MAST D4.4 Procedures 6540 None D4.4 Procedures -25 Not Applicable D4.4 Procedures -5 Not Available D4.4 Procedures -10 Not Known D4.4 Procedures -20 Not Recorded D4.4 Procedures -15 Not Reporting D4.4 Procedures 6830 Other D4.4 Procedures 6550 Rescue D4.4 Procedures 6560 Restraints-Pharmacological D4.4 Procedures 6570 Restraints-Physical D4.4 Procedures 6850 Stretcher D4.4 Procedures 154086 Stroke alert/notification Trauma - Cervical Spinal Immobilization - D4.4 Procedures 6770 Rigid Collar D4.4 Procedures 6580 Trauma - Spinal Immobilization D4.4 Procedures 6581 Trauma - Spinal Immobilization - K.E.D. Trauma - Spinal Immobilization - Long Back D4.4 Procedures 6582 Board Trauma - Spinal Immobilization - Standing D4.4 Procedures 154000 Take-Down D4.4 Procedures 6590 Trauma - Splinting D4.4 Procedures 6600 Trauma - Splinting-Traction D4.4 Procedures 154082 Trauma - Trauma center activation - Adult Trauma - Trauma center activation - D4.4 Procedures 154084 Pediatric D4.4 Procedures 6710 Trauma - Wound Care D4.4 Procedures 6711 Trauma - Wound Care - Burn Care D4.4 Procedures 154105 Trauma - Wound care - Eye irrigation
D4.4 Procedures 6712 Trauma - Wound Care - Pressure Dressing D4.4 Procedures 154056 Trauma - Wound Care-Tourniquet D4.4 Procedures 6620 Venous Access-Blood Draw D4.4 Procedures 154017 Venous Access-Discontinue Venous Access-Existing Catheter/IV D4.4 Procedures 6630 Monitoring D4.4 Procedures 6650 Venous Access-External Jugular Line D4.4 Procedures 6640 Venous Access-Extremity D4.4 Procedures 6670 Venous Access-Intraosseous Adult D4.4 Procedures 6680 Venous Access-Intraosseous Pediatric D4.4 Procedures 6690 Venous Access-Maintain Central Line Personnel Level Permitted to Use the D4.5 Procedure -20 Not Recorded Personnel Level Permitted to Use the D4.5 Procedure -15 Not Reporting Personnel Level Permitted to Use the D4.5 Procedure -25 Not Applicable Personnel Level Permitted to Use the D4.5 Procedure -10 Not Known Personnel Level Permitted to Use the D4.5 Procedure -5 Not Available D4.6 Medications Given 405 Abciximab (Reopro) D4.6 Medications Given 61 Adenosine D4.6 Medications Given 31 Albuterol Sulfate D4.6 Medications Given 65 Amiodorone (Cordarone) D4.6 Medications Given 4 Amyl Nitrate D4.6 Medications Given 81 Aspirin (ASA) D4.6 Medications Given 21 Atropine Sulfate D4.6 Medications Given 161 Calcium Chloride D4.6 Medications Given 156130 Calcium Gluconate Gel D4.6 Medications Given 156022 Cetacaine Spray D4.6 Medications Given 111 Charcoal, activated D4.6 Medications Given 156070 Cyanokit (Hydroxocobalamin) D4.6 Medications Given 156010 D5W (Dextrose 5% in Water) D4.6 Medications Given 156003 Dextrose 10% (D10) D4.6 Medications Given 156009 Dextrose 12.5% D4.6 Medications Given 156002 Dextrose 25% (D25) D4.6 Medications Given 171 Dextrose 50% (D50) D4.6 Medications Given 121 Diazepam (Valium) D4.6 Medications Given 156079 Diazepam Auto Injector D4.6 Medications Given 436 Diltiazem (Cardizem) D4.6 Medications Given 11 Diphenhydramine (Benadryl) D4.6 Medications Given 300 Dobutamine D4.6 Medications Given 16 Dopamine D4.6 Medications Given 142 Droperidol (Inapsine) D4.6 Medications Given 156087 DuoDote Kit D4.6 Medications Given 418 Epi-Pen Adult D4.6 Medications Given 419 Epi-Pen Junior D4.6 Medications Given 440 Epinephrine 1:1000 D4.6 Medications Given 441 Epinephrine 1:10,000 D4.6 Medications Given 407 Eptifibatide (Integrilin) D4.6 Medications Given 34 Epinephrine infusion D4.6 Medications Given 141 Etomidate D4.6 Medications Given 325 Fentanyl D4.6 Medications Given 132 Furosemide (Lasix) D4.6 Medications Given 231 Glucagon D4.6 Medications Given 156023 Glucose (Oral) D4.6 Medications Given 414 Haloperidol (Haldol) D4.6 Medications Given 51 Heparin D4.6 Medications Given 437 Hurricaine Spray D4.6 Medications Given 409 Hydromorphone (Dilaudid) D4.6 Medications Given 156017 Ibuprofen D4.6 Medications Given 60 Ipratropium Bromide D4.6 Medications Given 417 IV Antibiotics D4.6 Medications Given 38 Ketorolac (Toradol) D4.6 Medications Given 163 Labetolol D4.6 Medications Given 156011 Lactated Ringers D4.6 Medications Given 156008 Levalbuterol HCL (Xopenex) D4.6 Medications Given 63 Lidocaine (bolus) D4.6 Medications Given 156061 Lidocaine drip D4.6 Medications Given 24 Lorazepam (Ativan) D4.6 Medications Given 131 Magnesium Sulfate D4.6 Medications Given 416 Mark 1 Kit D4.6 Medications Given 27 Meperidine (Demerol) D4.6 Medications Given 28 Metaproterenol (Alupent) D4.6 Medications Given 222 Methylprednisolone (Solu-Medrol) D4.6 Medications Given 350 Metoprolol (Lopressor) D4.6 Medications Given 122 Midazolam (Versed) D4.6 Medications Given 92 Morphine Sulfate D4.6 Medications Given 101 Naloxone (Narcan) D4.6 Medications Given 33 Nifedipine (Adalat, Procardia) D4.6 Medications Given 72 Nitroglycerin D4.6 Medications Given 156132 Nitroglycerin infusion D4.6 Medications Given 143 Nitronox (Nitrous Oxide) Nitropaste (Transdermal Nitroglycerin D4.6 Medications Given 156029 Ointment) D4.6 Medications Given 68 Nitroprusside D4.6 Medications Given 156018 Norepinephrine D4.6 Medications Given 404 Normal Saline D4.6 Medications Given 156031 Normal Saline (Respiratory Use) D4.6 Medications Given -25 Not Applicable D4.6 Medications Given -5 Not Available D4.6 Medications Given -10 Not Known D4.6 Medications Given 425 Ondansetron D4.6 Medications Given 428 Other Autonomic Nervous System Drug D4.6 Medications Given 426 Other Cardiac Drug D4.6 Medications Given 427 Other CNS Drug D4.6 Medications Given 429 Other Respiratory Drug D4.6 Medications Given 9398 Oxygen (non-rebreather mask) D4.6 Medications Given 12360 Oxygen by Blow By D4.6 Medications Given 9397 Oxygen by Mask D4.6 Medications Given 9396 Oxygen by Nasal Cannula D4.6 Medications Given 438 Oxygen by Nebulizer D4.6 Medications Given 910 Oxygen by other means D4.6 Medications Given 439 Oxygen by Positive Pressure Device D4.6 Medications Given 411 Oxytocin (Pitocin) D4.6 Medications Given 156074 Packed red blood blood cells D4.6 Medications Given 156184 Parenteral nutrition (TPN/PPN) D4.6 Medications Given 435 Potassium Cl D4.6 Medications Given 156019 Pralidoxime (2-PAM, Systemic) D4.6 Medications Given 64 Procainamide D4.6 Medications Given 415 Prochlorperazine D4.6 Medications Given 403 Promethazine HCl D4.6 Medications Given 521 Proparacaine (Alcaine) D4.6 Medications Given 402 Racemic Epinephrine D4.6 Medications Given 410 Rocuronium Bromide (Zemuron) D4.6 Medications Given 151 Sodium bicarbonate D4.6 Medications Given 156020 Sodium Nitrite (Cyanide Kit) D4.6 Medications Given 156021 Sodium Thiosulfate (Cyanide Kit) D4.6 Medications Given 41 Succinylcholine (Anectine) D4.6 Medications Given 32 Terbutaline D4.6 Medications Given 156007 Tetracaine D4.6 Medications Given 39 Thiamine D4.6 Medications Given 156035 Thiopental Sodium (Pentothal) D4.6 Medications Given 406 Tirofiban HCL (Aggrastat) D4.6 Medications Given 401 Vasopressin D4.6 Medications Given 400 Vecuronium (Norcuron) D4.6 Medications Given 156013 Ipratropium 0.5/Albuterol 2.5 (DuoNeb) Personnel Level Permitted to Use the D4.7 Medication -20 Not Recorded Personnel Level Permitted to Use the D4.7 Medication -15 Not Reporting Personnel Level Permitted to Use the D4.7 Medication -25 Not Applicable Personnel Level Permitted to Use the D4.7 Medication -10 Not Known Personnel Level Permitted to Use the D4.7 Medication -5 Not Available D4.8 Protocols 6720 Abdominal Pain D4.8 Protocols 6730 Airway D4.8 Protocols 6780 Altered Level of Consciousness D4.8 Protocols 7215 Amputations D4.8 Protocols 6770 Anaphylaxis (Allergic Reaction) D4.8 Protocols 6830 Arrhythmia: Bradycardia D4.8 Protocols 7190 Arrhythmia: Supraventricular Tachycardia Arrhythmia: Ventricular Tachycardia with D4.8 Protocols 7240 Pulse D4.8 Protocols 158041 Asthma/COPD/Reactive Airway Disease D4.8 Protocols 6810 Behavioral Emergency / Violent patient D4.8 Protocols 6840 Burns D4.8 Protocols 6850 Cardiac Arrest D4.8 Protocols 6860 Chest Pain D4.8 Protocols 6870 Childbirth / Labor / Pregnancy Related D4.8 Protocols 6980 Cold exposure
D4.8 Protocols 6875 Cold Exposure (Hypothermia and Frostbite) D4.8 Protocols 158046 Cyanide Poisoning D4.8 Protocols 6965 Diabetic Emergencies D4.8 Protocols 7160 Difficulty Breathing D4.8 Protocols 6890 Drowning D4.8 Protocols 158065 Eye Emergencies D4.8 Protocols 6940 Head Trauma D4.8 Protocols 6960 Heat exposure D4.8 Protocols 6950 Hypertension D4.8 Protocols 6970 Hypotension / Shock D4.8 Protocols 7000 Major Multiple System Trauma D4.8 Protocols 7250 Nausea and Vomiting
D4.8 Protocols 158052 Nerve agent & organophosphate Poisoning D4.8 Protocols 6910 Nosebleed (Epistaxis) D4.8 Protocols -25 Not Applicable D4.8 Protocols -5 Not Available D4.8 Protocols -20 Not Recorded D4.8 Protocols 7260 Other D4.8 Protocols 7040 Pain Control D4.8 Protocols 7030 Poisoning and Overdose D4.8 Protocols 7130 Post Resuscitation Pregnancy-Related Emergencies & Vaginal D4.8 Protocols 7010 Bleeding D4.8 Protocols 7140 Pulmonary Edema D4.8 Protocols 7150 Pulseless Electrical Activity (PEA) D4.8 Protocols 158055 Radiation injuries D4.8 Protocols 158062 Refusal of Care/Transportation D4.8 Protocols 158059 Respiratory Arrest D4.8 Protocols 7170 Seizure Skeletal Injuries (Fractures, Dislocations, D4.8 Protocols 6920 Sprains, Strains) D4.8 Protocols 7175 Spine Trauma D4.8 Protocols 7200 Stroke D4.8 Protocols 158057 Thoracic injuries D4.8 Protocols 7220 Universal Patient Care Protocol D4.8 Protocols 7230 Ventricular Fibrillation / Pulseless V-Tach D4.8 Protocols 6930 Weakness/Malaise/Fever Personnel Level Permitted to Use the D4.9 Protocol -20 Not Recorded Personnel Level Permitted to Use the D4.9 Protocol -15 Not Reporting Personnel Level Permitted to Use the D4.9 Protocol -25 Not Applicable Personnel Level Permitted to Use the D4.9 Protocol -10 Not Known Personnel Level Permitted to Use the D4.9 Protocol -5 Not Available D6.3 Vehicle Type 7370 Ambulance D6.3 Vehicle Type 7380 ATV D6.3 Vehicle Type 7390 Bicycle D6.3 Vehicle Type 7400 Boat D6.3 Vehicle Type 7410 Fire Truck D6.3 Vehicle Type 7430 Motorcycle D6.3 Vehicle Type 7440 Other D6.3 Vehicle Type 7450 Private Vehicle D6.3 Vehicle Type 7460 Quick Response Vehicle D6.3 Vehicle Type 7470 Rescue D6.3 Vehicle Type 7480 Rotor Craft D6.4 State Certification / Licensure Levels -20 Not Recorded D6.4 State Certification / Licensure Levels -15 Not Reporting D6.4 State Certification / Licensure Levels 6090 EMT-Basic D6.4 State Certification / Licensure Levels 6100 EMT-Intermediate D6.4 State Certification / Licensure Levels 6110 EMT-Paramedic D6.4 State Certification / Licensure Levels 6111 Nurse D6.4 State Certification / Licensure Levels 6112 Physician D6.4 State Certification / Licensure Levels 6120 First Responder D6.4 State Certification / Licensure Levels -25 Not Applicable D6.4 State Certification / Licensure Levels -10 Not Known D6.4 State Certification / Licensure Levels -5 Not Available D7.3 Personnel's Employment Status -20 Not Recorded D7.3 Personnel's Employment Status -15 Not Reporting D7.3 Personnel's Employment Status 7490 Full Time Paid Employee D7.3 Personnel's Employment Status 7500 Full Time Unpaid Employee D7.3 Personnel's Employment Status 7510 Part Time Paid and Part Time Unpaid D7.3 Personnel's Employment Status 7520 Part Time Paid Employee D7.3 Personnel's Employment Status 7530 Part Time Unpaid Employee D7.3 Personnel's Employment Status -25 Not Applicable D7.3 Personnel's Employment Status -10 Not Known D7.3 Personnel's Employment Status -5 Not Available Personnel's Level of Certification /Licensure D7.5 for Agency -20 Not Recorded Personnel's Level of Certification /Licensure D7.5 for Agency -15 Not Reporting Personnel's Level of Certification /Licensure D7.5 for Agency 6090 EMT Basic Personnel's Level of Certification /Licensure D7.5 for Agency 6100 EMT Intermediate Personnel's Level of Certification /Licensure D7.5 for Agency 6110 EMT Paramedic Personnel's Level of Certification /Licensure D7.5 for Agency 6120 First Responder Personnel's Level of Certification /Licensure D7.5 for Agency 6111 Nurse Personnel's Level of Certification /Licensure D7.5 for Agency 6112 Physician Personnel's Level of Certification /Licensure D7.5 for Agency -25 Not Applicable Personnel's Level of Certification /Licensure D7.5 for Agency -10 Not Known Personnel's Level of Certification /Licensure D7.5 for Agency -5 Not Available D8.12 EMS Personnel's Gender -20 Not Recorded D8.12 EMS Personnel's Gender -15 Not Reporting D8.12 EMS Personnel's Gender 650 Male D8.12 EMS Personnel's Gender 655 Female D8.12 EMS Personnel's Gender -25 Not Applicable D8.12 EMS Personnel's Gender -10 Not Known D8.12 EMS Personnel's Gender -5 Not Available D8.13 EMS Personnel's Race -20 Not Recorded D8.13 EMS Personnel's Race -15 Not Reporting D8.13 EMS Personnel's Race 660 American Indian or Alaska Native D8.13 EMS Personnel's Race 665 Asian D8.13 EMS Personnel's Race 670 Black or African American D8.13 EMS Personnel's Race 675 Native Hawaiian or Other Pacific Islander D8.13 EMS Personnel's Race 680 White D8.13 EMS Personnel's Race 685 Other Race D8.13 EMS Personnel's Race -25 Not Applicable D8.13 EMS Personnel's Race -10 Not Known D8.13 EMS Personnel's Race -5 Not Available D8.14 EMS Personnel's Ethnicity -20 Not Recorded D8.14 EMS Personnel's Ethnicity -15 Not Reporting D8.14 EMS Personnel's Ethnicity 690 Hispanic or Latino D8.14 EMS Personnel's Ethnicity 695 Not Hispanic or Latino D8.14 EMS Personnel's Ethnicity -25 Not Applicable D8.14 EMS Personnel's Ethnicity -10 Not Known D8.14 EMS Personnel's Ethnicity -5 Not Available D8.15 State EMS Certification/Licensure Level -20 Not Recorded D8.15 State EMS Certification/Licensure Level -15 Not Reporting D8.15 State EMS Certification/Licensure Level 6090 EMT-Basic D8.15 State EMS Certification/Licensure Level 6100 EMT-Intermediate D8.15 State EMS Certification/Licensure Level 6110 EMT-Paramedic D8.15 State EMS Certification/Licensure Level 6120 First Responder D8.15 State EMS Certification/Licensure Level 6111 Nurse D8.15 State EMS Certification/Licensure Level 6112 Physician D8.15 State EMS Certification/Licensure Level -25 Not Applicable D8.15 State EMS Certification/Licensure Level -10 Not Known D8.15 State EMS Certification/Licensure Level -5 Not Available D8.16 National Registry Credentialed -20 Not Recorded D8.16 National Registry Credentialed -15 Not Reporting D8.16 National Registry Credentialed 0 No D8.16 National Registry Credentialed 1 Yes D8.16 National Registry Credentialed -25 Not Applicable D8.16 National Registry Credentialed -10 Not Known D8.16 National Registry Credentialed -5 Not Available E10.1 Cause Of Injury 9500 Aircraft Related Accident E10.1 Cause Of Injury 580000 Assault E10.1 Cause Of Injury 580001 ATV Rider E10.1 Cause Of Injury 9505 Bicycle Accident E10.1 Cause Of Injury 9510 Bites E10.1 Cause Of Injury 580002 Caught in/between Objects E10.1 Cause Of Injury 9515 Chemical Poisoning E10.1 Cause Of Injury 9520 Child Battering E10.1 Cause Of Injury 580003 Cut/Pierce E10.1 Cause Of Injury 9525 Drowning E10.1 Cause Of Injury 9530 Drug Poisoning E10.1 Cause Of Injury 9535 Electrocution (Non-Lightning) E10.1 Cause Of Injury 9540 Excessive Cold E10.1 Cause Of Injury 9545 Excessive Heat E10.1 Cause Of Injury 580004 Explosion E10.1 Cause Of Injury 9550 Falls E10.1 Cause Of Injury 9555 Fire and Flames E10.1 Cause Of Injury 9560 Firearm Assault E10.1 Cause Of Injury 9565 Firearm Injury (Accidental) E10.1 Cause Of Injury 9570 Firearm Self Inflicted E10.1 Cause Of Injury 580005 Foreign body entering eye/orifice E10.1 Cause Of Injury 580006 Hot Object/Substance E10.1 Cause Of Injury 580020 Housing/Dangerous Condition E10.1 Cause Of Injury 9575 Lightning E10.1 Cause Of Injury 9580 Machinery Accidents E10.1 Cause Of Injury 9585 Mechanical Suffocation E10.1 Cause Of Injury 9590 Motor Vehicle Non-Traffic Accident E10.1 Cause Of Injury 9595 Motor Vehicle Traffic Accident E10.1 Cause Of Injury 580017 Motor Vehicle vs Large Animal E10.1 Cause Of Injury 580007 Motor Vehicle vs Pedestrian Accident E10.1 Cause Of Injury 9600 Motorcycle Accident (E81X.1) E10.1 Cause Of Injury 580019 Neglect/Malnutrition E10.1 Cause Of Injury 9605 Non-Motorized Vehicle Accident (E848.0) E10.1 Cause Of Injury 580009 Other Injury E10.1 Cause Of Injury 580010 Overexertion E10.1 Cause Of Injury 9610 Pedestrian Traffic Accident E10.1 Cause Of Injury 9615 Radiation Exposure E10.1 Cause Of Injury 9620 Sexual Assault E10.1 Cause Of Injury 9625 Smoke Inhalation E10.1 Cause Of Injury 580012 Snowmobile Accident E10.1 Cause Of Injury 9630 Stabbing/Cutting Accidental (E986.0) E10.1 Cause Of Injury 9635 Stabbing/Cutting Assault E10.1 Cause Of Injury 9640 Struck by Blunt/Thrown Object (E968.2) E10.1 Cause Of Injury 580014 Struck by or Against E10.1 Cause Of Injury 580015 Unarmed Fight/Brawl E10.1 Cause Of Injury 9645 Venomous Stings (Plants, Animals) E10.1 Cause Of Injury 9650 Water Transport Accident E10.1 Cause Of Injury -25 Not Applicable E10.1 Cause Of Injury -10 Not Known E10.2 Intent Of The Injury 2020 Intentional, Other (Assaulted) E10.2 Intent Of The Injury 2025 Intentional, Self Legal intervention (injured during law E10.2 Intent Of The Injury 581004 enforcement) E10.2 Intent Of The Injury 2030 Unintentional E10.2 Intent Of The Injury -25 Not Applicable E10.2 Intent Of The Injury -10 Not Known E10.3 Mechanism of Injury 2035 Blunt E10.3 Mechanism of Injury 2040 Burn E10.3 Mechanism of Injury 2045 Other E10.3 Mechanism of Injury 2050 Penetrating E10.3 Mechanism of Injury -25 Not Applicable E10.3 Mechanism of Injury -10 Not Known E10.4 Vehicular Injury Indicators 2055 Dash Deformity E10.4 Vehicular Injury Indicators 2060 DOA Same Vehicle E10.4 Vehicular Injury Indicators 2065 Ejection E10.4 Vehicular Injury Indicators 2070 Fire E10.4 Vehicular Injury Indicators 2075 Rollover/Roof Deformity E10.4 Vehicular Injury Indicators 2080 Side Post Deformity E10.4 Vehicular Injury Indicators 2085 Space Intrusion > 1 Foot E10.4 Vehicular Injury Indicators 2090 Steering Wheel Deformity E10.4 Vehicular Injury Indicators 2095 Windshield Spider/Star E10.4 Vehicular Injury Indicators -25 Not Applicable
E10.5 Area of the Vehicle impacted by the collision -20 Not Recorded
E10.5 Area of the Vehicle impacted by the collision 2100 Center Front
E10.5 Area of the Vehicle impacted by the collision 2105 Center Rear E10.5 Area of the Vehicle impacted by the collision 2110 Left Front
E10.5 Area of the Vehicle impacted by the collision 2115 Left Rear
E10.5 Area of the Vehicle impacted by the collision 2120 Left Side
E10.5 Area of the Vehicle impacted by the collision 2125 Right Front
E10.5 Area of the Vehicle impacted by the collision 2130 Right Rear
E10.5 Area of the Vehicle impacted by the collision 2135 Right Side
E10.5 Area of the Vehicle impacted by the collision 2140 Rollover
E10.5 Area of the Vehicle impacted by the collision -25 Not Applicable
E10.5 Area of the Vehicle impacted by the collision -10 Not Known E10.6 Seat Row Location of Patient in Vehicle -25 Not Applicable E10.6 Seat Row Location of Patient in Vehicle -10 Not Known
E10.7 Position of Patient in the Seat of the Vehicle -25 Not Applicable
E10.7 Position of Patient in the Seat of the Vehicle 2145 Driver
E10.7 Position of Patient in the Seat of the Vehicle 2150 Left (Non-Driver)
E10.7 Position of Patient in the Seat of the Vehicle 2155 Middle
E10.7 Position of Patient in the Seat of the Vehicle 2160 Other
E10.7 Position of Patient in the Seat of the Vehicle 2165 Right
E10.7 Position of Patient in the Seat of the Vehicle -10 Not Known E10.8 Use of Occupant Safety Equipment 587005 Protective Safety Belt E10.8 Use of Occupant Safety Equipment 2170 Child Restraint E10.8 Use of Occupant Safety Equipment 2175 Eye Protection E10.8 Use of Occupant Safety Equipment 2180 Helmet Worn E10.8 Use of Occupant Safety Equipment 2185 Lap Belt E10.8 Use of Occupant Safety Equipment 2187 No Safety Equipment/Devices Used E10.8 Use of Occupant Safety Equipment 2190 Other E10.8 Use of Occupant Safety Equipment 2195 Personal Floatation Device E10.8 Use of Occupant Safety Equipment 2200 Protective Clothing Gear E10.8 Use of Occupant Safety Equipment 2205 Protective Non-Clothing Gear E10.8 Use of Occupant Safety Equipment 2210 Shoulder Belt E10.8 Use of Occupant Safety Equipment -25 Not Applicable E10.8 Use of Occupant Safety Equipment -10 Not Known E10.9 Airbag Deployment 2225 Airbag Deployed Front
E10.9 Airbag Deployment 2235 Airbag Deployed Other (Knee, Airbelt, etc.) E10.9 Airbag Deployment 2230 Airbag Deployed Side E10.9 Airbag Deployment 2220 No Airbag Deployed E10.9 Airbag Deployment 2215 No Airbag Present E10.9 Airbag Deployment -25 Not Applicable E10.9 Airbag Deployment -10 Not Known E11.1 Cardiac Arrest 0 No E11.1 Cardiac Arrest 2245 Yes, After EMS Arrival E11.1 Cardiac Arrest 2240 Yes, Prior to EMS Arrival E11.1 Cardiac Arrest -25 Not Applicable E11.10 Reason CPR Discontinued 2430 DNR E11.10 Reason CPR Discontinued 2435 Medical Control Order E11.10 Reason CPR Discontinued 2440 Obvious Signs of Death E11.10 Reason CPR Discontinued 2445 Protocol/Policy Requirements Completed Return of Spontaneous Circulation (Pulse or E11.10 Reason CPR Discontinued 2450 BP Noted) E11.10 Reason CPR Discontinued -25 Not Applicable E11.11 Cardiac Rhythm on Arrival at Destination 610000 12 Lead ECG-Septal Ischemia E11.11 Cardiac Rhythm on Arrival at Destination 2455 12 Lead ECG-Anterior Ischemmia E11.11 Cardiac Rhythm on Arrival at Destination 2460 12 Lead ECG-Inferior Ischemia E11.11 Cardiac Rhythm on Arrival at Destination 2465 12 Lead ECG-Lateral Ischemia E11.11 Cardiac Rhythm on Arrival at Destination 2470 Agonal/Idioventricular E11.11 Cardiac Rhythm on Arrival at Destination 2475 Artifact E11.11 Cardiac Rhythm on Arrival at Destination 2480 Asystole E11.11 Cardiac Rhythm on Arrival at Destination 2485 Atrial Fibrillation/Flutter E11.11 Cardiac Rhythm on Arrival at Destination 2490 AV Block-1st Degree E11.11 Cardiac Rhythm on Arrival at Destination 2495 AV Block-2nd Degree-Type 1 E11.11 Cardiac Rhythm on Arrival at Destination 2500 AV Block-2nd Degree-Type 2 E11.11 Cardiac Rhythm on Arrival at Destination 2505 AV Block-3rd Degree E11.11 Cardiac Rhythm on Arrival at Destination 2510 Junctional E11.11 Cardiac Rhythm on Arrival at Destination 2515 Left Bundle Branch Block E11.11 Cardiac Rhythm on Arrival at Destination 2520 Normal Sinus Rhythm E11.11 Cardiac Rhythm on Arrival at Destination 2525 Other E11.11 Cardiac Rhythm on Arrival at Destination 2530 Paced Rhythm E11.11 Cardiac Rhythm on Arrival at Destination 2535 PEA E11.11 Cardiac Rhythm on Arrival at Destination 2540 Premature Atrial Contractions E11.11 Cardiac Rhythm on Arrival at Destination 2545 Premature Ventricular Contractions E11.11 Cardiac Rhythm on Arrival at Destination 2550 Right Bundle Branch Block E11.11 Cardiac Rhythm on Arrival at Destination 610001 S-T Segment Depression E11.11 Cardiac Rhythm on Arrival at Destination 610002 S-T Segment Elevation E11.11 Cardiac Rhythm on Arrival at Destination 2555 Sinus Arrhythmia E11.11 Cardiac Rhythm on Arrival at Destination 2560 Sinus Bradycardia E11.11 Cardiac Rhythm on Arrival at Destination 2565 Sinus Tachycardia E11.11 Cardiac Rhythm on Arrival at Destination 2570 Supraventricular Tachycardia E11.11 Cardiac Rhythm on Arrival at Destination 2575 Torsades De Points E11.11 Cardiac Rhythm on Arrival at Destination 2580 Unknown AED Non-Shockable Rhythm E11.11 Cardiac Rhythm on Arrival at Destination 2585 Unknown AED Shockable Rhythm E11.11 Cardiac Rhythm on Arrival at Destination 2590 Ventricular Fibrillation E11.11 Cardiac Rhythm on Arrival at Destination 2595 Ventricular Tachycardia E11.11 Cardiac Rhythm on Arrival at Destination -25 Not Applicable E11.11 Cardiac Rhythm on Arrival at Destination -10 Not Known E11.2 Cardiac Arrest Etiology 2260 Drowning E11.2 Cardiac Arrest Etiology 2270 Electrocution E11.2 Cardiac Arrest Etiology 2275 Other E11.2 Cardiac Arrest Etiology 2250 Presumed Cardiac E11.2 Cardiac Arrest Etiology 2265 Respiratory E11.2 Cardiac Arrest Etiology 601000 SIDS (Suspected) E11.2 Cardiac Arrest Etiology 2255 Trauma E11.2 Cardiac Arrest Etiology -25 Not Applicable E11.2 Cardiac Arrest Etiology -10 Not Known E11.3 Resuscitation Attempted 2280 Attempted Defibrillation E11.3 Resuscitation Attempted 2285 Attempted Ventilation E11.3 Resuscitation Attempted 2290 Initiated Chest Compressions E11.3 Resuscitation Attempted 2295 Not Attempted-Considered Futile E11.3 Resuscitation Attempted 2300 Not Attempted-DNR Orders E11.3 Resuscitation Attempted 2305 Not Attempted-Signs of Circulation E11.3 Resuscitation Attempted -25 Not Applicable E11.3 Resuscitation Attempted -10 Not Known E11.4 Arrest Witnessed By 2320 Not Witnessed E11.4 Arrest Witnessed By 2310 Witnessed by Healthcare Provider E11.4 Arrest Witnessed By 2315 Witnessed by Lay Person E11.4 Arrest Witnessed By -25 Not Applicable E11.4 Arrest Witnessed By -10 Not Known E11.5 First Monitored Rhythm of the Patient 2325 Asystole E11.5 First Monitored Rhythm of the Patient 2330 Bradycardia E11.5 First Monitored Rhythm of the Patient 2335 Normal Sinus Rhythm E11.5 First Monitored Rhythm of the Patient 2340 Other E11.5 First Monitored Rhythm of the Patient 604000 Paced Rhythm E11.5 First Monitored Rhythm of the Patient 2345 PEA E11.5 First Monitored Rhythm of the Patient 2350 Unknown AED Non-Shockable Rhythm E11.5 First Monitored Rhythm of the Patient 2355 Unknown AED Shockable Rhythm E11.5 First Monitored Rhythm of the Patient 2360 Ventricular Fibrillation E11.5 First Monitored Rhythm of the Patient 2365 Ventricular Tachycardia E11.5 First Monitored Rhythm of the Patient -25 Not Applicable E11.5 First Monitored Rhythm of the Patient -10 Not Known E11.6 Any Return Of Spontaneous Circulation -20 Not Recorded E11.6 Any Return Of Spontaneous Circulation -15 Not Reporting E11.6 Any Return Of Spontaneous Circulation 2380 No E11.6 Any Return Of Spontaneous Circulation 2375 Yes, Prior to ED Arrival and at the ED E11.6 Any Return Of Spontaneous Circulation 2370 Yes, Prior to ED Arrival Only E11.6 Any Return Of Spontaneous Circulation -25 Not Applicable E11.6 Any Return Of Spontaneous Circulation -10 Not Known E11.6 Any Return Of Spontaneous Circulation -5 Not Available
E11.7 Neurological Outcome at Hospital Discharge -20 Not Recorded
E11.7 Neurological Outcome at Hospital Discharge -15 Not Reporting
E11.7 Neurological Outcome at Hospital Discharge 2380 CPC 1 or 2
E11.7 Neurological Outcome at Hospital Discharge 2385 CPC 3 or 4
E11.7 Neurological Outcome at Hospital Discharge -25 Not Applicable
E11.7 Neurological Outcome at Hospital Discharge -10 Not Known
E11.7 Neurological Outcome at Hospital Discharge -5 Not Available Estimated Time of Arrest Prior to EMS E11.8 Arrival 2425 0-2 Minutes Estimated Time of Arrest Prior to EMS E11.8 Arrival 2420 2-4 Minutes Estimated Time of Arrest Prior to EMS E11.8 Arrival 2415 4-6 Minutes Estimated Time of Arrest Prior to EMS E11.8 Arrival 2410 6-8 Minutes Estimated Time of Arrest Prior to EMS E11.8 Arrival 2405 8-10 Minutes Estimated Time of Arrest Prior to EMS E11.8 Arrival 2400 10-15 Minutes Estimated Time of Arrest Prior to EMS E11.8 Arrival 2395 15-20 Minutes Estimated Time of Arrest Prior to EMS E11.8 Arrival 2390 > 20 Minutes Estimated Time of Arrest Prior to EMS E11.8 Arrival -25 Not Applicable Estimated Time of Arrest Prior to EMS E11.8 Arrival -10 Not Known E12.1 Barriers To Patient Care 5555 Other E12.1 Barriers To Patient Care 2615 None E12.1 Barriers To Patient Care 2610 Language Unattended or Unsupervised (Including E12.1 Barriers To Patient Care 2635 Minors) E12.1 Barriers To Patient Care 620000 Combative patient E12.1 Barriers To Patient Care 2620 Physically Impaired E12.1 Barriers To Patient Care 2640 Unconscious E12.1 Barriers To Patient Care 2600 Developmentally Impaired E12.1 Barriers To Patient Care 2625 Physically Restrained E12.1 Barriers To Patient Care 620002 Weather E12.1 Barriers To Patient Care 2605 Hearing Impaired E12.1 Barriers To Patient Care 2630 Speech Impaired E12.1 Barriers To Patient Care -5 Not Available E12.10 Medical/Surgical History 23000 Amputee E12.10 Medical/Surgical History 23070 Patient Denies PMH E12.10 Medical/Surgical History 49390 Asthma E12.10 Medical/Surgical History 23990 Cancer E12.10 Medical/Surgical History 629024 Cancer - Bone E12.10 Medical/Surgical History 629023 Cancer - Breast E12.10 Medical/Surgical History 629025 Cancer - Colon E12.10 Medical/Surgical History 629026 Cancer - Kidney E12.10 Medical/Surgical History 629027 Cancer - Liver E12.10 Medical/Surgical History 629028 Cancer - Lung E12.10 Medical/Surgical History 629030 Cancer - Other Cancer Condition E12.10 Medical/Surgical History 629029 Cancer - Ovarian/Uterine E12.10 Medical/Surgical History 41200 Cardiac E12.10 Medical/Surgical History 629053 Cardiac - Angioplasty E12.10 Medical/Surgical History 41210 Cardiac - Congestive Heart Failure E12.10 Medical/Surgical History 41215 Cardiac - Coronary Artery Disease E12.10 Medical/Surgical History 629001 Cardiac - Dysrhythmia/Arrhythmia E12.10 Medical/Surgical History 629052 Cardiac - Heart Transplant E12.10 Medical/Surgical History 41220 Cardiac - Myocardial Infarction E12.10 Medical/Surgical History 629004 Cardiac - Other Cardiac Conditions E12.10 Medical/Surgical History 629002 Cardiac - Pacemaker E12.10 Medical/Surgical History 41225 Cardiac - Stent E12.10 Medical/Surgical History 58500 Chronic Renal Failure/ Dialysis E12.10 Medical/Surgical History 51881 Chronic Respiratory (COPD) E12.10 Medical/Surgical History 23035 Chronic Respiratory - Bronchitis E12.10 Medical/Surgical History 23040 Chronic Respiratory - Emphysema E12.10 Medical/Surgical History 629045 Delevopmental Delay/Mental Retardation E12.10 Medical/Surgical History 25000 Diabetes E12.10 Medical/Surgical History 629005 Endocrine - Hyperthyroidism E12.10 Medical/Surgical History 629006 Endocrine - Hypothyroidism E12.10 Medical/Surgical History 629007 Endocrine - Other Endrocrine Condition E12.10 Medical/Surgical History 629018 GI/GUI - Diverticulitis E12.10 Medical/Surgical History 629015 GI/GUI - Gastric Reflux E12.10 Medical/Surgical History 629017 GI/GUI - Irritable Bowel Syndrome E12.10 Medical/Surgical History 629019 GI/GUI - Ostomy E12.10 Medical/Surgical History 629022 GI/GUI - Other GI/GUI Condition E12.10 Medical/Surgical History 629020 GI/GUI - Pancreatitis E12.10 Medical/Surgical History 629016 GI/GUI - Ulcers E12.10 Medical/Surgical History 629021 GI/GUI - Urinary Tract Infection (UTI) E12.10 Medical/Surgical History 629013 Hepatic - Cirrhosis E12.10 Medical/Surgical History 629009 Hepatic - Hepatitis A E12.10 Medical/Surgical History 629010 Hepatic - Hepatitis B E12.10 Medical/Surgical History 629011 Hepatic - Hepatitis C E12.10 Medical/Surgical History 629012 Hepatic - Hepatitis Other E12.10 Medical/Surgical History 629008 Hepatic - Liver Failure E12.10 Medical/Surgical History 629014 Hepatic - Other Hepatic Condition E12.10 Medical/Surgical History 23045 HIV/AIDS E12.10 Medical/Surgical History 629056 Hypercholesterolemia E12.10 Medical/Surgical History 40190 Hypertension E12.10 Medical/Surgical History 629003 Hypotension E12.10 Medical/Surgical History 23050 IV Drug Use/Abuse E12.10 Medical/Surgical History 629051 Migraine Headaches E12.10 Medical/Surgical History 629033 Neurological - Cerebral Palsy E12.10 Medical/Surgical History 629034 Neurological - Fibromyalgia E12.10 Medical/Surgical History 629032 Neurological - Multiple Sclerosis
E12.10 Medical/Surgical History 629037 Neurological - Other Neurological Condition E12.10 Medical/Surgical History 629035 Neurological - Paraplegia E12.10 Medical/Surgical History 629031 Neurological - Past Traumatic Brain Injury E12.10 Medical/Surgical History 629036 Neurological - Quadriplegia E12.10 Medical/Surgical History -10 Not Known E12.10 Medical/Surgical History 23055 Osteoperosis E12.10 Medical/Surgical History 79990 Other E12.10 Medical/Surgical History 23065 Parent/Guardian Denies PMH E12.10 Medical/Surgical History 629046 Premature Birth E12.10 Medical/Surgical History 31290 Psychiatric/Behavioral Problems Psychological/Behavioral - Anxiety Disorder E12.10 Medical/Surgical History 629043 (Panic Attacks) Psychological/Behavioral - Attention Deficit E12.10 Medical/Surgical History 629042 Disorder E12.10 Medical/Surgical History 629038 Psychological/Behavioral - Depression Psychological/Behavioral - Manic/Depressive E12.10 Medical/Surgical History 629040 (Bi-Polar) Psychological/Behavioral - E12.10 Medical/Surgical History 629039 Obsessive/Compulsive Disorder OCD
E12.10 Medical/Surgical History 629044 Psychological/Behavioral - Other Condition E12.10 Medical/Surgical History 629041 Psychological/Behavioral - Schizophrenia E12.10 Medical/Surgical History 78030 Seizure Disorder/Failure E12.10 Medical/Surgical History 23075 Stroke/CVA E12.10 Medical/Surgical History 23080 Substance Abuse (ETOH/Other) E12.10 Medical/Surgical History 23085 TIA (Transient Ischemic Attack) E12.10 Medical/Surgical History 4400 Tracheostomy E12.10 Medical/Surgical History 1190 Tuberculosis E12.10 Medical/Surgical History 23095 Unable to Obtain PMH E12.11 Medical History Obtained From -20 Not Recorded E12.11 Medical History Obtained From -15 Not Reporting E12.11 Medical History Obtained From 2705 Bystander/Other E12.11 Medical History Obtained From 2710 Family E12.11 Medical History Obtained From 2715 Health Care Personnel E12.11 Medical History Obtained From 2720 None E12.11 Medical History Obtained From 2725 Patient E12.11 Medical History Obtained From -25 Not Applicable E12.11 Medical History Obtained From -10 Not Known E12.11 Medical History Obtained From -5 Not Available E12.12 Immunization History -20 Not Recorded E12.12 Immunization History -15 Not Reporting E12.12 Immunization History 2730 Anthrax E12.12 Immunization History 2735 DPT (Diptheria, Tetanus, Pertussis) E12.12 Immunization History 2740 Hemophilus Influenza B E12.12 Immunization History 2745 Hepatitis A E12.12 Immunization History 2750 Hepatitis B E12.12 Immunization History 2755 Influenza (Flu) E12.12 Immunization History 2760 MMR (Measles, Mumps, Rubella) E12.12 Immunization History 2765 Polio-8, Pneumococcal (Pneumonia) E12.12 Immunization History 2770 Small Pox E12.12 Immunization History 2775 Tetanus E12.12 Immunization History 2780 Varicella E12.12 Immunization History -25 Not Applicable E12.12 Immunization History -10 Not Known E12.12 Immunization History -5 Not Available E12.14 Current Medications 873 Parent/Guardian Denies Medications E12.14 Current Medications 872 Patient Denies Medications E12.14 Current Medications 874 Unable to Obtain Patient Medications E12.14 Current Medications 877 Abciximab (Reopro) E12.14 Current Medications 878 Albuterol E12.14 Current Medications 879 Aspirin E12.14 Current Medications 890 Atrovent E12.14 Current Medications 891 Bumetanide E12.14 Current Medications 892 Dexamethasone E12.14 Current Medications 893 Diazepam E12.14 Current Medications 894 Diphenhydramine E12.14 Current Medications 895 Droperidol E12.14 Current Medications 876 Flonase E12.14 Current Medications 896 Furosemide E12.14 Current Medications 897 Glucagon E12.14 Current Medications 898 Labetolol E12.14 Current Medications 899 Lorazepam E12.14 Current Medications 900 Magnesium sulfate E12.14 Current Medications 901 Mannitol E12.14 Current Medications 902 Meperidine E12.14 Current Medications 903 Metaproterenol E12.14 Current Medications 904 Methylprednisolone E12.14 Current Medications 905 Metoclopramide E12.14 Current Medications 906 Metoprolol E12.14 Current Medications 908 Neostigmine E12.14 Current Medications 909 Nifedipine E12.14 Current Medications 910 Nitroglycerin E12.14 Current Medications 911 Nubain E12.14 Current Medications 912 Oxygen E12.14 Current Medications 913 Procainamide E12.14 Current Medications 914 Promethazine hydrochloride E12.14 Current Medications 915 Reactose E12.14 Current Medications 875 Serevent E12.14 Current Medications 916 Sodium bicarbonate E12.14 Current Medications 917 Tirofiban HCL (Agrastat) E12.14 Current Medications 918 Toradol E12.14 Current Medications 919 Verapamil E12.14 Current Medications 920 Zofran E12.14 Current Medications 921 Zoloft E12.16 Current Medication Dosage Unit -20 Not Recorded E12.16 Current Medication Dosage Unit 2835 MG E12.16 Current Medication Dosage Unit 2785 GMS E12.16 Current Medication Dosage Unit 635000 gtts (Drops) E12.16 Current Medication Dosage Unit 2790 Inches E12.16 Current Medication Dosage Unit 2795 IU (International Units) E12.16 Current Medication Dosage Unit 2800 KVO (TKO) E12.16 Current Medication Dosage Unit 2810 Liters E12.16 Current Medication Dosage Unit 2815 LPM E12.16 Current Medication Dosage Unit 2820 MCG E12.16 Current Medication Dosage Unit 2825 MCG/KG/MIN E12.16 Current Medication Dosage Unit 2830 MEQ E12.16 Current Medication Dosage Unit 635002 MCG/MIN E12.16 Current Medication Dosage Unit 2840 MG/KG/MIN E12.16 Current Medication Dosage Unit 2845 ML E12.16 Current Medication Dosage Unit 2850 ML/HR E12.16 Current Medication Dosage Unit 635001 MG/MIN E12.16 Current Medication Dosage Unit 2855 Other E12.16 Current Medication Dosage Unit 635004 Minutes E12.16 Current Medication Dosage Unit 2860 Puffs E12.16 Current Medication Dosage Unit 635003 Units/HR E12.16 Current Medication Dosage Unit -25 Not Applicable E12.16 Current Medication Dosage Unit -10 Not Known E12.17 Current Medication Administration Route 2920 Oral E12.17 Current Medication Administration Route 2865 Endotracheal tube E12.17 Current Medication Administration Route 2870 Gastronomy tube E12.17 Current Medication Administration Route 2875 Inhalation E12.17 Current Medication Administration Route 636000 Inhalation via Nebulizer E12.17 Current Medication Administration Route 2880 Intramuscular E12.17 Current Medication Administration Route 2885 Intranasal E12.17 Current Medication Administration Route 2890 Intraocular E12.17 Current Medication Administration Route 2895 Intravenous E12.17 Current Medication Administration Route 636001 Intravenous Pump E12.17 Current Medication Administration Route 2900 Nasal E12.17 Current Medication Administration Route 2905 Nasal Prongs E12.17 Current Medication Administration Route 2910 Nasogastric E12.17 Current Medication Administration Route 2935 Non Re-breather mask E12.17 Current Medication Administration Route 2915 Ophthalmic E12.17 Current Medication Administration Route 2925 Other/Miscellaneous E12.17 Current Medication Administration Route 2930 Otic E12.17 Current Medication Administration Route 2940 Rectal E12.17 Current Medication Administration Route 2945 Subcutaneous E12.17 Current Medication Administration Route 2950 Sublingual E12.17 Current Medication Administration Route 2955 Topical E12.17 Current Medication Administration Route 2960 Tracheostomy E12.17 Current Medication Administration Route 2965 Transdermal E12.17 Current Medication Administration Route 2970 Urethral E12.17 Current Medication Administration Route 2975 Ventimask E12.17 Current Medication Administration Route 2980 Wound E12.17 Current Medication Administration Route -25 Not Applicable E12.17 Current Medication Administration Route -10 Not Known E12.18 Presence of Emergency Information Form -20 Not Recorded E12.18 Presence of Emergency Information Form -15 Not Reporting E12.18 Presence of Emergency Information Form 0 No E12.18 Presence of Emergency Information Form 1 Yes E12.18 Presence of Emergency Information Form -25 Not Applicable E12.18 Presence of Emergency Information Form -10 Not Known E12.18 Presence of Emergency Information Form -5 Not Available E12.19 Alcohol Drug Use Indicators 3001 No Apparent Alcohol/Drug Use
E12.19 Alcohol Drug Use Indicators 3000 Alcohol and/or Drug Paraphernalia at Scene E12.19 Alcohol Drug Use Indicators 2990 Patient Admits to Alcohol Use E12.19 Alcohol Drug Use Indicators 2995 Patient Admits to Drug Use Smell of Alcoholic Beverage on E12.19 Alcohol Drug Use Indicators 2985 Breath/About Person E12.19 Alcohol Drug Use Indicators 638000 Patient Denies Alcohol/Drug Use E12.19 Alcohol Drug Use Indicators -25 Not Applicable E12.19 Alcohol Drug Use Indicators -10 Not Known E12.2 Sending Facility Medical Record Number -20 Not Recorded E12.2 Sending Facility Medical Record Number -15 Not Reporting E12.2 Sending Facility Medical Record Number -25 Not Applicable E12.2 Sending Facility Medical Record Number -10 Not Known E12.2 Sending Facility Medical Record Number -5 Not Available E12.20 Pregnancy -20 Not Recorded E12.20 Pregnancy -15 Not Reporting E12.20 Pregnancy 0 No E12.20 Pregnancy 1 Yes E12.20 Pregnancy -25 Not Applicable E12.20 Pregnancy -10 Not Known E12.20 Pregnancy -5 Not Available E12.7 Advanced Directives -20 Not Recorded E12.7 Advanced Directives 2645 State/EMS DNR COLST Form E12.7 Advanced Directives 2650 Other DNR Form or Document E12.7 Advanced Directives 2655 Living Will Family/Guardian Request DNR (But No E12.7 Advanced Directives 2660 Documentation) E12.7 Advanced Directives 2665 Other E12.7 Advanced Directives 2670 None E12.8 Medication Allergies -25 Not Applicable E12.8 Medication Allergies -10 Not Known E12.8 Medication Allergies -5 Not Available E12.9 Environmental/Food Allergies -20 Not Recorded E12.9 Environmental/Food Allergies -15 Not Reporting E12.9 Environmental/Food Allergies 2675 Insect Sting E12.9 Environmental/Food Allergies 2680 Food Allergy E12.9 Environmental/Food Allergies 2685 Latex E12.9 Environmental/Food Allergies 2690 Chemical E12.9 Environmental/Food Allergies 2695 Other E12.9 Environmental/Food Allergies 2700 None E12.9 Environmental/Food Allergies -25 Not Applicable E12.9 Environmental/Food Allergies -10 Not Known E12.9 Environmental/Food Allergies -5 Not Available E14.10 Pulse Rhythm -20 Not Recorded E14.10 Pulse Rhythm 3175 Regularly-Regular E14.10 Pulse Rhythm 660000 Regularly-Irregular E14.10 Pulse Rhythm 3180 Irregularly-Irregular E14.12 Respiratory Effort -20 Not Recorded E14.12 Respiratory Effort 3185 Normal E14.12 Respiratory Effort 3200 Absent E14.12 Respiratory Effort 662000 Agonal E14.12 Respiratory Effort 662001 Assisted E14.12 Respiratory Effort 3195 Fatigued E14.12 Respiratory Effort 3190 Labored E14.12 Respiratory Effort 662002 Shallow E14.12 Respiratory Effort 3205 Not Assessed E14.12 Respiratory Effort -25 Not Applicable E14.15 Glasgow Coma Score - Eye 4 Opens Eyes spontaneously Opens Eyes in response to verbal E14.15 Glasgow Coma Score - Eye 3 stimulation Opens Eyes in response to painful E14.15 Glasgow Coma Score - Eye 2 stimulation E14.15 Glasgow Coma Score - Eye 1 None E14.15 Glasgow Coma Score - Eye 0 Not Recorded E14.16.0 GCS Verbal Patient 0 - 23 months 5 Smiles, coos, cries appropriately E14.16.0 GCS Verbal Patient 0 - 23 months 4 Cries, inconsolable E14.16.0 GCS Verbal Patient 0 - 23 months 3 Inappropriate cry E14.16.0 GCS Verbal Patient 0 - 23 months 2 Persistent cry, grunting E14.16.0 GCS Verbal Patient 0 - 23 months 1 None E14.16.0 GCS Verbal Patient 0 - 23 months 9 Not assessed E14.16.0 GCS Verbal Patient 0 - 23 months 0 Not Recorded E14.16.2 GCS Verbal Patient 2- 5 Years 5 Appropriate words E14.16.2 GCS Verbal Patient 2- 5 Years 4 Inappropriate words E14.16.2 GCS Verbal Patient 2- 5 Years 3 Cries and/or screams E14.16.2 GCS Verbal Patient 2- 5 Years 2 Grunts E14.16.2 GCS Verbal Patient 2- 5 Years 1 None E14.16.2 GCS Verbal Patient 2- 5 Years 9 Not assessed E14.16.2 GCS Verbal Patient 2- 5 Years 0 Not Recorded E14.16.5 GCS Verbal Patient > 5 Years 5 Oriented and appropriate speech E14.16.5 GCS Verbal Patient > 5 Years 4 Confused conversation or speech E14.16.5 GCS Verbal Patient > 5 Years 3 Inappropriate words E14.16.5 GCS Verbal Patient > 5 Years 2 Non-specific sounds E14.16.5 GCS Verbal Patient > 5 Years 1 None E14.16.5 GCS Verbal Patient > 5 Years 0 Not Recorded E14.17.0 GCS Motor Patient up to 5 Years 6 Spontaneous E14.17.0 GCS Motor Patient up to 5 Years 5 Localization of painful stimulation General withdrawal in response to painful E14.17.0 GCS Motor Patient up to 5 Years 4 stimulation Flexor posturing in response to painful E14.17.0 GCS Motor Patient up to 5 Years 3 stimulation Extensor posturing in response to painful E14.17.0 GCS Motor Patient up to 5 Years 2 stimulation E14.17.0 GCS Motor Patient up to 5 Years 1 None E14.17.0 GCS Motor Patient up to 5 Years 0 Not Recorded Obeys commands with appropriate motor E14.17.5 GCS Motor Patient > 5 Years 6 response E14.17.5 GCS Motor Patient > 5 Years 5 Localization of painful stimulation General withdrawal in response to painful E14.17.5 GCS Motor Patient > 5 Years 4 stimulation Flexor posturing in response to painful E14.17.5 GCS Motor Patient > 5 Years 3 stimulation Extensor posturing in response to painful E14.17.5 GCS Motor Patient > 5 Years 2 stimulation E14.17.5 GCS Motor Patient > 5 Years 1 None E14.17.5 GCS Motor Patient > 5 Years 0 Not Recorded E14.18 Glasgow Coma Score - Qualifier -25 Not Applicable Initial GCS has legitimate values without interventions such as intubation and E14.18 Glasgow Coma Score - Qualifier 3210 sedation E14.18 Glasgow Coma Score - Qualifier 3215 Patient Chemically Sedated E14.18 Glasgow Coma Score - Qualifier 3220 Patient Intubated
E14.18 Glasgow Coma Score - Qualifier 3225 Patient Intubated and Chemically Paralyzed E14.2 Obtained Prior to this Units EMS Care 0 No E14.2 Obtained Prior to this Units EMS Care 1 Yes E14.2 Obtained Prior to this Units EMS Care -25 Not Applicable E14.21 Temperature Method -20 Not Recorded E14.21 Temperature Method -15 Not Reporting E14.21 Temperature Method 3230 Axillary E14.21 Temperature Method 3235 Oral E14.21 Temperature Method 3240 Rectal E14.21 Temperature Method 3245 Tympanic E14.21 Temperature Method 3250 Urinary catheter E14.21 Temperature Method -25 Not Applicable E14.21 Temperature Method -10 Not Known E14.21 Temperature Method -5 Not Available E14.22 Level Of Responsiveness -20 Not Recorded E14.22 Level Of Responsiveness -25 Not Applicable E14.22 Level Of Responsiveness 3255 Alert E14.22 Level Of Responsiveness 3260 Verbal E14.22 Level Of Responsiveness 3265 Painful E14.22 Level Of Responsiveness 3270 Unresponsive E14.24 Stroke Scale 3275 Cincinnati Stroke Scale Negative E14.24 Stroke Scale 3280 Cincinnati Stroke Scale Non-conclusive E14.24 Stroke Scale 3285 Cincinnati Stroke Scale Positive E14.24 Stroke Scale -25 Not Applicable E14.24 Stroke Scale -10 Not Known E14.24 Stroke Scale -5 Not Available E14.25 Thrombolytic Screen -25 Not Applicable Definite Contraindications to Thrombolytic E14.25 Thrombolytic Screen 3305 Use E14.25 Thrombolytic Screen 3310 No Contraindications to Thrombolytic Use Possible Contraindications to Thrombolytic E14.25 Thrombolytic Screen 3315 Use E14.25 Thrombolytic Screen -10 Not Known E14.26.1 APGAR Appearance 0 Blue, pale E14.26.1 APGAR Appearance 1 Body pink, blue extremities E14.26.1 APGAR Appearance 2 Completely pink E14.26.1 APGAR Appearance -25 Not Applicable E14.26.1 APGAR Appearance -5 Not Available E14.26.1 APGAR Appearance -10 Not Known E14.26.2 APGAR Pulse 0 Absent E14.26.2 APGAR Pulse 1 <100/minute E14.26.2 APGAR Pulse 2 >100/minute E14.26.2 APGAR Pulse -25 Not Applicable E14.26.2 APGAR Pulse -5 Not Available E14.26.2 APGAR Pulse -10 Not Known E14.26.3 APGAR Grimace 0 No response E14.26.3 APGAR Grimace 1 Grimace E14.26.3 APGAR Grimace 2 Cough, sneeze, cry E14.26.3 APGAR Grimace -25 Not Applicable E14.26.3 APGAR Grimace -5 Not Available E14.26.3 APGAR Grimace -10 Not Known E14.26.4 APGAR Activity 0 Limp E14.26.4 APGAR Activity 1 Some flexion E14.26.4 APGAR Activity 2 Active motion E14.26.4 APGAR Activity -25 Not Applicable E14.26.4 APGAR Activity -5 Not Available E14.26.4 APGAR Activity -10 Not Known E14.26.5 APGAR Respiration 0 Absent E14.26.5 APGAR Respiration 1 Slow, irregular E14.26.5 APGAR Respiration 2 Good, crying E14.26.5 APGAR Respiration -25 Not Applicable E14.3 Cardiac Rhythm 653004 12 Lead ECG-Septal Ischemia E14.3 Cardiac Rhythm 3005 12 Lead ECG-Anterior Ischemia E14.3 Cardiac Rhythm 3010 12 Lead ECG-Inferior Ischemia E14.3 Cardiac Rhythm 3015 12 Lead ECG-Lateral Ischemia E14.3 Cardiac Rhythm 3020 Agonal/Idioventricular E14.3 Cardiac Rhythm 3025 Artifact E14.3 Cardiac Rhythm 3030 Asystole E14.3 Cardiac Rhythm 3035 Atrial Fibrillation E14.3 Cardiac Rhythm 653000 Atrial Flutter E14.3 Cardiac Rhythm 3040 AV Heart Block-1st Degree AV Heart Block-2nd Degree-Mobitz 1 E14.3 Cardiac Rhythm 3045 (Wenckebach) E14.3 Cardiac Rhythm 3050 AV Heart Block-2nd Degree-Mobitz 2 E14.3 Cardiac Rhythm 3055 AV Heart Block-3rd Degree E14.3 Cardiac Rhythm 3060 Junctional E14.3 Cardiac Rhythm 3065 Left Bundle Branch Block E14.3 Cardiac Rhythm 3070 Normal Sinus Rhythm E14.3 Cardiac Rhythm 3075 Other E14.3 Cardiac Rhythm 3080 Paced Rhythm E14.3 Cardiac Rhythm 653005 Paroxysmal Supraventricular Tachycardia E14.3 Cardiac Rhythm 653003 PJC - Premature Junctional Contractions E14.3 Cardiac Rhythm 3090 Premature Atrial Contractions E14.3 Cardiac Rhythm 3095 Premature Ventricular Contractions E14.3 Cardiac Rhythm 3085 Pulseless Electrical Activity - PEA E14.3 Cardiac Rhythm 3100 Right Bundle Branch Block E14.3 Cardiac Rhythm 653001 S-T Segment Depression E14.3 Cardiac Rhythm 653002 S-T Segment Elevation E14.3 Cardiac Rhythm 3105 Sinus Arrhythmia E14.3 Cardiac Rhythm 3110 Sinus Bradycardia E14.3 Cardiac Rhythm 3115 Sinus Tachycardia E14.3 Cardiac Rhythm 3120 Supraventricular Tachycardia E14.3 Cardiac Rhythm 3125 Torsades De Points E14.3 Cardiac Rhythm 3130 Unknown AED Non-Shockable Rhythm E14.3 Cardiac Rhythm 3135 Unknown AED Shockable Rhythm E14.3 Cardiac Rhythm 3140 Ventricular Fibrillation E14.3 Cardiac Rhythm 3145 Ventricular Tachycardia E14.3 Cardiac Rhythm -25 Not Applicable E14.3 Cardiac Rhythm -10 Not Known E14.6 Method of Blood Pressure Measurement -20 Not Recorded E14.6 Method of Blood Pressure Measurement -15 Not Reporting E14.6 Method of Blood Pressure Measurement 3150 Arterial Line E14.6 Method of Blood Pressure Measurement 3155 Automated Cuff E14.6 Method of Blood Pressure Measurement 3160 Manual Cuff E14.6 Method of Blood Pressure Measurement 3165 Palpated Cuff E14.6 Method of Blood Pressure Measurement 3170 Venous Line E14.6 Method of Blood Pressure Measurement -25 Not Applicable E14.6 Method of Blood Pressure Measurement -10 Not Known E14.6 Method of Blood Pressure Measurement -5 Not Available E15.1 NHTSA Injury Matrix External/Skin -20 Not Recorded E15.1 NHTSA Injury Matrix External/Skin -15 Not Reporting E15.1 NHTSA Injury Matrix External/Skin 695000 Abrasions E15.1 NHTSA Injury Matrix External/Skin 3320 Amputation E15.1 NHTSA Injury Matrix External/Skin 695001 Avulsion E15.1 NHTSA Injury Matrix External/Skin 3325 Bleeding Controlled E15.1 NHTSA Injury Matrix External/Skin 3330 Bleeding Uncontrolled E15.1 NHTSA Injury Matrix External/Skin 3335 Burn E15.1 NHTSA Injury Matrix External/Skin 695008 Burn Blistering E15.1 NHTSA Injury Matrix External/Skin 695009 Burn Charring E15.1 NHTSA Injury Matrix External/Skin 695007 Burn Redness E15.1 NHTSA Injury Matrix External/Skin 695010 Burn White/Waxy E15.1 NHTSA Injury Matrix External/Skin 695002 Crepitus E15.1 NHTSA Injury Matrix External/Skin 3340 Crush E15.1 NHTSA Injury Matrix External/Skin 695003 Deformity E15.1 NHTSA Injury Matrix External/Skin 3345 Dislocation/Fracture E15.1 NHTSA Injury Matrix External/Skin 695004 Ecchymosis E15.1 NHTSA Injury Matrix External/Skin 695005 Foreign Body E15.1 NHTSA Injury Matrix External/Skin 3350 Gunshot E15.1 NHTSA Injury Matrix External/Skin 3355 Laceration E15.1 NHTSA Injury Matrix External/Skin 3360 Pain without swelling/bruising E15.1 NHTSA Injury Matrix External/Skin 695006 Pain/tenderness E15.1 NHTSA Injury Matrix External/Skin 3365 Puncture/Stab E15.1 NHTSA Injury Matrix External/Skin 3370 Soft Tissue Swelling/Bruising E15.1 NHTSA Injury Matrix External/Skin -25 Not Applicable E15.1 NHTSA Injury Matrix External/Skin -10 Not Known E15.1 NHTSA Injury Matrix External/Skin -5 Not Available E15.10 NHTSA Injury Matrix Lower Extremities -20 Not Recorded E15.10 NHTSA Injury Matrix Lower Extremities -15 Not Reporting E15.10 NHTSA Injury Matrix Lower Extremities 704000 Abrasions E15.10 NHTSA Injury Matrix Lower Extremities 3320 Amputation E15.10 NHTSA Injury Matrix Lower Extremities 704001 Avulsion E15.10 NHTSA Injury Matrix Lower Extremities 3325 Bleeding Controlled E15.10 NHTSA Injury Matrix Lower Extremities 3330 Bleeding Uncontrolled E15.10 NHTSA Injury Matrix Lower Extremities 3335 Burn E15.10 NHTSA Injury Matrix Lower Extremities 704008 Burn Blistering E15.10 NHTSA Injury Matrix Lower Extremities 704009 Burn Charring E15.10 NHTSA Injury Matrix Lower Extremities 704007 Burn Redness E15.10 NHTSA Injury Matrix Lower Extremities 704010 Burn White/Waxy E15.10 NHTSA Injury Matrix Lower Extremities 704002 Crepitus E15.10 NHTSA Injury Matrix Lower Extremities 3340 Crush E15.10 NHTSA Injury Matrix Lower Extremities 704003 Deformity E15.10 NHTSA Injury Matrix Lower Extremities 3345 Dislocation/Fracture E15.10 NHTSA Injury Matrix Lower Extremities 704004 Ecchymosis E15.10 NHTSA Injury Matrix Lower Extremities 704005 Foreign Body E15.10 NHTSA Injury Matrix Lower Extremities 3350 Gunshot E15.10 NHTSA Injury Matrix Lower Extremities 3355 Laceration E15.10 NHTSA Injury Matrix Lower Extremities 3360 Pain without swelling/bruising E15.10 NHTSA Injury Matrix Lower Extremities 704006 Pain/tenderness E15.10 NHTSA Injury Matrix Lower Extremities 3365 Puncture/Stab E15.10 NHTSA Injury Matrix Lower Extremities 3370 Soft Tissue Swelling/Bruising E15.10 NHTSA Injury Matrix Lower Extremities -25 Not Applicable E15.10 NHTSA Injury Matrix Lower Extremities -10 Not Known E15.10 NHTSA Injury Matrix Lower Extremities -5 Not Available E15.11 NHTSA Injury Matrix Unspecified -20 Not Recorded E15.11 NHTSA Injury Matrix Unspecified -15 Not Reporting E15.11 NHTSA Injury Matrix Unspecified 705000 Abrasions E15.11 NHTSA Injury Matrix Unspecified 3320 Amputation E15.11 NHTSA Injury Matrix Unspecified 705001 Avulsion E15.11 NHTSA Injury Matrix Unspecified 3325 Bleeding Controlled E15.11 NHTSA Injury Matrix Unspecified 3330 Bleeding Uncontrolled E15.11 NHTSA Injury Matrix Unspecified 3335 Burn E15.11 NHTSA Injury Matrix Unspecified 705008 Burn Blistering E15.11 NHTSA Injury Matrix Unspecified 705009 Burn Charring E15.11 NHTSA Injury Matrix Unspecified 705007 Burn Redness E15.11 NHTSA Injury Matrix Unspecified 705010 Burn White/Waxy E15.11 NHTSA Injury Matrix Unspecified 705002 Crepitus E15.11 NHTSA Injury Matrix Unspecified 3340 Crush E15.11 NHTSA Injury Matrix Unspecified 705003 Deformity E15.11 NHTSA Injury Matrix Unspecified 3345 Dislocation/Fracture E15.11 NHTSA Injury Matrix Unspecified 705004 Ecchymosis E15.11 NHTSA Injury Matrix Unspecified 705005 Foreign Body E15.11 NHTSA Injury Matrix Unspecified 3350 Gunshot E15.11 NHTSA Injury Matrix Unspecified 3355 Laceration E15.11 NHTSA Injury Matrix Unspecified 3360 Pain without swelling/bruising E15.11 NHTSA Injury Matrix Unspecified 705006 Pain/tenderness E15.11 NHTSA Injury Matrix Unspecified 3365 Puncture/Stab E15.11 NHTSA Injury Matrix Unspecified 3370 Soft Tissue Swelling/Bruising E15.11 NHTSA Injury Matrix Unspecified -25 Not Applicable E15.11 NHTSA Injury Matrix Unspecified -10 Not Known E15.11 NHTSA Injury Matrix Unspecified -5 Not Available E15.2 NHTSA Injury Matrix Head -20 Not Recorded E15.2 NHTSA Injury Matrix Head -15 Not Reporting E15.2 NHTSA Injury Matrix Head 696000 Abrasions E15.2 NHTSA Injury Matrix Head 3320 Amputation E15.2 NHTSA Injury Matrix Head 696001 Avulsion E15.2 NHTSA Injury Matrix Head 3325 Bleeding Controlled E15.2 NHTSA Injury Matrix Head 3330 Bleeding Uncontrolled E15.2 NHTSA Injury Matrix Head 3335 Burn E15.2 NHTSA Injury Matrix Head 696008 Burn Blistering E15.2 NHTSA Injury Matrix Head 696009 Burn Charring E15.2 NHTSA Injury Matrix Head 696007 Burn Redness E15.2 NHTSA Injury Matrix Head 696010 Burn White/Waxy E15.2 NHTSA Injury Matrix Head 696002 Crepitus E15.2 NHTSA Injury Matrix Head 3340 Crush E15.2 NHTSA Injury Matrix Head 696003 Deformity E15.2 NHTSA Injury Matrix Head 3345 Dislocation/Fracture E15.2 NHTSA Injury Matrix Head 696004 Ecchymosis E15.2 NHTSA Injury Matrix Head 696005 Foreign Body E15.2 NHTSA Injury Matrix Head 3350 Gunshot E15.2 NHTSA Injury Matrix Head 3355 Laceration E15.2 NHTSA Injury Matrix Head 3360 Pain without swelling/bruising E15.2 NHTSA Injury Matrix Head 696006 Pain/tenderness E15.2 NHTSA Injury Matrix Head 3365 Puncture/Stab E15.2 NHTSA Injury Matrix Head 3370 Soft Tissue Swelling/Bruising E15.2 NHTSA Injury Matrix Head -25 Not Applicable E15.2 NHTSA Injury Matrix Head -10 Not Known E15.2 NHTSA Injury Matrix Head -5 Not Available E15.3 NHTSA Injury Matrix Face -20 Not Recorded E15.3 NHTSA Injury Matrix Face -15 Not Reporting E15.3 NHTSA Injury Matrix Face 697000 Abrasions E15.3 NHTSA Injury Matrix Face 3320 Amputation E15.3 NHTSA Injury Matrix Face 697001 Avulsion E15.3 NHTSA Injury Matrix Face 3325 Bleeding Controlled E15.3 NHTSA Injury Matrix Face 3330 Bleeding Uncontrolled E15.3 NHTSA Injury Matrix Face 3335 Burn E15.3 NHTSA Injury Matrix Face 697008 Burn Blistering E15.3 NHTSA Injury Matrix Face 697009 Burn Charring E15.3 NHTSA Injury Matrix Face 697007 Burn Redness E15.3 NHTSA Injury Matrix Face 697010 Burn White/Waxy E15.3 NHTSA Injury Matrix Face 697011 Burns to Airway E15.3 NHTSA Injury Matrix Face 697002 Crepitus E15.3 NHTSA Injury Matrix Face 3340 Crush E15.3 NHTSA Injury Matrix Face 697003 Deformity E15.3 NHTSA Injury Matrix Face 3345 Dislocation/Fracture E15.3 NHTSA Injury Matrix Face 697004 Ecchymosis E15.3 NHTSA Injury Matrix Face 697005 Foreign Body E15.3 NHTSA Injury Matrix Face 3350 Gunshot E15.3 NHTSA Injury Matrix Face 3355 Laceration E15.3 NHTSA Injury Matrix Face 3360 Pain without swelling/bruising E15.3 NHTSA Injury Matrix Face 697006 Pain/tenderness E15.3 NHTSA Injury Matrix Face 3365 Puncture/Stab E15.3 NHTSA Injury Matrix Face 3370 Soft Tissue Swelling/Bruising E15.3 NHTSA Injury Matrix Face 697012 Soot in Airway E15.3 NHTSA Injury Matrix Face -25 Not Applicable E15.3 NHTSA Injury Matrix Face -10 Not Known E15.3 NHTSA Injury Matrix Face -5 Not Available E15.4 NHTSA Injury Matrix Neck -20 Not Recorded E15.4 NHTSA Injury Matrix Neck -15 Not Reporting E15.4 NHTSA Injury Matrix Neck 698000 Abrasions E15.4 NHTSA Injury Matrix Neck 3320 Amputation E15.4 NHTSA Injury Matrix Neck 698001 Avulsion E15.4 NHTSA Injury Matrix Neck 3325 Bleeding Controlled E15.4 NHTSA Injury Matrix Neck 3330 Bleeding Uncontrolled E15.4 NHTSA Injury Matrix Neck 3335 Burn E15.4 NHTSA Injury Matrix Neck 698008 Burn Blistering E15.4 NHTSA Injury Matrix Neck 698009 Burn Charring E15.4 NHTSA Injury Matrix Neck 698007 Burn Redness E15.4 NHTSA Injury Matrix Neck 698010 Burn White/Waxy E15.4 NHTSA Injury Matrix Neck 698002 Crepitus E15.4 NHTSA Injury Matrix Neck 3340 Crush E15.4 NHTSA Injury Matrix Neck 698003 Deformity E15.4 NHTSA Injury Matrix Neck 3345 Dislocation/Fracture E15.4 NHTSA Injury Matrix Neck 698004 Ecchymosis E15.4 NHTSA Injury Matrix Neck 698005 Foreign Body E15.4 NHTSA Injury Matrix Neck 3350 Gunshot E15.4 NHTSA Injury Matrix Neck 3355 Laceration E15.4 NHTSA Injury Matrix Neck 3360 Pain without swelling/bruising E15.4 NHTSA Injury Matrix Neck 698006 Pain/tenderness E15.4 NHTSA Injury Matrix Neck 3365 Puncture/Stab E15.4 NHTSA Injury Matrix Neck 3370 Soft Tissue Swelling/Bruising E15.4 NHTSA Injury Matrix Neck -25 Not Applicable E15.4 NHTSA Injury Matrix Neck -10 Not Known E15.4 NHTSA Injury Matrix Neck -5 Not Available E15.5 NHTSA Injury Matrix Thorax -20 Not Recorded E15.5 NHTSA Injury Matrix Thorax -15 Not Reporting E15.5 NHTSA Injury Matrix Thorax 699000 Abrasions E15.5 NHTSA Injury Matrix Thorax 3320 Amputation E15.5 NHTSA Injury Matrix Thorax 699001 Avulsion E15.5 NHTSA Injury Matrix Thorax 3325 Bleeding Controlled E15.5 NHTSA Injury Matrix Thorax 3330 Bleeding Uncontrolled E15.5 NHTSA Injury Matrix Thorax 3335 Burn E15.5 NHTSA Injury Matrix Thorax 699008 Burn Blistering E15.5 NHTSA Injury Matrix Thorax 699009 Burn Charring E15.5 NHTSA Injury Matrix Thorax 699007 Burn Redness E15.5 NHTSA Injury Matrix Thorax 699010 Burn White/Waxy E15.5 NHTSA Injury Matrix Thorax 699002 Crepitus E15.5 NHTSA Injury Matrix Thorax 3340 Crush E15.5 NHTSA Injury Matrix Thorax 699003 Deformity E15.5 NHTSA Injury Matrix Thorax 3345 Dislocation/Fracture E15.5 NHTSA Injury Matrix Thorax 699004 Ecchymosis E15.5 NHTSA Injury Matrix Thorax 699011 Flail Segment-Left E15.5 NHTSA Injury Matrix Thorax 699012 Flail Segment-Right E15.5 NHTSA Injury Matrix Thorax 699005 Foreign Body E15.5 NHTSA Injury Matrix Thorax 3350 Gunshot E15.5 NHTSA Injury Matrix Thorax 3355 Laceration E15.5 NHTSA Injury Matrix Thorax 3360 Pain without swelling/bruising E15.5 NHTSA Injury Matrix Thorax 699006 Pain/tenderness E15.5 NHTSA Injury Matrix Thorax 3365 Puncture/Stab E15.5 NHTSA Injury Matrix Thorax 3370 Soft Tissue Swelling/Bruising E15.5 NHTSA Injury Matrix Thorax -25 Not Applicable E15.5 NHTSA Injury Matrix Thorax -10 Not Known E15.5 NHTSA Injury Matrix Thorax -5 Not Available E15.6 NHTSA Injury Matrix Abdomen -20 Not Recorded E15.6 NHTSA Injury Matrix Abdomen -15 Not Reporting E15.6 NHTSA Injury Matrix Abdomen 700000 Abrasions E15.6 NHTSA Injury Matrix Abdomen 3320 Amputation E15.6 NHTSA Injury Matrix Abdomen 700001 Avulsion E15.6 NHTSA Injury Matrix Abdomen 3325 Bleeding Controlled E15.6 NHTSA Injury Matrix Abdomen 3330 Bleeding Uncontrolled E15.6 NHTSA Injury Matrix Abdomen 3335 Burn E15.6 NHTSA Injury Matrix Abdomen 700008 Burn Blistering E15.6 NHTSA Injury Matrix Abdomen 700009 Burn Charring E15.6 NHTSA Injury Matrix Abdomen 700007 Burn Redness E15.6 NHTSA Injury Matrix Abdomen 700010 Burn White/Waxy E15.6 NHTSA Injury Matrix Abdomen 700002 Crepitus E15.6 NHTSA Injury Matrix Abdomen 3340 Crush E15.6 NHTSA Injury Matrix Abdomen 700003 Deformity E15.6 NHTSA Injury Matrix Abdomen 3345 Dislocation/Fracture E15.6 NHTSA Injury Matrix Abdomen 700004 Ecchymosis E15.6 NHTSA Injury Matrix Abdomen 700005 Foreign Body E15.6 NHTSA Injury Matrix Abdomen 3350 Gunshot E15.6 NHTSA Injury Matrix Abdomen 3355 Laceration E15.6 NHTSA Injury Matrix Abdomen 3360 Pain without swelling/bruising E15.6 NHTSA Injury Matrix Abdomen 700006 Pain/tenderness E15.6 NHTSA Injury Matrix Abdomen 3365 Puncture/Stab E15.6 NHTSA Injury Matrix Abdomen 3370 Soft Tissue Swelling/Bruising E15.6 NHTSA Injury Matrix Abdomen -25 Not Applicable E15.6 NHTSA Injury Matrix Abdomen -10 Not Known E15.6 NHTSA Injury Matrix Abdomen -5 Not Available E15.7 NHTSA Injury Matrix Spine -20 Not Recorded E15.7 NHTSA Injury Matrix Spine -15 Not Reporting E15.7 NHTSA Injury Matrix Spine 701000 Abrasions E15.7 NHTSA Injury Matrix Spine 3320 Amputation E15.7 NHTSA Injury Matrix Spine 701001 Avulsion E15.7 NHTSA Injury Matrix Spine 3325 Bleeding Controlled E15.7 NHTSA Injury Matrix Spine 3330 Bleeding Uncontrolled E15.7 NHTSA Injury Matrix Spine 3335 Burn E15.7 NHTSA Injury Matrix Spine 701008 Burn Blistering E15.7 NHTSA Injury Matrix Spine 701009 Burn Charring E15.7 NHTSA Injury Matrix Spine 701007 Burn Redness E15.7 NHTSA Injury Matrix Spine 701010 Burn White/Waxy E15.7 NHTSA Injury Matrix Spine 701002 Crepitus E15.7 NHTSA Injury Matrix Spine 3340 Crush E15.7 NHTSA Injury Matrix Spine 701003 Deformity E15.7 NHTSA Injury Matrix Spine 3345 Dislocation/Fracture E15.7 NHTSA Injury Matrix Spine 701004 Ecchymosis E15.7 NHTSA Injury Matrix Spine 701005 Foreign Body E15.7 NHTSA Injury Matrix Spine 3350 Gunshot E15.7 NHTSA Injury Matrix Spine 3355 Laceration E15.7 NHTSA Injury Matrix Spine 3360 Pain without swelling/bruising E15.7 NHTSA Injury Matrix Spine 701006 Pain/tenderness E15.7 NHTSA Injury Matrix Spine 3365 Puncture/Stab E15.7 NHTSA Injury Matrix Spine 3370 Soft Tissue Swelling/Bruising E15.7 NHTSA Injury Matrix Spine -25 Not Applicable E15.7 NHTSA Injury Matrix Spine -10 Not Known E15.7 NHTSA Injury Matrix Spine -5 Not Available E15.8 NHTSA Injury Matrix Upper Extremities -20 Not Recorded E15.8 NHTSA Injury Matrix Upper Extremities -15 Not Reporting E15.8 NHTSA Injury Matrix Upper Extremities 702000 Abrasions E15.8 NHTSA Injury Matrix Upper Extremities 3320 Amputation E15.8 NHTSA Injury Matrix Upper Extremities 702001 Avulsion E15.8 NHTSA Injury Matrix Upper Extremities 3325 Bleeding Controlled E15.8 NHTSA Injury Matrix Upper Extremities 3330 Bleeding Uncontrolled E15.8 NHTSA Injury Matrix Upper Extremities 3335 Burn E15.8 NHTSA Injury Matrix Upper Extremities 702008 Burn Blistering E15.8 NHTSA Injury Matrix Upper Extremities 702009 Burn Charring E15.8 NHTSA Injury Matrix Upper Extremities 702007 Burn Redness E15.8 NHTSA Injury Matrix Upper Extremities 702010 Burn White/Waxy E15.8 NHTSA Injury Matrix Upper Extremities 702002 Crepitus E15.8 NHTSA Injury Matrix Upper Extremities 3340 Crush E15.8 NHTSA Injury Matrix Upper Extremities 702003 Deformity E15.8 NHTSA Injury Matrix Upper Extremities 3345 Dislocation/Fracture E15.8 NHTSA Injury Matrix Upper Extremities 702004 Ecchymosis E15.8 NHTSA Injury Matrix Upper Extremities 702005 Foreign Body E15.8 NHTSA Injury Matrix Upper Extremities 3350 Gunshot E15.8 NHTSA Injury Matrix Upper Extremities 3355 Laceration E15.8 NHTSA Injury Matrix Upper Extremities 3360 Pain without swelling/bruising E15.8 NHTSA Injury Matrix Upper Extremities 702006 Pain/tenderness E15.8 NHTSA Injury Matrix Upper Extremities 3365 Puncture/Stab E15.8 NHTSA Injury Matrix Upper Extremities 3370 Soft Tissue Swelling/Bruising E15.8 NHTSA Injury Matrix Upper Extremities -25 Not Applicable E15.8 NHTSA Injury Matrix Upper Extremities -10 Not Known E15.8 NHTSA Injury Matrix Upper Extremities -5 Not Available E15.9 NHTSA Injury Matrix Pelvis -20 Not Recorded E15.9 NHTSA Injury Matrix Pelvis -15 Not Reporting E15.9 NHTSA Injury Matrix Pelvis 703000 Abrasions E15.9 NHTSA Injury Matrix Pelvis 3320 Amputation E15.9 NHTSA Injury Matrix Pelvis 703001 Avulsion E15.9 NHTSA Injury Matrix Pelvis 3325 Bleeding Controlled E15.9 NHTSA Injury Matrix Pelvis 3330 Bleeding Uncontrolled E15.9 NHTSA Injury Matrix Pelvis 3335 Burn E15.9 NHTSA Injury Matrix Pelvis 703008 Burn Blistering E15.9 NHTSA Injury Matrix Pelvis 703009 Burn Charring E15.9 NHTSA Injury Matrix Pelvis 703007 Burn Redness E15.9 NHTSA Injury Matrix Pelvis 703010 Burn White/Waxy E15.9 NHTSA Injury Matrix Pelvis 703002 Crepitus E15.9 NHTSA Injury Matrix Pelvis 3340 Crush E15.9 NHTSA Injury Matrix Pelvis 703003 Deformity E15.9 NHTSA Injury Matrix Pelvis 3345 Dislocation/Fracture E15.9 NHTSA Injury Matrix Pelvis 703004 Ecchymosis E15.9 NHTSA Injury Matrix Pelvis 703005 Foreign Body E15.9 NHTSA Injury Matrix Pelvis 3350 Gunshot E15.9 NHTSA Injury Matrix Pelvis 3355 Laceration E15.9 NHTSA Injury Matrix Pelvis 3360 Pain without swelling/bruising E15.9 NHTSA Injury Matrix Pelvis 703006 Pain/tenderness E15.9 NHTSA Injury Matrix Pelvis 703011 Priapism E15.9 NHTSA Injury Matrix Pelvis 3365 Puncture/Stab E15.9 NHTSA Injury Matrix Pelvis 3370 Soft Tissue Swelling/Bruising E15.9 NHTSA Injury Matrix Pelvis -25 Not Applicable E15.9 NHTSA Injury Matrix Pelvis -10 Not Known E15.9 NHTSA Injury Matrix Pelvis -5 Not Available E16.10 Abdomen Left Lower Assessment -20 Not Recorded E16.10 Abdomen Left Lower Assessment -15 Not Reporting E16.10 Abdomen Left Lower Assessment 3655 Distention E16.10 Abdomen Left Lower Assessment 3660 Guarding E16.10 Abdomen Left Lower Assessment 3665 Mass E16.10 Abdomen Left Lower Assessment 3645 Normal (Soft, Non-Tender) E16.10 Abdomen Left Lower Assessment 3670 Pain/Tenderness E16.10 Abdomen Left Lower Assessment 723001 Rash E16.10 Abdomen Left Lower Assessment 723000 Rebound Tenderness E16.10 Abdomen Left Lower Assessment 723002 Rigid E16.10 Abdomen Left Lower Assessment 3650 Not Done E16.10 Abdomen Left Lower Assessment -25 Not Applicable E16.10 Abdomen Left Lower Assessment -10 Not Known E16.10 Abdomen Left Lower Assessment -5 Not Available E16.11 Abdomen Right Upper Assessment -20 Not Recorded E16.11 Abdomen Right Upper Assessment -15 Not Reporting E16.11 Abdomen Right Upper Assessment 3685 Distention E16.11 Abdomen Right Upper Assessment 3690 Guarding E16.11 Abdomen Right Upper Assessment 3695 Mass E16.11 Abdomen Right Upper Assessment 3675 Normal (Soft, Non-Tender) E16.11 Abdomen Right Upper Assessment 3700 Pain/Tenderness E16.11 Abdomen Right Upper Assessment 724001 Rash E16.11 Abdomen Right Upper Assessment 724000 Rebound Tenderness E16.11 Abdomen Right Upper Assessment 724002 Rigid E16.11 Abdomen Right Upper Assessment 3680 Not Done E16.11 Abdomen Right Upper Assessment -25 Not Applicable E16.11 Abdomen Right Upper Assessment -10 Not Known E16.11 Abdomen Right Upper Assessment -5 Not Available E16.12 Abdomen Right Lower Assessment -20 Not Recorded E16.12 Abdomen Right Lower Assessment -15 Not Reporting E16.12 Abdomen Right Lower Assessment 3715 Distention E16.12 Abdomen Right Lower Assessment 3720 Guarding E16.12 Abdomen Right Lower Assessment 3725 Mass E16.12 Abdomen Right Lower Assessment 3705 Normal (Soft, Non-Tender) E16.12 Abdomen Right Lower Assessment 3730 Pain/Tenderness E16.12 Abdomen Right Lower Assessment 725001 Rash E16.12 Abdomen Right Lower Assessment 725000 Rebound Tenderness E16.12 Abdomen Right Lower Assessment 725002 Rigid E16.12 Abdomen Right Lower Assessment 3710 Not Done E16.12 Abdomen Right Lower Assessment -25 Not Applicable E16.12 Abdomen Right Lower Assessment -10 Not Known E16.12 Abdomen Right Lower Assessment -5 Not Available E16.13 GU Assessment -20 Not Recorded E16.13 GU Assessment -15 Not Reporting E16.13 GU Assessment 726006 Blood from Penis E16.13 GU Assessment 726004 Blood from Rectum E16.13 GU Assessment 726005 Blood from Vagina E16.13 GU Assessment 726000 Burning E16.13 GU Assessment 3745 Crowning E16.13 GU Assessment 726002 Discharge E16.13 GU Assessment 726003 Foreign body E16.13 GU Assessment 3750 Genital Injury E16.13 GU Assessment 726009 Incontinent to Bowel E16.13 GU Assessment 726008 Incontinent to Urine E16.13 GU Assessment 3735 Normal E16.13 GU Assessment 3740 Not Done E16.13 GU Assessment 3755 Pain/Tenderness E16.13 GU Assessment 726007 Painful Urination E16.13 GU Assessment 726001 Priapism E16.13 GU Assessment 3760 Unstable E16.13 GU Assessment -25 Not Applicable E16.13 GU Assessment -10 Not Known E16.13 GU Assessment -5 Not Available E16.14 Back Cervical Assessment -20 Not Recorded E16.14 Back Cervical Assessment -15 Not Reporting E16.14 Back Cervical Assessment 3765 Normal (No Pain or Deformities) E16.14 Back Cervical Assessment 3775 Pain to ROM E16.14 Back Cervical Assessment 3780 Tender Para-spinous E16.14 Back Cervical Assessment 3785 Tender Spinous Process E16.14 Back Cervical Assessment 3770 Not Done E16.14 Back Cervical Assessment -25 Not Applicable E16.14 Back Cervical Assessment -10 Not Known E16.14 Back Cervical Assessment -5 Not Available E16.15 Back Thoracic Assessment -20 Not Recorded E16.15 Back Thoracic Assessment -15 Not Reporting E16.15 Back Thoracic Assessment 3790 Normal (No Pain or Deformities) E16.15 Back Thoracic Assessment 3800 Pain to ROM E16.15 Back Thoracic Assessment 3805 Tender Para-spinous E16.15 Back Thoracic Assessment 3810 Tender Spinous Process E16.15 Back Thoracic Assessment 3795 Not Done E16.15 Back Thoracic Assessment -25 Not Applicable E16.15 Back Thoracic Assessment -10 Not Known E16.15 Back Thoracic Assessment -5 Not Available E16.16 Back Lumbar/Sacral Assessment -20 Not Recorded E16.16 Back Lumbar/Sacral Assessment -15 Not Reporting E16.16 Back Lumbar/Sacral Assessment 3815 Normal (No Pain or Deformities) E16.16 Back Lumbar/Sacral Assessment 3825 Pain to ROM E16.16 Back Lumbar/Sacral Assessment 3830 Tender Para-spinous E16.16 Back Lumbar/Sacral Assessment 3835 Tender Spinous Process E16.16 Back Lumbar/Sacral Assessment 3820 Not Done E16.16 Back Lumbar/Sacral Assessment -25 Not Applicable E16.16 Back Lumbar/Sacral Assessment -10 Not Known E16.16 Back Lumbar/Sacral Assessment -5 Not Available E16.17 Extremities-Right Upper Assessment -20 Not Recorded E16.17 Extremities-Right Upper Assessment -15 Not Reporting E16.17 Extremities-Right Upper Assessment 730001 + C.M.S. E16.17 Extremities-Right Upper Assessment 730002 Abnormal C.M.S. E16.17 Extremities-Right Upper Assessment 3850 Abnormal Pulse E16.17 Extremities-Right Upper Assessment 3855 Abnormal Sensation E16.17 Extremities-Right Upper Assessment 730003 Absent Pulse E16.17 Extremities-Right Upper Assessment 730000 Cold Extremity E16.17 Extremities-Right Upper Assessment 3860 Edema E16.17 Extremities-Right Upper Assessment 3840 Normal E16.17 Extremities-Right Upper Assessment 3845 Not Done E16.17 Extremities-Right Upper Assessment 3865 Pain/Tenderness E16.17 Extremities-Right Upper Assessment 3870 Weakness E16.17 Extremities-Right Upper Assessment -25 Not Applicable E16.17 Extremities-Right Upper Assessment -10 Not Known E16.17 Extremities-Right Upper Assessment -5 Not Available E16.18 Extremities-Right Lower Assessment -20 Not Recorded E16.18 Extremities-Right Lower Assessment -15 Not Reporting E16.18 Extremities-Right Lower Assessment 731001 + C.M.S. E16.18 Extremities-Right Lower Assessment 731002 Abnormal C.M.S. E16.18 Extremities-Right Lower Assessment 3885 Abnormal Pulse E16.18 Extremities-Right Lower Assessment 3890 Abnormal Sensation E16.18 Extremities-Right Lower Assessment 731003 Absent Pulse E16.18 Extremities-Right Lower Assessment 731000 Cold Extremity E16.18 Extremities-Right Lower Assessment 3895 Edema E16.18 Extremities-Right Lower Assessment 3875 Normal E16.18 Extremities-Right Lower Assessment 3880 Not Done E16.18 Extremities-Right Lower Assessment 3900 Pain/Tenderness E16.18 Extremities-Right Lower Assessment 3905 Weakness E16.18 Extremities-Right Lower Assessment -25 Not Applicable E16.18 Extremities-Right Lower Assessment -10 Not Known E16.18 Extremities-Right Lower Assessment -5 Not Available E16.19 Extremities-Left Upper Assessment -20 Not Recorded E16.19 Extremities-Left Upper Assessment -15 Not Reporting E16.19 Extremities-Left Upper Assessment 732001 + C.M.S. E16.19 Extremities-Left Upper Assessment 732002 Abnormal C.M.S. E16.19 Extremities-Left Upper Assessment 3920 Abnormal Pulse E16.19 Extremities-Left Upper Assessment 3925 Abnormal Sensation E16.19 Extremities-Left Upper Assessment 732003 Absent Pulse E16.19 Extremities-Left Upper Assessment 732000 Cold Extremity E16.19 Extremities-Left Upper Assessment 3930 Edema E16.19 Extremities-Left Upper Assessment 3910 Normal E16.19 Extremities-Left Upper Assessment 3915 Not Done E16.19 Extremities-Left Upper Assessment 3935 Pain/Tenderness E16.19 Extremities-Left Upper Assessment 3940 Weakness E16.19 Extremities-Left Upper Assessment -25 Not Applicable E16.19 Extremities-Left Upper Assessment -10 Not Known E16.19 Extremities-Left Upper Assessment -5 Not Available E16.2 Broselow/Luten Color -20 Not Recorded E16.2 Broselow/Luten Color -15 Not Reporting E16.2 Broselow/Luten Color 3375 Blue E16.2 Broselow/Luten Color 3380 Green E16.2 Broselow/Luten Color 3385 Grey E16.2 Broselow/Luten Color 3390 Orange E16.2 Broselow/Luten Color 3395 Pink E16.2 Broselow/Luten Color 3400 Purple E16.2 Broselow/Luten Color 3405 Red E16.2 Broselow/Luten Color 3410 White E16.2 Broselow/Luten Color 3415 Yellow E16.2 Broselow/Luten Color -25 Not Applicable E16.2 Broselow/Luten Color -10 Not Known E16.2 Broselow/Luten Color -5 Not Available E16.20 Extremities-Left Lower Assessment -20 Not Recorded E16.20 Extremities-Left Lower Assessment -15 Not Reporting E16.20 Extremities-Left Lower Assessment 733001 + C.M.S. E16.20 Extremities-Left Lower Assessment 733002 Abnormal C.M.S. E16.20 Extremities-Left Lower Assessment 3955 Abnormal Pulse E16.20 Extremities-Left Lower Assessment 3960 Abnormal Sensation E16.20 Extremities-Left Lower Assessment 733003 Absent Pulse E16.20 Extremities-Left Lower Assessment 733000 Cold Extremity E16.20 Extremities-Left Lower Assessment 3965 Edema E16.20 Extremities-Left Lower Assessment 3945 Normal E16.20 Extremities-Left Lower Assessment 3950 Not Done E16.20 Extremities-Left Lower Assessment 3970 Pain/Tenderness E16.20 Extremities-Left Lower Assessment 3975 Weakness E16.20 Extremities-Left Lower Assessment -25 Not Applicable E16.20 Extremities-Left Lower Assessment -10 Not Known E16.20 Extremities-Left Lower Assessment -5 Not Available E16.21 Eyes-Left Assessment -20 Not Recorded E16.21 Eyes-Left Assessment -15 Not Reporting E16.21 Eyes-Left Assessment 734005 Cataract(s) Present E16.21 Eyes-Left Assessment 3985 2-mm E16.21 Eyes-Left Assessment 4020 Reactive E16.21 Eyes-Left Assessment 3990 3-mm E16.21 Eyes-Left Assessment 3995 4-mm E16.21 Eyes-Left Assessment 4000 5-mm E16.21 Eyes-Left Assessment 4005 6-mm E16.21 Eyes-Left Assessment 4010 7-mm E16.21 Eyes-Left Assessment 734004 8 mm or > E16.21 Eyes-Left Assessment 734003 Artificial Eye E16.21 Eyes-Left Assessment 4015 Blind E16.21 Eyes-Left Assessment 734002 Disconjugated E16.21 Eyes-Left Assessment 4025 Fixed/Non-Reactive E16.21 Eyes-Left Assessment 734006 Glaucoma Present E16.21 Eyes-Left Assessment 3980 Not Done E16.21 Eyes-Left Assessment 734001 Nystagmus E16.21 Eyes-Left Assessment 734007 Pupil Deformity from Surgery/Injury E16.21 Eyes-Left Assessment 734000 Sluggish E16.21 Eyes-Left Assessment -25 Not Applicable E16.21 Eyes-Left Assessment -10 Not Known E16.21 Eyes-Left Assessment -5 Not Available E16.22 Eyes-Right Assessment -20 Not Recorded E16.22 Eyes-Right Assessment -15 Not Reporting E16.22 Eyes-Right Assessment 735005 Cataract(s) Present E16.22 Eyes-Right Assessment 4035 2-mm E16.22 Eyes-Right Assessment 4070 Reactive E16.22 Eyes-Right Assessment 4040 3-mm E16.22 Eyes-Right Assessment 4045 4-mm E16.22 Eyes-Right Assessment 4050 5-mm E16.22 Eyes-Right Assessment 4055 6-mm E16.22 Eyes-Right Assessment 4060 7-mm E16.22 Eyes-Right Assessment 735004 8 mm or > E16.22 Eyes-Right Assessment 735003 Artificial Eye E16.22 Eyes-Right Assessment 4065 Blind E16.22 Eyes-Right Assessment 735002 Disconjugated E16.22 Eyes-Right Assessment 4075 Fixed/Non-Reactive E16.22 Eyes-Right Assessment 735006 Glaucoma Present E16.22 Eyes-Right Assessment 4030 Not Done E16.22 Eyes-Right Assessment 735001 Nystagmus E16.22 Eyes-Right Assessment 735007 Pupil Deformity from Surgery/Injury E16.22 Eyes-Right Assessment 735000 Sluggish E16.22 Eyes-Right Assessment -25 Not Applicable E16.22 Eyes-Right Assessment -10 Not Known E16.22 Eyes-Right Assessment -5 Not Available E16.23 Mental Status Assessment -20 Not Recorded E16.23 Mental Status Assessment -15 Not Reporting E16.23 Mental Status Assessment 4105 Oriented-Person E16.23 Mental Status Assessment 4110 Oriented-Place E16.23 Mental Status Assessment 4115 Oriented-Time E16.23 Mental Status Assessment 4080 Normal Mental Status for Patient E16.23 Mental Status Assessment 736002 Oriented-Events E16.23 Mental Status Assessment 4090 Combative E16.23 Mental Status Assessment 4095 Confused E16.23 Mental Status Assessment 4100 Hallucinations E16.23 Mental Status Assessment 736000 Responsive to Verbal Stimuli E16.23 Mental Status Assessment 736001 Responsive to Painful Stimuli E16.23 Mental Status Assessment 4120 Unresponsive E16.23 Mental Status Assessment 4085 Not Done E16.23 Mental Status Assessment 736003 Usually Confused E16.23 Mental Status Assessment 736004 Incoherent E16.23 Mental Status Assessment 736005 Intermittent Consciousness E16.23 Mental Status Assessment -25 Not Applicable E16.23 Mental Status Assessment -10 Not Known E16.23 Mental Status Assessment -5 Not Available E16.24 Neurological Assessment -20 Not Recorded E16.24 Neurological Assessment -15 Not Reporting E16.24 Neurological Assessment 4125 Normal E16.24 Neurological Assessment 4150 Speech Normal E16.24 Neurological Assessment 4155 Speech Slurring E16.24 Neurological Assessment 737002 Aphasic E16.24 Neurological Assessment 4135 Abnormal Gait E16.24 Neurological Assessment 737001 Decerebrate Posturing E16.24 Neurological Assessment 737000 Decorticate Posturing E16.24 Neurological Assessment 4140 Facial Droop E16.24 Neurological Assessment 737003 Postictal E16.24 Neurological Assessment 4145 Seizures E16.24 Neurological Assessment 4160 Tremors E16.24 Neurological Assessment 4165 Weakness-Left Sided E16.24 Neurological Assessment 4170 Weakness-Right Sided E16.24 Neurological Assessment 4130 Not Done E16.24 Neurological Assessment -25 Not Applicable E16.24 Neurological Assessment -10 Not Known E16.24 Neurological Assessment -5 Not Available E16.4 Skin Assessment -20 Not Recorded E16.4 Skin Assessment -15 Not Reporting
E16.4 Skin Assessment 717000 Capillary Nail Bed Refill less than 2 Seconds Capillary Nail Bed Refill more than 4 E16.4 Skin Assessment 717002 Seconds E16.4 Skin Assessment 717001 Capillary Nail Bed Refill 2 - 4 Seconds E16.4 Skin Assessment 3430 Clammy E16.4 Skin Assessment 3435 Cold E16.4 Skin Assessment 3440 Cyanotic E16.4 Skin Assessment 717003 Diaphoresis E16.4 Skin Assessment 717008 Dry E16.4 Skin Assessment 717004 Flushed E16.4 Skin Assessment 717005 Hives or Urticaria E16.4 Skin Assessment 717006 Hot E16.4 Skin Assessment 3445 Jaundiced E16.4 Skin Assessment 3450 Lividity E16.4 Skin Assessment 3455 Mottled E16.4 Skin Assessment 3420 Normal E16.4 Skin Assessment 3425 Not Done E16.4 Skin Assessment 3460 Pale E16.4 Skin Assessment 717009 Poor Skin Turgor E16.4 Skin Assessment 717007 Rash E16.4 Skin Assessment 3465 Warm E16.4 Skin Assessment -25 Not Applicable E16.4 Skin Assessment -10 Not Known E16.4 Skin Assessment -5 Not Available E16.5 Head/Face Assessment -20 Not Recorded E16.5 Head/Face Assessment -15 Not Reporting E16.5 Head/Face Assessment 3480 Asymmetric Smile or Droop E16.5 Head/Face Assessment 3485 Drainage E16.5 Head/Face Assessment 3490 Mass/Lesion E16.5 Head/Face Assessment 3470 Normal E16.5 Head/Face Assessment 718000 Pain/tenderness E16.5 Head/Face Assessment 718001 Rash E16.5 Head/Face Assessment 3495 Swelling/Edema E16.5 Head/Face Assessment 718002 Symmetrical Face E16.5 Head/Face Assessment 3475 Not Done E16.5 Head/Face Assessment -25 Not Applicable E16.5 Head/Face Assessment -10 Not Known E16.5 Head/Face Assessment -5 Not Available E16.6 Neck Assessment -20 Not Recorded E16.6 Neck Assessment -15 Not Reporting E16.6 Neck Assessment 719000 Edema E16.6 Neck Assessment 3510 JVD E16.6 Neck Assessment 719003 No JVD noted E16.6 Neck Assessment 3500 Normal E16.6 Neck Assessment 3505 Not Done E16.6 Neck Assessment 719001 Pain/tenderness E16.6 Neck Assessment 719002 Rash E16.6 Neck Assessment 719004 Stiffness E16.6 Neck Assessment 3515 Strider E16.6 Neck Assessment 3520 SubQ Air E16.6 Neck Assessment 719005 Trachea Midline E16.6 Neck Assessment 3525 Tracheal Deviation E16.6 Neck Assessment -25 Not Applicable E16.6 Neck Assessment -10 Not Known E16.6 Neck Assessment -5 Not Available E16.7 Chest/Lungs Assessment -20 Not Recorded E16.7 Chest/Lungs Assessment -15 Not Reporting E16.7 Chest/Lungs Assessment 720005 Absent Lung Sounds-Left Side E16.7 Chest/Lungs Assessment 720004 Absent Lung Sounds-Right Side E16.7 Chest/Lungs Assessment 3540 Accessory Muscles E16.7 Chest/Lungs Assessment 720006 Chest Pain/Pressure (Non-reproducible) Chest Pain/Pressure (Reproducible by E16.7 Chest/Lungs Assessment 720007 Palp/Movement) E16.7 Chest/Lungs Assessment 3550 Decreased Breath Sounds-Right E16.7 Chest/Lungs Assessment 3545 Decreased Breath Sounds-Left E16.7 Chest/Lungs Assessment 720003 Expiratory Wheezing E16.7 Chest/Lungs Assessment 3555 Flail Segment-Left E16.7 Chest/Lungs Assessment 3560 Flail Segment-Right E16.7 Chest/Lungs Assessment 3565 Increased Effort E16.7 Chest/Lungs Assessment 720010 Inspiratory Wheezing E16.7 Chest/Lungs Assessment 3530 Normal Chest Assmt E16.7 Chest/Lungs Assessment 3570 Normal, Clear & Equal Breath Sounds E16.7 Chest/Lungs Assessment 3535 Not Done E16.7 Chest/Lungs Assessment 720008 Pain Non-Radiating
E16.7 Chest/Lungs Assessment 720009 Pain/Pressure Radiating to Neck/Back/Arms E16.7 Chest/Lungs Assessment 3575 Rales E16.7 Chest/Lungs Assessment 720000 Rash E16.7 Chest/Lungs Assessment 720001 Retractions E16.7 Chest/Lungs Assessment 3580 Rhonchi E16.7 Chest/Lungs Assessment 720014 Sounds Present At Apexes E16.7 Chest/Lungs Assessment 720013 Sounds Present At Bases E16.7 Chest/Lungs Assessment 720002 Sounds Present Bilaterally E16.7 Chest/Lungs Assessment 720015 Sounds Present in All Lung Fields E16.7 Chest/Lungs Assessment 720012 Sounds Present Left Side E16.7 Chest/Lungs Assessment 720011 Sounds Present Right Side E16.7 Chest/Lungs Assessment 3585 Tenderness-Left E16.7 Chest/Lungs Assessment 3590 Tenderness-Right E16.7 Chest/Lungs Assessment 720028 Assisted Breath Sounds E16.7 Chest/Lungs Assessment -25 Not Applicable E16.7 Chest/Lungs Assessment -10 Not Known E16.7 Chest/Lungs Assessment -5 Not Available E16.8 Heart Assessment -20 Not Recorded E16.8 Heart Assessment -15 Not Reporting E16.8 Heart Assessment 3605 Decreased Sounds E16.8 Heart Assessment 3610 Murmur E16.8 Heart Assessment 3595 Normal E16.8 Heart Assessment 721000 S1 Sounds E16.8 Heart Assessment 721001 S2 Sounds E16.8 Heart Assessment 721002 S3 Gallop Sounds E16.8 Heart Assessment 3600 Not Done E16.8 Heart Assessment 721003 S3 Sounds E16.8 Heart Assessment 721004 Gallop Sounds E16.8 Heart Assessment 721005 S4 Sounds E16.8 Heart Assessment -25 Not Applicable E16.8 Heart Assessment -10 Not Known E16.8 Heart Assessment -5 Not Available E16.9 Abdomen Left Upper Assessment -20 Not Recorded E16.9 Abdomen Left Upper Assessment -15 Not Reporting E16.9 Abdomen Left Upper Assessment 3615 Normal (Soft, Non-Tender) E16.9 Abdomen Left Upper Assessment 3625 Distention E16.9 Abdomen Left Upper Assessment 3630 Guarding E16.9 Abdomen Left Upper Assessment 3635 Mass E16.9 Abdomen Left Upper Assessment 3640 Pain/Tenderness E16.9 Abdomen Left Upper Assessment 722001 Rash E16.9 Abdomen Left Upper Assessment 722000 Rebound Tenderness E16.9 Abdomen Left Upper Assessment 722002 Rigid E16.9 Abdomen Left Upper Assessment 3620 Not Done E16.9 Abdomen Left Upper Assessment -25 Not Applicable E16.9 Abdomen Left Upper Assessment -10 Not Known E16.9 Abdomen Left Upper Assessment -5 Not Available E17.1 Protocols Used -20 Not Recorded E17.1 Protocols Used -25 Not Applicable E18.10 Medication Authorization -20 Not Recorded E18.10 Medication Authorization 4480 On-Line (Telephone or Radio) E18.10 Medication Authorization 4485 On-Scene E18.10 Medication Authorization 4490 Protocol (Standing Order) E18.10 Medication Authorization 4495 Written Orders (Patient Specific) E18.10 Medication Authorization -25 Not Applicable Medication Administered Prior to this Units E18.2 EMS Care 1 Yes Medication Administered Prior to this Units E18.2 EMS Care 0 No Medication Administered Prior to this Units E18.2 EMS Care -25 Not Applicable Medication Administered Prior to this Units E18.2 EMS Care -10 Not Known E18.4 Medication Administered Route 4205 Intravenous E18.4 Medication Administered Route 4175 Endotracheal Tube E18.4 Medication Administered Route 4180 Gastrostomy Tube E18.4 Medication Administered Route 4185 Inhalation E18.4 Medication Administered Route 753000 Inhalation via Nebulizer E18.4 Medication Administered Route 4190 Intramuscular E18.4 Medication Administered Route 4195 Intranasal E18.4 Medication Administered Route 4200 Intraocular E18.4 Medication Administered Route 4191 Intraosseous E18.4 Medication Administered Route 753001 Intravenous Pump E18.4 Medication Administered Route 4210 Nasal E18.4 Medication Administered Route 4215 Nasal Prongs E18.4 Medication Administered Route 4220 Nasogastric E18.4 Medication Administered Route 4245 Non-rebreather/Re-breather Mask E18.4 Medication Administered Route 4225 Ophthalmic E18.4 Medication Administered Route 4230 Oral E18.4 Medication Administered Route 4235 Other/Miscellaneous E18.4 Medication Administered Route 4240 Otic (in ear) E18.4 Medication Administered Route 4250 Rectal E18.4 Medication Administered Route 4255 Subcutaneous E18.4 Medication Administered Route 4260 Sublingual E18.4 Medication Administered Route 4265 Topical E18.4 Medication Administered Route 4270 Tracheostomy E18.4 Medication Administered Route 4275 Transdermal E18.4 Medication Administered Route 4280 Urethral E18.4 Medication Administered Route 4285 Ventimask E18.4 Medication Administered Route 4290 Wound E18.4 Medication Administered Route -25 Not Applicable E18.6 Medication Dosage Units 4295 GMS E18.6 Medication Dosage Units 4345 MG E18.6 Medication Dosage Units 755000 gtts (Drops) E18.6 Medication Dosage Units 4300 Inches E18.6 Medication Dosage Units 4305 IU (International Units) E18.6 Medication Dosage Units 4310 KVO (TKO) E18.6 Medication Dosage Units 4320 Liters E18.6 Medication Dosage Units 755008 Lock/Flush E18.6 Medication Dosage Units 4325 LPM E18.6 Medication Dosage Units 4330 MCG E18.6 Medication Dosage Units 4335 MCG/KG/MIN E18.6 Medication Dosage Units 755002 MCG/MIN E18.6 Medication Dosage Units 4340 MEQ E18.6 Medication Dosage Units 4350 MG/KG/MIN E18.6 Medication Dosage Units 755001 MG/MIN E18.6 Medication Dosage Units 755004 Minutes E18.6 Medication Dosage Units 4355 ML E18.6 Medication Dosage Units 4360 ML/HR E18.6 Medication Dosage Units 4365 Other E18.6 Medication Dosage Units 4370 Puffs E18.6 Medication Dosage Units 755003 Units/HR E18.6 Medication Dosage Units 755007 Rapid Infusion E18.6 Medication Dosage Units -25 Not Applicable E18.7 Response To Medication -20 Not Recorded E18.7 Response To Medication -15 Not Reporting E18.7 Response To Medication 4380 Unchanged E18.7 Response To Medication 4375 Improved E18.7 Response To Medication 4385 Worse E18.7 Response To Medication -25 Not Applicable E18.7 Response To Medication -10 Not Known E18.7 Response To Medication -5 Not Available E18.8 Medication Complication 4395 Altered Mental Status E18.8 Medication Complication 4400 Apnea E18.8 Medication Complication 4405 Bleeding E18.8 Medication Complication 4410 Bradycardia E18.8 Medication Complication 4415 Diarrhea E18.8 Medication Complication 4420 Extravasation E18.8 Medication Complication 4425 Hypertension E18.8 Medication Complication 4430 Hyperthermia E18.8 Medication Complication 4435 Hypotension E18.8 Medication Complication 4440 Hypoxia E18.8 Medication Complication 4445 Injury E18.8 Medication Complication 4450 Itching/Urticaria E18.8 Medication Complication 4455 Nausea E18.8 Medication Complication 4390 None E18.8 Medication Complication -25 Not Applicable E18.8 Medication Complication 4460 Other E18.8 Medication Complication 4465 Respiratory Distress E18.8 Medication Complication 4470 Tachycardia E18.8 Medication Complication 4475 Vomitting E18.9 Medication Crew Member ID -20 Not Recorded E18.9 Medication Crew Member ID -15 Not Reporting E18.9 Medication Crew Member ID -25 Not Applicable E18.9 Medication Crew Member ID -10 Not Known E18.9 Medication Crew Member ID -5 Not Available E19.10 Procedure Authorization -20 Not Recorded E19.10 Procedure Authorization 4615 On-Line (Radio or Telephone) E19.10 Procedure Authorization 4620 On-Scene E19.10 Procedure Authorization 4625 Protocol (Standing Order) E19.10 Procedure Authorization 4630 Written Orders (Patient Specific) E19.10 Procedure Authorization -25 Not Applicable E19.12 Successful IV Site -20 Not Recorded E19.12 Successful IV Site 4635 Antecubital-Left E19.12 Successful IV Site 4640 Antecubital-Right E19.12 Successful IV Site 4645 External Jugular-Left E19.12 Successful IV Site 4650 External Jugular-Right E19.12 Successful IV Site 4660 Femoral-Left Distal IO E19.12 Successful IV Site 4655 Femoral-Left IV E19.12 Successful IV Site 4670 Femoral-Right Distal IO E19.12 Successful IV Site 4665 Femoral-Right IV E19.12 Successful IV Site 4675 Forearm-Left E19.12 Successful IV Site 4680 Forearm-Right E19.12 Successful IV Site 4685 Hand-Left E19.12 Successful IV Site 4690 Hand-Right E19.12 Successful IV Site 4695 Lower Extremity-Left E19.12 Successful IV Site 4700 Lower Extremity-Right E19.12 Successful IV Site 4705 Other E19.12 Successful IV Site 4710 Scalp E19.12 Successful IV Site 4715 Sternal IO E19.12 Successful IV Site 4720 Tibia IO-Left E19.12 Successful IV Site 4725 Tibia IO-Right E19.12 Successful IV Site 4730 Umbilical E19.12 Successful IV Site -25 Not Applicable E19.13 Tube Confirmation -20 Not Recorded E19.13 Tube Confirmation -15 Not Reporting E19.13 Tube Confirmation 4735 Auscultation of Bilateral Breath Sounds E19.13 Tube Confirmation 4740 Colorimetric CO2 Detector Confirmation E19.13 Tube Confirmation 4745 Digital CO2 Confirmation E19.13 Tube Confirmation 4750 Esophageal Bulb Aspiration Confirmation E19.13 Tube Confirmation 4755 Negative Auscultation of the Epigastrium Visualization of the Chest Rising with E19.13 Tube Confirmation 4760 Ventilation Visualization of the Tube Passing Through E19.13 Tube Confirmation 4765 the Cords E19.13 Tube Confirmation 4770 Waveform CO2 Confirmation E19.13 Tube Confirmation -25 Not Applicable E19.13 Tube Confirmation -10 Not Known E19.13 Tube Confirmation -5 Not Available
E19.14 Destination Confirmation of Tube Placement -20 Not Recorded
E19.14 Destination Confirmation of Tube Placement -15 Not Reporting
E19.14 Destination Confirmation of Tube Placement 4775 Auscultation of Bilateral Breath Sounds
E19.14 Destination Confirmation of Tube Placement 4780 Colorimetric CO2 Detector Confirmation
E19.14 Destination Confirmation of Tube Placement 4785 Digital CO2 Confirmation
E19.14 Destination Confirmation of Tube Placement 4790 Esophageal Bulb Aspiration Confirmation E19.14 Destination Confirmation of Tube Placement 4795 Negative Auscultation of the Epigastrium Visualization of the Chest Rising with E19.14 Destination Confirmation of Tube Placement 4800 Ventilation Visualization of the Tube Passing Through E19.14 Destination Confirmation of Tube Placement 4805 the Cords
E19.14 Destination Confirmation of Tube Placement 4810 Waveform CO2 Confirmation
E19.14 Destination Confirmation of Tube Placement -25 Not Applicable
E19.14 Destination Confirmation of Tube Placement -10 Not Known
E19.14 Destination Confirmation of Tube Placement -5 Not Available Procedure Performed Prior to this Units EMS E19.2 Care 0 No Procedure Performed Prior to this Units EMS E19.2 Care 1 Yes Procedure Performed Prior to this Units EMS E19.2 Care -25 Not Applicable E19.6 Procedure Successful 0 No E19.6 Procedure Successful 1 Yes E19.6 Procedure Successful -25 Not Applicable E19.6 Procedure Successful -10 Not Known E19.7 Procedure Complication 4505 Altered Mental Status E19.7 Procedure Complication 776003 Anatomical abnormality E19.7 Procedure Complication 4510 Apnea E19.7 Procedure Complication 4515 Bleeding E19.7 Procedure Complication 4520 Bradycardia E19.7 Procedure Complication 4525 Diarrhea Esophageal Intubation-Immediately E19.7 Procedure Complication 4530 Detected E19.7 Procedure Complication 4535 Esophageal Intubation-Other E19.7 Procedure Complication 4540 Extravasation E19.7 Procedure Complication 776004 Foreign body in airway E19.7 Procedure Complication 4545 Hypertension E19.7 Procedure Complication 4550 Hyperthermia E19.7 Procedure Complication 4555 Hypotension E19.7 Procedure Complication 4560 Hypoxia E19.7 Procedure Complication 4565 Injury E19.7 Procedure Complication 4570 Itching/Urticaria E19.7 Procedure Complication 4575 Nausea E19.7 Procedure Complication 4500 None E19.7 Procedure Complication -25 Not Applicable E19.7 Procedure Complication 776002 Oral or pharyngeal trauma E19.7 Procedure Complication 4580 Other E19.7 Procedure Complication 776001 Patient resisted intubation E19.7 Procedure Complication 4585 Respiratory Distress E19.7 Procedure Complication 4590 Tachycardia E19.7 Procedure Complication 4595 Vomitting E19.7 Procedure Complication 776005 Vomitus/blood/secretions in airway E19.8 Response To Procedure 4605 Unchanged E19.8 Response To Procedure 4600 Improved E19.8 Response To Procedure 4610 Worse E19.8 Response To Procedure -25 Not Applicable E19.8 Response To Procedure -10 Not Known E19.9 Procedure Crew Members ID -20 Not Recorded E19.9 Procedure Crew Members ID -15 Not Reporting E19.9 Procedure Crew Members ID -25 Not Applicable E19.9 Procedure Crew Members ID -10 Not Known E19.9 Procedure Crew Members ID -5 Not Available E2.10 Type Of Turn-Around Delay 330 Clean-up E2.10 Type Of Turn-Around Delay 335 Decontamination E2.10 Type Of Turn-Around Delay 340 Documentation E2.10 Type Of Turn-Around Delay 345 ED Overcrowding E2.10 Type Of Turn-Around Delay 350 Equipment Failure E2.10 Type Of Turn-Around Delay 355 Equipment Replenishment E2.10 Type Of Turn-Around Delay 360 None E2.10 Type Of Turn-Around Delay 365 Other E2.10 Type Of Turn-Around Delay 370 Staff Delay E2.10 Type Of Turn-Around Delay 375 Vehicle Failure E2.11 EMS Unit/Vehicle Number -25 Not Applicable E2.11 EMS Unit/Vehicle Number -10 Not Known E2.11 EMS Unit/Vehicle Number -5 Not Available E2.12 EMS Unit Call Sign (Radio Number) -20 Not Recorded E2.12 EMS Unit Call Sign (Radio Number) -15 Not Reporting E2.12 EMS Unit Call Sign (Radio Number) -25 Not Applicable E2.12 EMS Unit Call Sign (Radio Number) -10 Not Known E2.12 EMS Unit Call Sign (Radio Number) -5 Not Available E2.13 Vehicle Dispatch Location -20 Not Recorded E2.13 Vehicle Dispatch Location -15 Not Reporting E2.13 Vehicle Dispatch Location -25 Not Applicable E2.13 Vehicle Dispatch Location -10 Not Known E2.13 Vehicle Dispatch Location -5 Not Available E2.14 Vehicle Dispatch Zone -20 Not Recorded E2.14 Vehicle Dispatch Zone -15 Not Reporting E2.14 Vehicle Dispatch Zone -25 Not Applicable E2.14 Vehicle Dispatch Zone -10 Not Known E2.14 Vehicle Dispatch Zone -5 Not Available E2.20 Response Mode To Scene 390 Lights and Sirens E2.20 Response Mode To Scene 395 No Lights and Sirens Initial Lights and Sirens, Downgraded to No E2.20 Response Mode To Scene 380 Lights or Sirens Initial No Lights or Sirens, Upgraded to E2.20 Response Mode To Scene 385 Lights and Sirens E2.20 Response Mode To Scene -25 Not Applicable E2.20 Response Mode To Scene -10 Not Known E2.4 Type Of Service Requested 30 911 Response (Scene) E2.4 Type Of Service Requested 410001 Flagdown/Walk-in Emergent E2.4 Type Of Service Requested 410002 Flagdown/Walk-in Non-emergent E2.4 Type Of Service Requested 35 Intercept E2.4 Type Of Service Requested 40 Interfacility Transfer (Scheduled) E2.4 Type Of Service Requested 410000 Interfacility Transfer (Unscheduled) E2.4 Type Of Service Requested 45 Medical Transport E2.4 Type Of Service Requested 50 Mutual Aid E2.4 Type Of Service Requested 55 Standby E2.4 Type Of Service Requested -25 Not Applicable E2.5 Primary Role Of The Unit 411000 ALS Ground Transport E2.5 Primary Role Of The Unit 411001 BLS Ground Transport E2.5 Primary Role Of The Unit 411002 Critical Care Ground Transport E2.5 Primary Role Of The Unit 411004 Fixed Wing Transport E2.5 Primary Role Of The Unit 411010 Law Enforcement E2.5 Primary Role Of The Unit 60 Non-Transport E2.5 Primary Role Of The Unit -25 Not Applicable E2.5 Primary Role Of The Unit 411005 Other Transport E2.5 Primary Role Of The Unit 65 Rescue E2.5 Primary Role Of The Unit 411006 Roto-Craft Transport E2.5 Primary Role Of The Unit 70 Supervisor E2.6 Type Of Dispatch Delay -20 Not Recorded E2.6 Type Of Dispatch Delay -15 Not Reporting E2.6 Type Of Dispatch Delay 80 Caller (Uncooperative) E2.6 Type Of Dispatch Delay 85 High Call Volume E2.6 Type Of Dispatch Delay 90 Language Barrier E2.6 Type Of Dispatch Delay 95 Location (Inability To Obtain) E2.6 Type Of Dispatch Delay 100 No Units Available E2.6 Type Of Dispatch Delay 105 None E2.6 Type Of Dispatch Delay 110 Other E2.6 Type Of Dispatch Delay 115 Scene Safety (Not Secure for EMS) E2.6 Type Of Dispatch Delay 120 Technical Failure (Computer, Phone, etc.) E2.6 Type Of Dispatch Delay -25 Not Applicable E2.6 Type Of Dispatch Delay -10 Not Known E2.6 Type Of Dispatch Delay -5 Not Available E2.7 Type Of Response Delay 125 Crowd E2.7 Type Of Response Delay 130 Directions E2.7 Type Of Response Delay 140 Diversion E2.7 Type Of Response Delay 145 HazMat E2.7 Type Of Response Delay 150 None E2.7 Type Of Response Delay 155 Other E2.7 Type Of Response Delay 160 Safety E2.7 Type Of Response Delay 165 Staff Delay E2.7 Type Of Response Delay 170 Traffic E2.7 Type Of Response Delay 413000 Train E2.7 Type Of Response Delay 175 Vehicle Crash E2.7 Type Of Response Delay 180 Vehicle Failure E2.7 Type Of Response Delay 185 Weather E2.8 Type Of Scene Delay 190 Crowd E2.8 Type Of Scene Delay 195 Directions E2.8 Type Of Scene Delay 200 Distance E2.8 Type Of Scene Delay 210 Extrication > 20 Min E2.8 Type Of Scene Delay 215 HazMat E2.8 Type Of Scene Delay 220 Language Barrier E2.8 Type Of Scene Delay 225 None E2.8 Type Of Scene Delay 230 Other E2.8 Type Of Scene Delay 414000 Patient Access Delay (Lockout/Physical) E2.8 Type Of Scene Delay 235 Safety E2.8 Type Of Scene Delay 240 Staff Delay E2.8 Type Of Scene Delay 250 Vehicle Crash E2.8 Type Of Scene Delay 255 Vehicle Failure E2.8 Type Of Scene Delay 260 Weather E2.9 Type Of Transport Delay 265 Crowd E2.9 Type Of Transport Delay 290 None E2.9 Type Of Transport Delay 270 Directions E2.9 Type Of Transport Delay 280 Diversion E2.9 Type Of Transport Delay 285 HazMat E2.9 Type Of Transport Delay 295 Other E2.9 Type Of Transport Delay 300 Safety E2.9 Type Of Transport Delay 305 Staff Delay E2.9 Type Of Transport Delay 310 Traffic E2.9 Type Of Transport Delay 415000 Train E2.9 Type Of Transport Delay 315 Vehicle Crash E2.9 Type Of Transport Delay 320 Vehicle Failure E2.9 Type Of Transport Delay 325 Weather E20.1 Destination Transferred To, Name -20 Not Recorded E20.1 Destination Transferred To, Name -15 Not Reporting E20.1 Destination Transferred To, Name -25 Not Applicable E20.1 Destination Transferred To, Name -10 Not Known E20.1 Destination Transferred To, Name -5 Not Available E20.10 Incident/Patient Disposition 804005 Treated, Transported by EMS (ALS) E20.10 Incident/Patient Disposition 804006 Treated, Transported by EMS (BLS) E20.10 Incident/Patient Disposition 4830 No Treatment Required E20.10 Incident/Patient Disposition 4840 Treated and Released E20.10 Incident/Patient Disposition 4835 Patient Refused Care E20.10 Incident/Patient Disposition 4845 Treated, Transferred Care E20.10 Incident/Patient Disposition 4825 No Patient Found E20.10 Incident/Patient Disposition 804003 Standby Only - No Patient Contacts E20.10 Incident/Patient Disposition 4815 Cancelled E20.10 Incident/Patient Disposition 4860 Treated, Transported by Private Vehicle E20.10 Incident/Patient Disposition 4820 Dead at Scene E20.10 Incident/Patient Disposition 804004 Unable to Locate Patient/Scene E20.10 Incident/Patient Disposition -10 Not Known E20.11 How Patient Was Moved to Ambulance -20 Not Recorded E20.11 How Patient Was Moved to Ambulance 4865 Assisted/Walk E20.11 How Patient Was Moved to Ambulance 4870 Carry E20.11 How Patient Was Moved to Ambulance 4885 Other E20.11 How Patient Was Moved to Ambulance 4875 Stair Chair E20.11 How Patient Was Moved to Ambulance 4880 Stretcher E20.11 How Patient Was Moved to Ambulance -25 Not Applicable E20.12 Position Of Patient During Transport -20 Not Recorded E20.12 Position Of Patient During Transport 4890 Car Seat E20.12 Position Of Patient During Transport 4895 Fowlers E20.12 Position Of Patient During Transport 4900 Lateral E20.12 Position Of Patient During Transport 4925 Other E20.12 Position Of Patient During Transport 4905 Prone E20.12 Position Of Patient During Transport 806001 Reverse Trendelenberg E20.12 Position Of Patient During Transport 4910 Semi-Fowlers E20.12 Position Of Patient During Transport 4915 Sitting E20.12 Position Of Patient During Transport 4920 Supine E20.12 Position Of Patient During Transport 806000 Trendelenberg E20.12 Position Of Patient During Transport -25 Not Applicable How Patient Was Transported From E20.13 Ambulance -20 Not Recorded How Patient Was Transported From E20.13 Ambulance -15 Not Reporting How Patient Was Transported From E20.13 Ambulance 4930 Assisted/Walk How Patient Was Transported From E20.13 Ambulance 4935 Carry How Patient Was Transported From E20.13 Ambulance 4950 Other How Patient Was Transported From E20.13 Ambulance 4940 Stair Chair How Patient Was Transported From E20.13 Ambulance 4945 Stretcher How Patient Was Transported From E20.13 Ambulance 807000 Wheelchair How Patient Was Transported From E20.13 Ambulance -25 Not Applicable How Patient Was Transported From E20.13 Ambulance -10 Not Known How Patient Was Transported From E20.13 Ambulance -5 Not Available E20.14 Transport Mode From Scene 4965 Lights and Sirens E20.14 Transport Mode From Scene 4970 No Lights or Sirens Initial Lights and Sirens, Downgraded to No E20.14 Transport Mode From Scene 4955 Lights or Sirens Initial No Lights or Sirens, Upgraded to E20.14 Transport Mode From Scene 4960 Lights and Sirens E20.14 Transport Mode From Scene -25 Not Applicable E20.14 Transport Mode From Scene -10 Not Known E20.15 Condition Of Patient At Destination -20 Not Recorded E20.15 Condition Of Patient At Destination -15 Not Reporting E20.15 Condition Of Patient At Destination 4975 Improved E20.15 Condition Of Patient At Destination 4980 Unchanged E20.15 Condition Of Patient At Destination 4985 Worse E20.15 Condition Of Patient At Destination -25 Not Applicable E20.15 Condition Of Patient At Destination -10 Not Known E20.15 Condition Of Patient At Destination -5 Not Available E20.16 Reason For Choosing Destination 4990 Closest Facility E20.16 Reason For Choosing Destination 5015 On-line Medical Direction E20.16 Reason For Choosing Destination 5035 Protocol E20.16 Reason For Choosing Destination 4995 Diversion E20.16 Reason For Choosing Destination 5020 Other E20.16 Reason For Choosing Destination 5040 Specialty Resource Center E20.16 Reason For Choosing Destination 5000 Family Choice E20.16 Reason For Choosing Destination 5025 Patient Choice E20.16 Reason For Choosing Destination -25 Not Applicable E20.16 Reason For Choosing Destination 5005 Insurance Status E20.16 Reason For Choosing Destination 5030 Patient's Physician's Choice E20.16 Reason For Choosing Destination -10 Not Known E20.16 Reason For Choosing Destination 5010 Law Enforcement Choice E20.16 Reason For Choosing Destination -5 Not Available E20.17 Type Of Destination 7280 Hospital E20.17 Type Of Destination 811000 Not Transported E20.17 Type Of Destination 7350 Other EMS Responder (Ground) E20.17 Type Of Destination 7270 Home E20.17 Type Of Destination 7320 Nursing Home E20.17 Type Of Destination 7360 Police/Jail E20.17 Type Of Destination 7290 Medical Office/Clinic E20.17 Type Of Destination 7330 Other E20.17 Type Of Destination -25 Not Applicable E20.17 Type Of Destination 7300 Morgue E20.17 Type Of Destination 7340 Other EMS Responder (Air) E20.17 Type Of Destination -10 Not Known E20.17 Type Of Destination -5 Not Available Device CO2, etCO2, or Invasive Pressure E21.19 Monitor Units -20 Not Recorded Device CO2, etCO2, or Invasive Pressure E21.19 Monitor Units -15 Not Reporting Device CO2, etCO2, or Invasive Pressure E21.19 Monitor Units 5325 % Volume Device CO2, etCO2, or Invasive Pressure E21.19 Monitor Units 5320 kPa Device CO2, etCO2, or Invasive Pressure E21.19 Monitor Units 5330 mmHg Device CO2, etCO2, or Invasive Pressure E21.19 Monitor Units -25 Not Applicable Device CO2, etCO2, or Invasive Pressure E21.19 Monitor Units -10 Not Known Device CO2, etCO2, or Invasive Pressure E21.19 Monitor Units -5 Not Available E21.2 Medical Device Event Name -20 Not Recorded E21.2 Medical Device Event Name -15 Not Reporting E21.2 Medical Device Event Name 5090 12-Lead ECG E21.2 Medical Device Event Name 5110 Defibrillation E21.2 Medical Device Event Name 5115 ECG-Monitor E21.2 Medical Device Event Name 5150 Pacing Started E21.2 Medical Device Event Name -25 Not Applicable E21.2 Medical Device Event Name -10 Not Known E21.2 Medical Device Event Name -5 Not Available E21.3 Waveform Graphic Type 5200 JPG E21.3 Waveform Graphic Type 5205 PDF E21.5 AED, Pacing, Or CO2 Mode 5220 Advisory E21.5 AED, Pacing, Or CO2 Mode 5210 Automated E21.5 AED, Pacing, Or CO2 Mode 5225 Demand E21.5 AED, Pacing, Or CO2 Mode 5215 Manual E21.5 AED, Pacing, Or CO2 Mode 5235 Mid-stream E21.5 AED, Pacing, Or CO2 Mode 5230 Sensing E21.5 AED, Pacing, Or CO2 Mode 5240 Side-stream E21.5 AED, Pacing, Or CO2 Mode -25 Not Applicable E21.6 ECG Lead -20 Not Recorded E21.6 ECG Lead -15 Not Reporting E21.6 ECG Lead 825001 12 Lead ECG E21.6 ECG Lead 825002 II, III, AVF - Multi Lead E21.6 ECG Lead 825003 V1, V2 - Multi Lead E21.6 ECG Lead 825004 V3, V4 - Multi Lead E21.6 ECG Lead 825006 V4, V5, V6 - Multi Lead E21.6 ECG Lead 825005 I, AVL, V5, V6 - Multi Lead E21.6 ECG Lead 5245 I E21.6 ECG Lead 5250 II E21.6 ECG Lead 5255 III E21.6 ECG Lead 5260 AVR E21.6 ECG Lead 5265 AVL E21.6 ECG Lead 5270 AVF E21.6 ECG Lead 5275 V1 E21.6 ECG Lead 5280 V2 E21.6 ECG Lead 5285 V3 E21.6 ECG Lead 5290 V4 E21.6 ECG Lead 5295 V5 E21.6 ECG Lead 5300 V6 E21.6 ECG Lead 5305 Paddle E21.6 ECG Lead 825000 Pads E21.6 ECG Lead -25 Not Applicable E21.6 ECG Lead -10 Not Known E21.6 ECG Lead -5 Not Available E21.8 Type Of Shock 5310 Biphasic E21.8 Type Of Shock 5315 Monophasic E21.8 Type Of Shock -25 Not Applicable E21.8 Type Of Shock -10 Not Known E22.1 Emergency Department Disposition 5335 Admitted to Hospital Floor E22.1 Emergency Department Disposition 5340 Admitted to Hospital ICU E22.1 Emergency Department Disposition 5345 Death E22.1 Emergency Department Disposition 5350 Not Applicable (Not Transported to ED) E22.1 Emergency Department Disposition 5355 Released E22.1 Emergency Department Disposition 5360 Transferred E22.1 Emergency Department Disposition -25 Not Applicable E22.1 Emergency Department Disposition -10 Not Known E22.2 Hospital Disposition 8510001 Home E22.2 Hospital Disposition 8510004 Home Health E22.2 Hospital Disposition 8510002 Jail E22.2 Hospital Disposition 8510005 Left AMA E22.2 Hospital Disposition 8510007 Not Reported E22.2 Hospital Disposition 8510006 Other E22.2 Hospital Disposition 8510003 Psych/Detox E22.2 Hospital Disposition 5365 Death E22.2 Hospital Disposition 5370 Discharged E22.2 Hospital Disposition 5375 Transferred to Hospital E22.2 Hospital Disposition 5380 Transferred to Nursing Home E22.2 Hospital Disposition 5385 Transferred to Other E22.2 Hospital Disposition 5390 Transferred to Rehabilitation Facility E22.2 Hospital Disposition -25 Not Applicable E22.2 Hospital Disposition -10 Not Known E23.1 Review Requested -20 Not Recorded E23.1 Review Requested -15 Not Reporting E23.1 Review Requested 0 No E23.1 Review Requested 1 Yes E23.1 Review Requested -25 Not Applicable E23.1 Review Requested -10 Not Known E23.1 Review Requested -5 Not Available E23.2 Potential Registry Candidate -20 Not Recorded E23.2 Potential Registry Candidate -15 Not Reporting E23.2 Potential Registry Candidate 5395 Burn E23.2 Potential Registry Candidate 5400 Cardiac/MI E23.2 Potential Registry Candidate 5405 CVA/Stroke E23.2 Potential Registry Candidate 5410 Drowning E23.2 Potential Registry Candidate 5430 Other E23.2 Potential Registry Candidate 5415 Spinal Cord Injury E23.2 Potential Registry Candidate 5420 Trauma E23.2 Potential Registry Candidate 5425 Traumatic Brain Injury E23.2 Potential Registry Candidate -25 Not Applicable E23.2 Potential Registry Candidate -10 Not Known E23.2 Potential Registry Candidate -5 Not Available E23.3 Personal Protective Equipment Used -25 Not Applicable E23.3 Personal Protective Equipment Used 5435 Eye Protection E23.3 Personal Protective Equipment Used 5440 Gloves E23.3 Personal Protective Equipment Used 5445 Level A Suit E23.3 Personal Protective Equipment Used 5450 Level B Suit E23.3 Personal Protective Equipment Used 5455 Level C Suit E23.3 Personal Protective Equipment Used 5460 Mask / N-95 E23.3 Personal Protective Equipment Used 5465 Other Suspected Intentional, Or Unintentional E23.4 Disaster 5470 Biologic Agent Suspected Intentional, Or Unintentional E23.4 Disaster 5475 Building Failure Suspected Intentional, Or Unintentional E23.4 Disaster 5480 Chemical Agent Suspected Intentional, Or Unintentional E23.4 Disaster 5485 Explosive Device Suspected Intentional, Or Unintentional E23.4 Disaster 5490 Fire Suspected Intentional, Or Unintentional E23.4 Disaster 5495 Hostage Event Suspected Intentional, Or Unintentional E23.4 Disaster 868000 Incendiary Device (Causing Fire) Suspected Intentional, Or Unintentional E23.4 Disaster 5500 Mass Gathering Suspected Intentional, Or Unintentional E23.4 Disaster 5505 Nuclear Agent Suspected Intentional, Or Unintentional E23.4 Disaster 5510 Radioactive Device Suspected Intentional, Or Unintentional E23.4 Disaster 5515 Secondary Destructive Device Suspected Intentional, Or Unintentional E23.4 Disaster 5520 Shooting/Sniper Suspected Intentional, Or Unintentional E23.4 Disaster 5525 Vehicular Suspected Intentional, Or Unintentional E23.4 Disaster 5530 Weather Suspected Intentional, Or Unintentional E23.4 Disaster -25 Not Applicable Suspected Intentional, Or Unintentional E23.4 Disaster -10 Not Known Suspected Contact with Blood/Body Fluids of E23.5 EMS Injury or Death 1 Yes Suspected Contact with Blood/Body Fluids of E23.5 EMS Injury or Death 0 No Suspected Contact with Blood/Body Fluids of E23.5 EMS Injury or Death -10 Not Known Type of Suspected Blood/Body Fluid E23.6 Exposure, Injury, or Death 5585 None Type of Suspected Blood/Body Fluid E23.6 Exposure, Injury, or Death 5540 Contact to Broken Skin Type of Suspected Blood/Body Fluid E23.6 Exposure, Injury, or Death 5545 Contact to Intact Skin Type of Suspected Blood/Body Fluid E23.6 Exposure, Injury, or Death 5550 Contact with Eye Type of Suspected Blood/Body Fluid E23.6 Exposure, Injury, or Death 5555 Contact with Mucosal Surface Type of Suspected Blood/Body Fluid E23.6 Exposure, Injury, or Death 5580 Death Type of Suspected Blood/Body Fluid E23.6 Exposure, Injury, or Death 5560 Inhalation Exposure Type of Suspected Blood/Body Fluid E23.6 Exposure, Injury, or Death 5565 Needle Stick with Fluid Injection Type of Suspected Blood/Body Fluid E23.6 Exposure, Injury, or Death 5570 Needle Stick without Fluid Injection Type of Suspected Blood/Body Fluid E23.6 Exposure, Injury, or Death 5575 Other Physical Injury Type of Suspected Blood/Body Fluid E23.6 Exposure, Injury, or Death -10 Not Known E23.7 Personnel Exposed -25 Not Applicable E23.7 Personnel Exposed 5595 Non-EMS Individual E23.7 Personnel Exposed 5600 Other EMS Personnel E23.7 Personnel Exposed 5590 This EMS Crew E23.8 Required Reportable Conditions 230003 Baby Safe Haven E23.8 Required Reportable Conditions 230001 Child Abuse or Neglect E23.8 Required Reportable Conditions 230002 Eldery/Vulnerable Abuse and Neglect E23.8 Required Reportable Conditions 1 Yes E23.8 Required Reportable Conditions 0 No E23.8 Required Reportable Conditions -25 Not Applicable E3.1 Complaint Reported By Dispatch -10 Not Known E3.1 Complaint Reported By Dispatch 400 Abdominal Pain E3.1 Complaint Reported By Dispatch 435011 Altered Mental Status E3.1 Complaint Reported By Dispatch 405 Anaphylactic Reaction E3.1 Complaint Reported By Dispatch 410 Animal Bite E3.1 Complaint Reported By Dispatch 415 Assault E3.1 Complaint Reported By Dispatch 435000 Assault - Sexual E3.1 Complaint Reported By Dispatch 435008 Auto vs. Pedestrian Back Pain (Non-Traumatic/Non-Recent E3.1 Complaint Reported By Dispatch 420 Trauma) E3.1 Complaint Reported By Dispatch 425 Breathing Problem E3.1 Complaint Reported By Dispatch 430 Burns E3.1 Complaint Reported By Dispatch 440 Cardiac Arrest E3.1 Complaint Reported By Dispatch 445 Chest Pain E3.1 Complaint Reported By Dispatch 450 Choking E3.1 Complaint Reported By Dispatch 435 CO Poisoning/Hazmat E3.1 Complaint Reported By Dispatch 460 Diabetic Problem E3.1 Complaint Reported By Dispatch 465 Drowning E3.1 Complaint Reported By Dispatch 470 Electrocution E3.1 Complaint Reported By Dispatch 475 Eye Problem / Injury E3.1 Complaint Reported By Dispatch 480 Fall Victim E3.1 Complaint Reported By Dispatch 435013 Fire Standby E3.1 Complaint Reported By Dispatch 435014 HAZMAT Standby E3.1 Complaint Reported By Dispatch 485 Headache E3.1 Complaint Reported By Dispatch 490 Heart Problems E3.1 Complaint Reported By Dispatch 495 Heat/Cold Exposure E3.1 Complaint Reported By Dispatch 500 Hemorrhage/Laceration Industrial Accident/Inaccessible E3.1 Complaint Reported By Dispatch 505 Incident/Other Entrapments (Non-Vehicle) E3.1 Complaint Reported By Dispatch 510 Ingestion/Poisoning E3.1 Complaint Reported By Dispatch 435001 Intercept E3.1 Complaint Reported By Dispatch 435012 Invalid Assist/Lifting Assist E3.1 Complaint Reported By Dispatch 435009 Machine/equipment Injury E3.1 Complaint Reported By Dispatch 565 MCI (Multiple Casualty Incident) E3.1 Complaint Reported By Dispatch 435002 Medical Alarm E3.1 Complaint Reported By Dispatch 435003 Medical Transport E3.1 Complaint Reported By Dispatch 435004 Other E3.1 Complaint Reported By Dispatch 435005 Overdose E3.1 Complaint Reported By Dispatch 435006 Pain E3.1 Complaint Reported By Dispatch 515 Pregnancy/Childbirth E3.1 Complaint Reported By Dispatch 520 Psychiatric Problems E3.1 Complaint Reported By Dispatch 435010 Respiratory Arrest E3.1 Complaint Reported By Dispatch 455 Seizure/Convulsions E3.1 Complaint Reported By Dispatch 525 Sick Person E3.1 Complaint Reported By Dispatch 530 Stab/Gunshot Wound E3.1 Complaint Reported By Dispatch 435007 Standby E3.1 Complaint Reported By Dispatch 535 Stroke/CVA E3.1 Complaint Reported By Dispatch 540 Traffic/Transportation Accident E3.1 Complaint Reported By Dispatch 560 Transfer/Interfacility/Palliative Care E3.1 Complaint Reported By Dispatch 545 Traumatic Injury E3.1 Complaint Reported By Dispatch 550 Unconscious/Fainting E3.1 Complaint Reported By Dispatch 555 Unknown Problem/Man Down E3.1 Complaint Reported By Dispatch -25 Not Applicable E3.2 EMD Performed 0 No E3.2 EMD Performed 570 Yes, With Pre-Arrival Instructions E3.2 EMD Performed 575 Yes, Without Pre-Arrival Instructions E3.2 EMD Performed -25 Not Applicable E3.2 EMD Performed -10 Not Known E3.2 EMD Performed -5 Not Available E4.1 Crew Member ID -15 Not Reporting E4.1 Crew Member ID -20 Not Recorded E4.1 Crew Member ID -25 Not Applicable E4.1 Crew Member ID -10 Not Known E4.2 Crew Member Role 585 Primary Patient Caregiver E4.2 Crew Member Role 580 Driver E4.2 Crew Member Role 590 Secondary Patient Caregiver E4.2 Crew Member Role 595 Third Patient Caregiver E4.2 Crew Member Role 445003 Ride Along E4.2 Crew Member Role 445001 First Responder E4.2 Crew Member Role 445000 Fire Company E4.2 Crew Member Role 445002 Pilot E4.2 Crew Member Role 600 Other E4.2 Crew Member Role -5 Not Available E4.3 Crew Member Level 6090 EMT-Basic E4.3 Crew Member Level 6100 EMT-Intermediate-03 E4.3 Crew Member Level 446001 EMT-Intermediate-90 FRECA (First responder/emergency care E4.3 Crew Member Level 6120 attendant) E4.3 Crew Member Level -5 None E4.3 Crew Member Level -25 Not Applicable E4.3 Crew Member Level -10 Not Known E4.3 Crew Member Level -20 Not Recorded E4.3 Crew Member Level 6111 Nurse E4.3 Crew Member Level 640 Other HCP E4.3 Crew Member Level 645 Other Non-HCP E4.3 Crew Member Level 6110 Paramedic E4.3 Crew Member Level 6112 Physician E4.3 Crew Member Level 635 Student E6.11 Gender -25 Not Applicable E6.11 Gender 655 Female E6.11 Gender 650 Male E6.11 Gender -10 Not Known E6.12 Race 660 American Indian or Alaska Native E6.12 Race 665 Asian E6.12 Race 670 Black or African American E6.12 Race 675 Native Hawaiian or Other Pacific Islander E6.12 Race 685 Other Race E6.12 Race 680 White E6.12 Race -10 Not Known E6.13 Ethnicity 695 Not Hispanic or Latino E6.13 Ethnicity 690 Hispanic or Latino E6.13 Ethnicity -10 Not Known E6.15 Age Units 715 Years E6.15 Age Units 700 Hours E6.15 Age Units 705 Days E6.15 Age Units 710 Months E6.15 Age Units -10 Not Known E6.18 State Issuing Driver's License -10 Not Known E6.18 State Issuing Driver's License -25 Not Applicable E6.9 Patient's Home Country -20 Not Recorded E6.9 Patient's Home Country -15 Not Reporting E6.9 Patient's Home Country -25 Not Applicable E6.9 Patient's Home Country -10 Not Known E6.9 Patient's Home Country -5 Not Available E7.1 Primary Method of Payment -20 Not Recorded E7.1 Primary Method of Payment -15 Not Reporting E7.1 Primary Method of Payment 720 Insurance E7.1 Primary Method of Payment 725 Medicaid E7.1 Primary Method of Payment 730 Medicare E7.1 Primary Method of Payment 735 Not Billed (for any reason) E7.1 Primary Method of Payment 740 Other Goverment E7.1 Primary Method of Payment 745 Self Pay E7.1 Primary Method of Payment 750 Workers Compensation E7.1 Primary Method of Payment -25 Not Applicable E7.1 Primary Method of Payment -10 Not Known E7.1 Primary Method of Payment -5 Not Available E7.14 Relationship To Insured -20 Not Recorded E7.14 Relationship To Insured -15 Not Reporting E7.14 Relationship To Insured 785 Other E7.14 Relationship To Insured 770 Self E7.14 Relationship To Insured 780 Son/Daughter E7.14 Relationship To Insured 775 Spouse E7.14 Relationship To Insured -25 Not Applicable E7.14 Relationship To Insured -10 Not Known E7.14 Relationship To Insured -5 Not Available E7.15 Work-Related -20 Not Recorded E7.15 Work-Related -15 Not Reporting E7.15 Work-Related 0 No E7.15 Work-Related 1 Yes E7.15 Work-Related -25 Not Applicable E7.15 Work-Related -10 Not Known E7.15 Work-Related -5 Not Available E7.16 Patient's Occupational Industry -20 Not Recorded E7.16 Patient's Occupational Industry 790 Construction E7.16 Patient's Occupational Industry 795 Finance, Insurance, and Real Estate E7.16 Patient's Occupational Industry 800 Government E7.16 Patient's Occupational Industry 805 Manufacturing E7.16 Patient's Occupational Industry 810 Mining E7.16 Patient's Occupational Industry 815 Retail Trade E7.16 Patient's Occupational Industry 820 Services E7.16 Patient's Occupational Industry 825 Transportation and Public Utilities E7.16 Patient's Occupational Industry 830 Wholesale Trade E7.16 Patient's Occupational Industry -25 Not Applicable E7.16 Patient's Occupational Industry -10 Not Known E7.17 Patient's Occupation -20 Not Recorded
E7.17 Patient's Occupation 850 Architecture and Engineering Occupations Arts, Design, Entertainment, Sports, and E7.17 Patient's Occupation 875 Media Occupations Building and Grounds Cleaning and E7.17 Patient's Occupation 900 Maintenance Occupations E7.17 Patient's Occupation 840 Business and Financial Operations E7.17 Patient's Occupation 860 Community and Social Services E7.17 Patient's Occupation 845 Computer and Mathematical Occupations E7.17 Patient's Occupation 925 Construction and Extraction Occupations
E7.17 Patient's Occupation 870 Education, Training and Library Occupations
E7.17 Patient's Occupation 920 Farming, Fishing, and Forestry Occupations Food Preparation and Serving Related E7.17 Patient's Occupation 895 Occupations Healthcare Practitioners and Technical E7.17 Patient's Occupation 880 Occupations E7.17 Patient's Occupation 885 Healthcare Support Occupations E7.17 Patient's Occupation 930 Installation, Maintenance and Repair E7.17 Patient's Occupation 865 Legal Occupations E7.17 Patient's Occupation 855 Life, Physical and Social Science E7.17 Patient's Occupation 835 Management Occupations E7.17 Patient's Occupation 945 Military Specific Occupations Office and Administrative Support E7.17 Patient's Occupation 915 Occupations E7.17 Patient's Occupation 905 Personal Care and Service Occupations E7.17 Patient's Occupation 935 Production Occupations E7.17 Patient's Occupation 890 Protective Service Occupations E7.17 Patient's Occupation 499000 Retired E7.17 Patient's Occupation 910 Sales and Related Occupations E7.17 Patient's Occupation 499001 Student E7.17 Patient's Occupation 940 Transportation and Material Moving E7.17 Patient's Occupation -10 Not Known E7.2 Certificate of Medical Necessity -20 Not Recorded E7.2 Certificate of Medical Necessity -15 Not Reporting E7.2 Certificate of Medical Necessity 0 No E7.2 Certificate of Medical Necessity 1 Yes E7.2 Certificate of Medical Necessity -25 Not Applicable E7.2 Certificate of Medical Necessity -10 Not Known E7.2 Certificate of Medical Necessity -5 Not Available E7.26 Closest Relative/Guardian Relationship -20 Not Recorded E7.26 Closest Relative/Guardian Relationship -15 Not Reporting E7.26 Closest Relative/Guardian Relationship 950 Appointed Guardian E7.26 Closest Relative/Guardian Relationship 508000 Brother/Sister E7.26 Closest Relative/Guardian Relationship 955 Father E7.26 Closest Relative/Guardian Relationship 508002 Grandchild E7.26 Closest Relative/Guardian Relationship 508001 Grandparent E7.26 Closest Relative/Guardian Relationship 960 Mother E7.26 Closest Relative/Guardian Relationship 965 Other E7.26 Closest Relative/Guardian Relationship 970 Son/Daughter E7.26 Closest Relative/Guardian Relationship 975 Spouse E7.26 Closest Relative/Guardian Relationship -25 Not Applicable E7.26 Closest Relative/Guardian Relationship -10 Not Known E7.26 Closest Relative/Guardian Relationship -5 Not Available E7.27 Patient's Employer -20 Not Recorded E7.27 Patient's Employer -15 Not Reporting E7.27 Patient's Employer -25 Not Applicable E7.27 Patient's Employer -10 Not Known E7.27 Patient's Employer -5 Not Available E7.3 Insurance Company ID/Name -20 Not Recorded E7.3 Insurance Company ID/Name -15 Not Reporting E7.3 Insurance Company ID/Name -25 Not Applicable E7.3 Insurance Company ID/Name -10 Not Known E7.3 Insurance Company ID/Name -5 Not Available E7.33 Response Urgency 980 Immediate E7.33 Response Urgency 985 Non-Immediate E7.33 Response Urgency -25 Not Applicable E7.34 CMS Service Level -20 Not Recorded E7.34 CMS Service Level 990 BLS E7.34 CMS Service Level 995 BLS, Emergency E7.34 CMS Service Level 1000 ALS, Level 1 E7.34 CMS Service Level 1005 ALS, Level 1 Emergency E7.34 CMS Service Level 1010 ALS, Level 2 E7.34 CMS Service Level 1015 Paramedic Intercept E7.34 CMS Service Level 1020 Specialty Care Transport E7.34 CMS Service Level 1025 Fixed Wing (Airplane) E7.34 CMS Service Level 1030 Rotary Wing (Helicopter) E7.34 CMS Service Level -25 Not Applicable E7.34 CMS Service Level -10 Not Known E7.35 Condition Code Number -20 Not Recorded E7.35 Condition Code Number -15 Not Reporting E7.35 Condition Code Number 8001 Severe Abdominal Pain (ALS-789.00) E7.35 Condition Code Number 8002 Abdominal Pain (ALS-789.00) Abnormal Cardiac Rhythm/Cardiac E7.35 Condition Code Number 8003 Dysrhythmia (ALS-427.9) E7.35 Condition Code Number 8004 Abnormal Skin Signs (ALS-780.8) E7.35 Condition Code Number 8005 Abnormal Vital Signs (ALS-796.4) E7.35 Condition Code Number 8006 Allergic Reaction (ALS-995.0) E7.35 Condition Code Number 8007 Allergic Reaction (BLS-692.9) E7.35 Condition Code Number 8008 Blood Glucose (ALS-790.21) E7.35 Condition Code Number 8009 Respiratory Arrest (ALS-799.1) E7.35 Condition Code Number 8010 Difficulty Breathing (ALS-786.05) Cardiac Arrest-Resuscitation in Progress E7.35 Condition Code Number 8011 (ALS-427.5) E7.35 Condition Code Number 8012 Chest Pain (non-traumatic) (ALS-786.50) E7.35 Condition Code Number 8013 Choking Episode (ALS-784.9) E7.35 Condition Code Number 8014 Cold Exposure (ALS-991.6) E7.35 Condition Code Number 8015 Cold Exposure (BLS-991.9) Altered Level of Consciousness (non- E7.35 Condition Code Number 8016 traumatic) (ALS-780.01) E7.35 Condition Code Number 8017 Convulsions/Seizures (ALS-780.39) Eye Symptoms (non-traumatic) (BLS- E7.35 Condition Code Number 8018 379.90) E7.35 Condition Code Number 8019 Non Traumatic Headache (ALS-437.9) Cardiac Symptoms other than Chest Pain E7.35 Condition Code Number 8020 (palpitations) (ALS-785.1) Cardiac Symptoms other than Chest Pain E7.35 Condition Code Number 8021 (atypical pain) (ALS-536.2) E7.35 Condition Code Number 8022 Heat Exposure (ALS-992.5) E7.35 Condition Code Number 8023 Heat Exposure (BLS-992.2) E7.35 Condition Code Number 8024 Hemorrhage (ALS-459.0) Infectious Diseases requiring Isolation/Public E7.35 Condition Code Number 8025 Health Risk (BLS-038.9) E7.35 Condition Code Number 8026 Hazmat Exposure (ALS-987.9) E7.35 Condition Code Number 8027 Medical Device Failure (ALS-996.0) E7.35 Condition Code Number 8028 Medical Device Failure (BLS-996.3) E7.35 Condition Code Number 8029 Neurologic Distress (ALS-436.0) E7.35 Condition Code Number 8030 Pain (Severe) (ALS-780.99) Back Pain (non-traumatic possible cardiac or E7.35 Condition Code Number 8031 vascular) (ALS-724.5) Back Pain (non-traumatic with neurologic E7.35 Condition Code Number 8032 symptoms) (ALS-724.9) E7.35 Condition Code Number 8033 Poisons (all routes) (ALS-977.9) Alcohol Intoxication or Drug Overdose (BLS- E7.35 Condition Code Number 8034 305.0) E7.35 Condition Code Number 8035 Severe Alcohol Intoxication (ALS-977.3) Post-Operative Procedure Complications E7.35 Condition Code Number 8036 (BLS-998.9) Pregnancy Complication/Childbirth/Labor E7.35 Condition Code Number 8037 (ALS-650.0) Psychiatric/Behavioral (abnormal mental E7.35 Condition Code Number 8038 status) (ALS-292.9) Psychiatric/Behavioral (threat to self or E7.35 Condition Code Number 8039 others) (BLS-298.9) E7.35 Condition Code Number 8040 Sick Person-Fever (BLS-036.9) E7.35 Condition Code Number 8041 Severe Dehydration (ALS-787.01) Unconscious/Syncope/Dizziness (ALS- E7.35 Condition Code Number 8042 780.02) E7.35 Condition Code Number 8043 Major Trauma (ALS-959.8) Other Trauma (need for monitor or airway) E7.35 Condition Code Number 8044 (ALS-518.5)
E7.35 Condition Code Number 8045 Other Trauma (major bleeding) (ALS-958.2) Other Trauma (fracture/dislocation) (BLS- E7.35 Condition Code Number 8046 829.0) Other Trauma (penetrating extremity) (BLS- E7.35 Condition Code Number 8047 880.0) Other Trauma (amputation digits) (BLS- E7.35 Condition Code Number 8048 886.0) Other Trauma (amputation other) (ALS- E7.35 Condition Code Number 8049 887.4) Other Trauma (suspected internal injuries) E7.35 Condition Code Number 8050 (ALS-869.0) E7.35 Condition Code Number 8051 Burns-Major (ALS-949.3) E7.35 Condition Code Number 8052 Burns-Minor (BLS-949.2) Animal Bites/Sting/Envenomation (ALS- E7.35 Condition Code Number 8053 989.5) Animal Bites/Sting/Envenomation (BLS- E7.35 Condition Code Number 8054 879.8) E7.35 Condition Code Number 8055 Lightning (ALS-994.0) E7.35 Condition Code Number 8056 Electrocution (ALS-994.8) E7.35 Condition Code Number 8057 Near Drowning (ALS-994.1) E7.35 Condition Code Number 8058 Eye Injuries (BLS-921.9) E7.35 Condition Code Number 8059 Sexual Assault (major injuries) (ALS-995.83)
E7.35 Condition Code Number 8060 Sexual Assault (minor injuries) (BLS-995.8) Cardiac/Hemodynamic Monitoring Required E7.35 Condition Code Number 8061 (ALS-428.9) Advanced Airway Management (ALS- E7.35 Condition Code Number 8062 518.81) IV Meds Required (ALS-No ICD code E7.35 Condition Code Number 8063 provided)) E7.35 Condition Code Number 8064 Chemical Restraint (ALS-293.0) Suctioning/Oxygen/IV fluids required (BLS- E7.35 Condition Code Number 8065 496.0) Airway Control/Positioning Required (BLS- E7.35 Condition Code Number 8066 786.09) Third Party Assistance/Attendant Required E7.35 Condition Code Number 8067 (BLS-496.0) Patient Safety (restraints required) (BLS- E7.35 Condition Code Number 8068 298.9) Patient Safety (monitoring required) (BLS- E7.35 Condition Code Number 8069 293.1) Patient Safety (seclusion required) (BLS- E7.35 Condition Code Number 8070 298.8) Patient Safety (risk of falling off stretcher) E7.35 Condition Code Number 8071 (BLS-781.3) E7.35 Condition Code Number 8072 Special Handling (Isolation) (BLS-041.9) Special Handling (orthopedic device E7.35 Condition Code Number 8073 required) (BLS-907.2) Special Handling (positioning required) (BLS- E7.35 Condition Code Number 8074 719.45) E7.35 Condition Code Number -25 Not Applicable E7.35 Condition Code Number -10 Not Known E7.35 Condition Code Number -5 Not Available
E7.36 ICD-9 Code for the Condition Code Number -20 Not Recorded
E7.36 ICD-9 Code for the Condition Code Number -15 Not Reporting
E7.36 ICD-9 Code for the Condition Code Number -25 Not Applicable
E7.36 ICD-9 Code for the Condition Code Number -10 Not Known
E7.36 ICD-9 Code for the Condition Code Number -5 Not Available E7.37 Condition Code Modifier -20 Not Recorded E7.37 Condition Code Modifier -15 Not Reporting A-Interfacility Transport (requires higher E7.37 Condition Code Modifier 1035 level of care) B-Interfacility Transport (service not E7.37 Condition Code Modifier 1036 available) E7.37 Condition Code Modifier 1037 C-ALS Response to BLS Patient D-Medically Necessary Transport (Not E7.37 Condition Code Modifier 1038 Nearest Facility) E7.37 Condition Code Modifier 1039 E-BLS Transport of ALS Patient F-Emergency Trauma Dispatch Condition E7.37 Condition Code Modifier 1040 Code (patient is BLS) E7.37 Condition Code Modifier 1041 Air-A-Long Distance E7.37 Condition Code Modifier 1042 Air-B-Traffic Precludes Ground Transport E7.37 Condition Code Modifier 1043 Air-C-Time Precludes Ground Transport Air-D-Pick up Point not Accessible by E7.37 Condition Code Modifier 1044 Ground Transport E7.37 Condition Code Modifier -25 Not Applicable E7.37 Condition Code Modifier -10 Not Known E7.37 Condition Code Modifier -5 Not Available E7.4 Insurance Company Billing Priority -20 Not Recorded E7.4 Insurance Company Billing Priority -15 Not Reporting E7.4 Insurance Company Billing Priority 755 Primary E7.4 Insurance Company Billing Priority 760 Secondary E7.4 Insurance Company Billing Priority 765 Other E7.4 Insurance Company Billing Priority -25 Not Applicable E7.4 Insurance Company Billing Priority -10 Not Known E7.4 Insurance Company Billing Priority -5 Not Available E8.1 Other EMS Agencies at Scene -25 Not Applicable E8.1 Other EMS Agencies at Scene -10 Not Known E8.2 Other Services At Scene 22 Clergy E8.2 Other Services At Scene 1060 EMS Mutual Aid E8.2 Other Services At Scene 1065 Fire E8.2 Other Services At Scene 1070 Hazmat E8.2 Other Services At Scene 1075 Law Enforcement E8.2 Other Services At Scene 21 Medical Examiner E8.2 Other Services At Scene -1 None E8.2 Other Services At Scene -25 Not Applicable E8.2 Other Services At Scene -10 Not Known E8.2 Other Services At Scene 1085 Other E8.2 Other Services At Scene 1080 Other Health Care Provider E8.2 Other Services At Scene 1090 Rescue/extrication E8.2 Other Services At Scene 1095 Utilities Estimated Date/Time Initial Responder E8.3 Arrived on Scene 1110 < 5 Minutes Estimated Date/Time Initial Responder E8.3 Arrived on Scene 1105 5-15 Minutes Estimated Date/Time Initial Responder E8.3 Arrived on Scene 1100 > 15 Minutes Estimated Date/Time Initial Responder E8.3 Arrived on Scene 1115 After EMS Estimated Date/Time Initial Responder E8.3 Arrived on Scene -25 Not Applicable Estimated Date/Time Initial Responder E8.3 Arrived on Scene -10 Not Known Estimated Date/Time Initial Responder E8.3 Arrived on Scene -5 Not Available E8.5 Number Of Patients At Scene 1125 Single E8.5 Number Of Patients At Scene 1130 Multiple E8.5 Number Of Patients At Scene 1120 None E8.5 Number Of Patients At Scene -10 Not Known E8.5 Number Of Patients At Scene -5 Not Available E8.6 Mass Casualty Incident 0 No E8.6 Mass Casualty Incident 1 Yes E8.6 Mass Casualty Incident -10 Not Known E8.6 Mass Casualty Incident -5 Not Available E8.7 Incident Location Type 1135 Home/Residence E8.7 Incident Location Type 1185 Lake, River, Ocean Trade or Service (Business, bars, E8.7 Incident Location Type 1170 restaurants, etc.) E8.7 Incident Location Type 536000 Airport E8.7 Incident Location Type 1145 Mine or Quarry E8.7 Incident Location Type 1160 Street or Highway E8.7 Incident Location Type 1140 Farm E8.7 Incident Location Type 1155 Place of Recreation or Sport E8.7 Incident Location Type 1190 Other Location Health Care Facility (clinic, hospital, nursing E8.7 Incident Location Type 1175 home) E8.7 Incident Location Type 1165 Public Building (schools, gov, offices) E8.7 Incident Location Type 536007 Unspecified place E8.7 Incident Location Type 1150 Industrial Place and Premises Residential Institution (nursing home, E8.7 Incident Location Type 1180 jail/prison) E8.7 Incident Location Type -25 Not Applicable E8.8 Incident Facility Code -25 Not Applicable E8.9 Scene Zone Number -20 Not Recorded E8.9 Scene Zone Number -15 Not Reporting E8.9 Scene Zone Number -25 Not Applicable E8.9 Scene Zone Number -10 Not Known E8.9 Scene Zone Number -5 Not Available E9.1 Prior Aid 6130 12 Lead ECG E9.1 Prior Aid 405 Abciximab (Reopro) E9.1 Prior Aid 6720 ACD Deactivation E9.1 Prior Aid 156014 Acetaminophen E9.1 Prior Aid 61 Adenosine E9.1 Prior Aid 6730 AED-ERU E9.1 Prior Aid 6740 AED-First Responder E9.1 Prior Aid 6750 AED-Public Access E9.1 Prior Aid 6280 Airway - Endotracheal Intubation E9.1 Prior Aid 6200 Airway - Intubation Confirm CO2 Airway - Intubation Confirm Esophageal E9.1 Prior Aid 6210 Detector Device/Bulb (EDD) E9.1 Prior Aid 6240 Airway - Nasotracheal Intubation E9.1 Prior Aid 6140 Airway - Positive Pressure Ventilation E9.1 Prior Aid 6150 Airway-Change Tracheostomy Tube E9.1 Prior Aid 6160 Airway-Cleared, Opened, or Heimlich E9.1 Prior Aid 6170 Airway-Combitube E9.1 Prior Aid 6180 Airway-CPAP E9.1 Prior Aid 6195 Airway-ECO2 Monitoring E9.1 Prior Aid 6190 Airway-EOA/EGTA E9.1 Prior Aid 6220 Airway-Laryngeal Mask E9.1 Prior Aid 6225 Airway-Magill Forcepts E9.1 Prior Aid 6530 Airway-Nasogastric Tube E9.1 Prior Aid 6230 Airway-Nasopharyngeal E9.1 Prior Aid 6250 Airway-Nebulizer Treatment E9.1 Prior Aid 6260 Airway-Needle Cricothyrotomy E9.1 Prior Aid 6270 Airway-Oropharyngeal E9.1 Prior Aid 6290 Airway-PEEP E9.1 Prior Aid 6300 Airway-Rapid Sequence Induction E9.1 Prior Aid 6310 Airway-Respirator Operation E9.1 Prior Aid 6320 Airway-Suctioning E9.1 Prior Aid 6330 Airway-Surgical Cricothyrotomy E9.1 Prior Aid 6340 Airway-Ventilator E9.1 Prior Aid 31 Albuterol Sulfate E9.1 Prior Aid 156000 Alteplase E9.1 Prior Aid 65 Amiodorone (Cordarone) E9.1 Prior Aid 4 Amyl Nitrate E9.1 Prior Aid 6350 Arterial Access/Blood Draw E9.1 Prior Aid 6360 Arterial Line Maintenance E9.1 Prior Aid 81 Aspirin (ASA) E9.1 Prior Aid 156001 Atracurium E9.1 Prior Aid 21 Atropine Sulfate E9.1 Prior Aid 60 Atrovent (Ipratropium Bromide) E9.1 Prior Aid 6370 Blood Glucose Analysis E9.1 Prior Aid 62 Bretylium Tosylate E9.1 Prior Aid 8 Bumetanide (Bumex) E9.1 Prior Aid 6760 Burn Care E9.1 Prior Aid 161 Calcium Chloride E9.1 Prior Aid 10 Calcium Gluconate E9.1 Prior Aid 6380 Capnography E9.1 Prior Aid 6390 Cardiac Monitor E9.1 Prior Aid 6400 Cardioversion (Synchronized) E9.1 Prior Aid 6410 Carotid Massage
E9.1 Prior Aid 6770 Cervical Spinal Immobilization - Rigid Collar
E9.1 Prior Aid 6780 Cervical Spinal Immobilization - Soft Collar E9.1 Prior Aid 156022 Cetacaine Spray E9.1 Prior Aid 111 Charcoal, activated E9.1 Prior Aid 6420 Chest Decompression E9.1 Prior Aid 6790 Chest Tube Placement E9.1 Prior Aid 6430 Childbirth E9.1 Prior Aid 6440 CNS Catheter-Epidural Maintenance E9.1 Prior Aid 6450 CNS Catheter-Intraventricular E9.1 Prior Aid 6800 Cold Pack E9.1 Prior Aid 6460 CPR -Cardiopulmonary Resuscitation E9.1 Prior Aid 154001 CPR by Automated Device E9.1 Prior Aid 156010 D5W (Dextrose 5% in Water) E9.1 Prior Aid 156012 D5W w/ 1/2 Normal Saline Defibrillation - Placement for E9.1 Prior Aid 6470 Monitoring/Analysis E9.1 Prior Aid 6480 Defibrillation-Automated (AED) E9.1 Prior Aid 6490 Defibrillation-Manual E9.1 Prior Aid 12 Dexamethasone (Decadron) E9.1 Prior Aid 156003 Dextrose 10% (D10) E9.1 Prior Aid 156009 Dextrose 12.5% E9.1 Prior Aid 156002 Dextrose 25% (D25) E9.1 Prior Aid 171 Dextrose 50% (D50) E9.1 Prior Aid 121 Diazepam (Valium) E9.1 Prior Aid 156004 Digoxin E9.1 Prior Aid 436 Diltiazem (Cardizem) E9.1 Prior Aid 11 Diphenhydramine (Benadryl) E9.1 Prior Aid 300 Dobutamine E9.1 Prior Aid 156015 Dolasetron (Anzemet) E9.1 Prior Aid 16 Dopamine E9.1 Prior Aid 142 Droperidol (Inapsine) E9.1 Prior Aid 156013 DuoNeb (0.5 Atrovent/3.0 Albuterol) E9.1 Prior Aid 156005 Enoxaparin E9.1 Prior Aid 418 Epi-Pen Adult E9.1 Prior Aid 419 Epi-Pen Junior E9.1 Prior Aid 441 Epinephrine 1:10,000 E9.1 Prior Aid 440 Epinephrine 1:1000 E9.1 Prior Aid 407 Eptifibatide (Integrilin) E9.1 Prior Aid 430 Esmolol HCl (Brevibloc) E9.1 Prior Aid 141 Etomidate E9.1 Prior Aid 6500 External Cardiac Pacing E9.1 Prior Aid 6510 Extrication E9.1 Prior Aid 325 Fentanyl E9.1 Prior Aid 413 Flumazenil (Romazicon) E9.1 Prior Aid 132 Furosemide (Lasix) E9.1 Prior Aid 231 Glucagon E9.1 Prior Aid 156023 Glucose (Oral) E9.1 Prior Aid 408 Glutose E9.1 Prior Aid 156016 Granisetron HCL (Kytril) E9.1 Prior Aid 414 Haloperidol (Haldol) E9.1 Prior Aid 51 Heparin E9.1 Prior Aid 6810 Hot Pack E9.1 Prior Aid 437 Hurricaine Spray E9.1 Prior Aid 431 Hydralazine (Apresoline) E9.1 Prior Aid 409 Hydromorphone (Dilaudid) E9.1 Prior Aid 156017 Ibuprofen (Advil, Motrin) E9.1 Prior Aid 412 Insulin E9.1 Prior Aid 201 Ipecac E9.1 Prior Aid 6820 Isolation Procedures E9.1 Prior Aid 67 Isoproterenol E9.1 Prior Aid 417 IV Antibiotics E9.1 Prior Aid 432 Ketamine E9.1 Prior Aid 38 Ketorolac (Toradol) E9.1 Prior Aid 163 Labetolol E9.1 Prior Aid 156011 Lactated Ringers E9.1 Prior Aid 156008 Levalbuterol HCL (Xopenex) E9.1 Prior Aid 63 Lidocaine E9.1 Prior Aid 24 Lorazepam (Ativan) E9.1 Prior Aid 131 Magnesium Sulfate E9.1 Prior Aid 182 Mannitol (Osmitrol) E9.1 Prior Aid 416 Mark 1 Kit E9.1 Prior Aid 6520 MAST E9.1 Prior Aid 27 Meperidine (Demerol) E9.1 Prior Aid 28 Metaproterenol (Alupent) E9.1 Prior Aid 222 Methylprednisolone (Solu-Medrol) E9.1 Prior Aid 30 Metoclopramide (Reglan) E9.1 Prior Aid 350 Metoprolol (Lopressor) E9.1 Prior Aid 122 Midazolam (Versed) E9.1 Prior Aid 92 Morphine Sulfate E9.1 Prior Aid 101 Naloxone (Narcan) E9.1 Prior Aid 42 Neostigmine E9.1 Prior Aid 33 Nifedipine (Adalat, Procardia) E9.1 Prior Aid 72 Nitroglycerin E9.1 Prior Aid 143 Nitronox (Nitrous Oxide) E9.1 Prior Aid 68 Nitroprusside E9.1 Prior Aid 156018 Norepinephrine E9.1 Prior Aid 404 Normal Saline E9.1 Prior Aid 93 Nubain E9.1 Prior Aid 425 Ondansetron (Zofran) E9.1 Prior Aid 6830 Other E9.1 Prior Aid 428 Other Autonomic Nervous System Drug E9.1 Prior Aid 426 Other Cardiac Drug E9.1 Prior Aid 427 Other CNS Drug E9.1 Prior Aid 429 Other Respiratory Drug E9.1 Prior Aid 910 Oxygen E9.1 Prior Aid 9398 Oxygen (non-rebreather mask) E9.1 Prior Aid 12360 Oxygen by Blow By E9.1 Prior Aid 9397 Oxygen by Mask E9.1 Prior Aid 9396 Oxygen by Nasal Cannula E9.1 Prior Aid 438 Oxygen by Nebulizer E9.1 Prior Aid 439 Oxygen by Positive Pressure Device E9.1 Prior Aid 411 Oxytocin (Pitocin) E9.1 Prior Aid 6840 Pericardiocentesis E9.1 Prior Aid 433 Phenylephrine HCl (Neo-Synephrine) E9.1 Prior Aid 434 Phenytoin (Dilantin) E9.1 Prior Aid 435 Potassium Cl E9.1 Prior Aid 156019 Pralidoxime (2-PAM, Systemic) E9.1 Prior Aid 64 Procainamide E9.1 Prior Aid 415 Prochlorperazine (Compazine) E9.1 Prior Aid 403 Promethazine HCl (Phenergan) E9.1 Prior Aid 521 Proparacaine (Alcaine) E9.1 Prior Aid 402 Racemic Epinephrine E9.1 Prior Aid 172 Reactose E9.1 Prior Aid 6550 Rescue E9.1 Prior Aid 6560 Restraints-Pharmacological E9.1 Prior Aid 6570 Restraints-Physical E9.1 Prior Aid 410 Rocuronium Bromide (Zemuron) E9.1 Prior Aid 151 Sodium bicarbonate E9.1 Prior Aid 156020 Sodium Nitrate (Cyanide Kit) E9.1 Prior Aid 156021 Sodium Thiosulfate (Cyanide Kit) E9.1 Prior Aid 6580 Spinal Immobilization E9.1 Prior Aid 6581 Spinal Immobilization - K.E.D. E9.1 Prior Aid 6582 Spinal Immobilization - Long Back Board E9.1 Prior Aid 154000 Spinal Immobilization - Standing Take-Down E9.1 Prior Aid 6590 Splinting E9.1 Prior Aid 6600 Splinting-Traction E9.1 Prior Aid 6850 Stretcher E9.1 Prior Aid 41 Succinylcholine (Anectine) E9.1 Prior Aid 156006 Tenecteplase E9.1 Prior Aid 32 Terbutaline (Brethine) E9.1 Prior Aid 156007 Tetracaine E9.1 Prior Aid 39 Thiamine E9.1 Prior Aid 406 Tirofiban HCL (Aggrastat) E9.1 Prior Aid 6610 Urinary Catheterization E9.1 Prior Aid 6860 Valsalva Maneuver E9.1 Prior Aid 401 Vasopressin E9.1 Prior Aid 400 Vecuronium (Norcuron) E9.1 Prior Aid 6620 Venous Access-Blood Draw Venous Access-Existing Catheter/IV E9.1 Prior Aid 6630 Monitoring E9.1 Prior Aid 6650 Venous Access-External Jugular Line E9.1 Prior Aid 6640 Venous Access-Extremity E9.1 Prior Aid 6660 Venous Access-Femoral Line E9.1 Prior Aid 6670 Venous Access-Intraosseous Adult E9.1 Prior Aid 6680 Venous Access-Intraosseous Pediatric E9.1 Prior Aid 6690 Venous Access-Maintain Central Line E9.1 Prior Aid 6700 Venous Access-Swan Ganz Maintain E9.1 Prior Aid 66 Verapamil (Isoptin) E9.1 Prior Aid -25 Not Applicable E9.1 Prior Aid 6710 Wound Care E9.1 Prior Aid -10 Not Known E9.1 Prior Aid 6711 Wound Care - Burn Care E9.1 Prior Aid 6712 Wound Care - Pressure Dressing Time Units of Duration of Secondary E9.10 Complaint 1280 Hours Time Units of Duration of Secondary E9.10 Complaint 1275 Minutes Time Units of Duration of Secondary E9.10 Complaint 1285 Days Time Units of Duration of Secondary E9.10 Complaint 1295 Months Time Units of Duration of Secondary E9.10 Complaint 1270 Seconds Time Units of Duration of Secondary E9.10 Complaint 1290 Weeks Time Units of Duration of Secondary E9.10 Complaint 1300 Years Time Units of Duration of Secondary E9.10 Complaint -25 Not Applicable Time Units of Duration of Secondary E9.10 Complaint -10 Not Known E9.11 Chief Complaint Anatomic Location 1305 Abdomen E9.11 Chief Complaint Anatomic Location 1310 Back E9.11 Chief Complaint Anatomic Location 1315 Chest E9.11 Chief Complaint Anatomic Location 1320 Extremity-Lower E9.11 Chief Complaint Anatomic Location 1325 Extremity-Upper E9.11 Chief Complaint Anatomic Location 1330 General/Global E9.11 Chief Complaint Anatomic Location 1335 Genitalia E9.11 Chief Complaint Anatomic Location 1340 Head E9.11 Chief Complaint Anatomic Location 1345 Neck E9.11 Chief Complaint Anatomic Location -25 Not Applicable E9.11 Chief Complaint Anatomic Location -10 Not Known E9.12 Chief Complaint Organ System 1350 Cardiovascular E9.12 Chief Complaint Organ System 1355 CNS/Neuro E9.12 Chief Complaint Organ System 1360 Endocrine/Metabolic E9.12 Chief Complaint Organ System 1365 GI E9.12 Chief Complaint Organ System 1370 Global E9.12 Chief Complaint Organ System 1375 Musculoskeletal E9.12 Chief Complaint Organ System 1380 OB/GYN E9.12 Chief Complaint Organ System 1385 Psych E9.12 Chief Complaint Organ System 1390 Pulmonary E9.12 Chief Complaint Organ System 1395 Renal E9.12 Chief Complaint Organ System 1400 Skin E9.12 Chief Complaint Organ System -25 Not Applicable E9.12 Chief Complaint Organ System -10 Not Known E9.13 Primary Symptom 567000 Abdominal Pain E9.13 Primary Symptom 567022 Anxiety E9.13 Primary Symptom 567021 Aphasia E9.13 Primary Symptom 567001 Back Pain E9.13 Primary Symptom 1405 Bleeding E9.13 Primary Symptom 1410 Breathing Problem E9.13 Primary Symptom 567002 Bright Red Blood in Stool E9.13 Primary Symptom 567003 CardioRespiratory Arrest E9.13 Primary Symptom 1415 Change in Responsiveness E9.13 Primary Symptom 567040 Change in Stool Color E9.13 Primary Symptom 567004 Chest Pain E9.13 Primary Symptom 1420 Choking E9.13 Primary Symptom 567038 Constipation E9.13 Primary Symptom 567017 Cough E9.13 Primary Symptom 567014 Dark/Tarry Stool (Melena) E9.13 Primary Symptom 1425 Death E9.13 Primary Symptom 1430 Device/Equipment Problem E9.13 Primary Symptom 1435 Diarrhea E9.13 Primary Symptom 567005 Dizziness E9.13 Primary Symptom 1440 Drainage/Discharge E9.13 Primary Symptom 567006 Ear Pain E9.13 Primary Symptom 567007 Eye Pain E9.13 Primary Symptom 1445 Fever E9.13 Primary Symptom 567015 Headache E9.13 Primary Symptom 567019 Headache w/ Photophobia E9.13 Primary Symptom 567020 Hematemesis E9.13 Primary Symptom 567024 Hives E9.13 Primary Symptom 567025 Indigestion E9.13 Primary Symptom 567026 Lethargic E9.13 Primary Symptom 567039 Loss of Appetite E9.13 Primary Symptom 1450 Malaise E9.13 Primary Symptom 1455 Mass/Lesion E9.13 Primary Symptom 1460 Mental/Psych E9.13 Primary Symptom 1465 Nausea E9.13 Primary Symptom 1470 No Signs or Symptoms E9.13 Primary Symptom -25 Not Applicable E9.13 Primary Symptom -10 Not Known E9.13 Primary Symptom 567037 Obstetrics - Contractions E9.13 Primary Symptom 567018 Orthostatic Hypotension E9.13 Primary Symptom 567008 Other E9.13 Primary Symptom 1475 Pain E9.13 Primary Symptom 567027 Pain - Extremity E9.13 Primary Symptom 567028 Pain - Flank E9.13 Primary Symptom 567029 Pain - Neck E9.13 Primary Symptom 1480 Palpitations E9.13 Primary Symptom 567009 Paralysis E9.13 Primary Symptom 1485 Rash/Itching E9.13 Primary Symptom 567010 Seizure/Convulsions E9.13 Primary Symptom 1490 Swelling E9.13 Primary Symptom 567011 Syncope E9.13 Primary Symptom 1495 Transport Only E9.13 Primary Symptom 567012 Unresponsive/Unconscious E9.13 Primary Symptom 567013 Vaginal Hemorrhage E9.13 Primary Symptom 567016 Visual Impairment or Loss of Vision E9.13 Primary Symptom 1500 Weakness E9.13 Primary Symptom 567030 Wheezing E9.13 Primary Symptom 1505 Wound E9.14 Other Associated Symptoms 568000 Abdominal Pain E9.14 Other Associated Symptoms 568001 Back Pain E9.14 Other Associated Symptoms 1510 Bleeding E9.14 Other Associated Symptoms 1515 Breathing Problem E9.14 Other Associated Symptoms 568002 Bright Red Blood in Stool E9.14 Other Associated Symptoms 568003 CardioRespiratory Arrest E9.14 Other Associated Symptoms 1520 Change in Responsiveness E9.14 Other Associated Symptoms 568004 Chest Pain E9.14 Other Associated Symptoms 1525 Choking E9.14 Other Associated Symptoms 568017 Cough E9.14 Other Associated Symptoms 568014 Dark/Tarry Stool (Melena) E9.14 Other Associated Symptoms 1530 Death E9.14 Other Associated Symptoms 1535 Device/Equipment Problem E9.14 Other Associated Symptoms 1540 Diarrhea E9.14 Other Associated Symptoms 568005 Dizziness E9.14 Other Associated Symptoms 1545 Drainage/Discharge E9.14 Other Associated Symptoms 568006 Ear Pain E9.14 Other Associated Symptoms 568007 Eye Pain E9.14 Other Associated Symptoms 1550 Fever E9.14 Other Associated Symptoms 568015 Headache E9.14 Other Associated Symptoms 568019 Headache w/ Photophobia E9.14 Other Associated Symptoms 1555 Malaise E9.14 Other Associated Symptoms 1560 Mass/Lesion E9.14 Other Associated Symptoms 1565 Mental/Psych E9.14 Other Associated Symptoms 1570 Nausea/Vomiting E9.14 Other Associated Symptoms 1575 No Signs or Symptoms E9.14 Other Associated Symptoms -25 Not Applicable E9.14 Other Associated Symptoms 568018 Orthostatic Hypotension E9.14 Other Associated Symptoms 568008 Other E9.14 Other Associated Symptoms 1580 Pain E9.14 Other Associated Symptoms 1585 Palpitations E9.14 Other Associated Symptoms 568009 Paralysis E9.14 Other Associated Symptoms 1590 Rash/Itching E9.14 Other Associated Symptoms 568010 Seizure/Convulsions E9.14 Other Associated Symptoms 1595 Swelling E9.14 Other Associated Symptoms 568011 Syncope E9.14 Other Associated Symptoms 1600 Transport Only E9.14 Other Associated Symptoms 568012 Unresponsive/Unconscious E9.14 Other Associated Symptoms 568013 Vaginal Hemorrhage E9.14 Other Associated Symptoms 568016 Visual Impairment or Loss of Vision E9.14 Other Associated Symptoms 1605 Weakness E9.14 Other Associated Symptoms 1610 Wound E9.15 Providers Primary Impression 569000 Abdominal Aortic Aneurysm E9.15 Providers Primary Impression 1615 Abdominal Pain/Problems E9.15 Providers Primary Impression 1620 Airway Obstruction E9.15 Providers Primary Impression 1625 Allergic Reaction E9.15 Providers Primary Impression 1630 Altered Level of Consciousness E9.15 Providers Primary Impression 569001 Asthma E9.15 Providers Primary Impression 569037 Back Pain (Non-Traumatic) E9.15 Providers Primary Impression 1635 Behavioral/Psychiatric Disorder E9.15 Providers Primary Impression 569002 Bowel Obstruction E9.15 Providers Primary Impression 569003 Cancer E9.15 Providers Primary Impression 1640 Cardiac Arrest E9.15 Providers Primary Impression 1645 Cardiac Rhythm Disturbance E9.15 Providers Primary Impression 1650 Chest Pain/Discomfort E9.15 Providers Primary Impression 569004 CHF (Congestive Heart Failure) E9.15 Providers Primary Impression 569030 COPD (Emphysema/Chronic Bronchitis) E9.15 Providers Primary Impression 569006 Dehydration E9.15 Providers Primary Impression 569007 Diabetic Hyperglycemia E9.15 Providers Primary Impression 1655 Diabetic Symptoms (Hypoglycemia) E9.15 Providers Primary Impression 1660 Electrocution E9.15 Providers Primary Impression 569038 Diarrhea E9.15 Providers Primary Impression 569008 ETOH Abuse E9.15 Providers Primary Impression 569034 Fever E9.15 Providers Primary Impression 569040 Epistaxis (Non-Traumatic) E9.15 Providers Primary Impression 569009 G.I. Bleed E9.15 Providers Primary Impression 569031 General Malaise E9.15 Providers Primary Impression 569010 Headache E9.15 Providers Primary Impression 569011 Heat Exhaustion/Stroke E9.15 Providers Primary Impression 569012 Hypertension E9.15 Providers Primary Impression 1665 Hyperthermia E9.15 Providers Primary Impression 569013 Hypotension E9.15 Providers Primary Impression 1670 Hypothermia E9.15 Providers Primary Impression 1675 Hypovolemia/Shock E9.15 Providers Primary Impression 1680 Inhalation Injury (Toxic Gas) E9.15 Providers Primary Impression 569035 Nausea/Vomiting (Unknown Etiology) E9.15 Providers Primary Impression 569033 No Apparent Illness/Injury E9.15 Providers Primary Impression 569014 OB/Delivery E9.15 Providers Primary Impression 569039 Migraine E9.15 Providers Primary Impression 1685 Obvious Death E9.15 Providers Primary Impression 569015 Other E9.15 Providers Primary Impression 569016 Other Abdominal/GI Problem E9.15 Providers Primary Impression 569017 Other Cardiovascular Problem E9.15 Providers Primary Impression 569018 Other CNS Problem E9.15 Providers Primary Impression 569019 Other Endocrine/Metabolic Problem E9.15 Providers Primary Impression 569021 Other GU Problems E9.15 Providers Primary Impression 569022 Other Illness/Injury E9.15 Providers Primary Impression 569023 Other OB/Gyn E9.15 Providers Primary Impression 569024 Pain E9.15 Providers Primary Impression 569036 Patient Assist Only E9.15 Providers Primary Impression 1690 Poisoning/Drug Ingestion E9.15 Providers Primary Impression 1695 Pregnancy/OB Delivery E9.15 Providers Primary Impression 1705 Respiratory Arrest E9.15 Providers Primary Impression 1700 Respiratory Distress E9.15 Providers Primary Impression 1710 Seizure E9.15 Providers Primary Impression 569029 Sepsis E9.15 Providers Primary Impression 1715 Sexual Assault/Rape E9.15 Providers Primary Impression 1720 Smoke Inhalation E9.15 Providers Primary Impression 1725 Stings/Venomous Bites E9.15 Providers Primary Impression 1730 Stroke/CVA E9.15 Providers Primary Impression 1735 Syncope/Fainting E9.15 Providers Primary Impression 569026 Toxic Exposure E9.15 Providers Primary Impression 569025 Substance/Drug Abuse E9.15 Providers Primary Impression 1740 Traumatic Injury E9.15 Providers Primary Impression 569027 Unconscious E9.15 Providers Primary Impression 569005 TIA (Transient Ischemic Attack) E9.15 Providers Primary Impression 569028 Unknown Problem E9.15 Providers Primary Impression 1745 Vaginal Hemorrhage E9.15 Providers Primary Impression 569032 Weakness E9.15 Providers Primary Impression -25 Not Applicable E9.16 Providers Secondary Impression 570000 Abdominal Aortic Aneurysm E9.16 Providers Secondary Impression 1750 Abdominal Pain/Problems E9.16 Providers Secondary Impression 1755 Airway Obstruction E9.16 Providers Secondary Impression 1760 Allergic Reaction E9.16 Providers Secondary Impression 1765 Altered Level of Consciousness E9.16 Providers Secondary Impression 570001 Asthma E9.16 Providers Secondary Impression 570037 Back Pain (Non-Traumatic) E9.16 Providers Secondary Impression 1770 Behavioral/Psychiatric Disorder E9.16 Providers Secondary Impression 570002 Bowel Obstruction E9.16 Providers Secondary Impression 570003 Cancer E9.16 Providers Secondary Impression 1775 Cardiac Arrest E9.16 Providers Secondary Impression 1780 Cardiac Rhythm Disturbance E9.16 Providers Secondary Impression 1785 Chest Pain/Discomfort E9.16 Providers Secondary Impression 570004 CHF (Congestive Heart Failure) E9.16 Providers Secondary Impression 570030 COPD (Emphysema/Chronic Bronchitis) E9.16 Providers Secondary Impression 570006 Dehydration E9.16 Providers Secondary Impression 570007 Diabetic Hyperglycemia E9.16 Providers Secondary Impression 1790 Diabetic Symptoms (Hypoglycemia) E9.16 Providers Secondary Impression 1795 Electrocution E9.16 Providers Secondary Impression 570038 Diarrhea E9.16 Providers Secondary Impression 570008 ETOH Abuse E9.16 Providers Secondary Impression 570034 Fever E9.16 Providers Secondary Impression 570040 Epistaxis (Non-Traumatic) E9.16 Providers Secondary Impression 570009 G.I. Bleed E9.16 Providers Secondary Impression 570031 General Malaise E9.16 Providers Secondary Impression 570010 Headache E9.16 Providers Secondary Impression 570011 Heat Exhaustion/Stroke E9.16 Providers Secondary Impression 570012 Hypertension E9.16 Providers Secondary Impression 1800 Hyperthermia E9.16 Providers Secondary Impression 570013 Hypotension E9.16 Providers Secondary Impression 1805 Hypothermia E9.16 Providers Secondary Impression 1810 Hypovolemia/Shock E9.16 Providers Secondary Impression 1815 Inhalation Inury (Toxic Gas) E9.16 Providers Secondary Impression 570035 Nausea/Vomiting (Unknown Etiology) E9.16 Providers Secondary Impression 570033 No Apparent Illness/Injury E9.16 Providers Secondary Impression 570014 OB/Delivery E9.16 Providers Secondary Impression 570039 Migraine E9.16 Providers Secondary Impression 1820 Obvious Death E9.16 Providers Secondary Impression 570015 Other E9.16 Providers Secondary Impression 570016 Other Abdominal/GI Problem E9.16 Providers Secondary Impression 570017 Other Cardiovascular Problem E9.16 Providers Secondary Impression 570018 Other CNS Problem E9.16 Providers Secondary Impression 570019 Other Endocrine/Metabolic Problem E9.16 Providers Secondary Impression 570021 Other GU Problems E9.16 Providers Secondary Impression 570022 Other Illness/Injury E9.16 Providers Secondary Impression 570023 Other OB/Gyn E9.16 Providers Secondary Impression 570024 Pain E9.16 Providers Secondary Impression 570036 Patient Assist Only E9.16 Providers Secondary Impression 1825 Poisoning/Drug Ingestion E9.16 Providers Secondary Impression 1830 Pregnancy/OB Delivery E9.16 Providers Secondary Impression 1835 Respiratory Distress E9.16 Providers Secondary Impression 1845 Seizure E9.16 Providers Secondary Impression 570029 Sepsis E9.16 Providers Secondary Impression 1840 Respiratory Arrest E9.16 Providers Secondary Impression 1850 Sexual Assault/Rape E9.16 Providers Secondary Impression 1855 Smoke Inhalation E9.16 Providers Secondary Impression 1860 Stings/Venomous Bites E9.16 Providers Secondary Impression 1865 Stroke/CVA E9.16 Providers Secondary Impression 570025 Substance Drug Abuse E9.16 Providers Secondary Impression 1870 Syncope/Fainting E9.16 Providers Secondary Impression 570026 Toxic Exposure E9.16 Providers Secondary Impression 1875 Traumatic Injury E9.16 Providers Secondary Impression 570027 Unconscious E9.16 Providers Secondary Impression 570005 TIA (Transient Ischemic Attack) E9.16 Providers Secondary Impression 570028 Unknown Problem E9.16 Providers Secondary Impression 1880 Vaginal Hemorrhage E9.16 Providers Secondary Impression 570032 Weakness E9.16 Providers Secondary Impression -25 Not Applicable E9.2 Prior Aid Performed by 1195 EMS Provider E9.2 Prior Aid Performed by 1200 Law Enforcement E9.2 Prior Aid Performed by 1205 Lay Person E9.2 Prior Aid Performed by 1210 Other Healthcare Provider E9.2 Prior Aid Performed by 1215 Patient E9.2 Prior Aid Performed by -25 Not Applicable E9.3 Outcome Of Prior Aid 1220 Improved E9.3 Outcome Of Prior Aid 1225 Unchanged E9.3 Outcome Of Prior Aid 1230 Worse E9.3 Outcome Of Prior Aid -25 Not Applicable E9.4 Possible Injury 0 No E9.4 Possible Injury 1 Yes E9.4 Possible Injury -25 Not Applicable E9.4 Possible Injury -10 Not Known E9.7 Time Units of Duration of Chief Complaint 1245 Hours E9.7 Time Units of Duration of Chief Complaint 1240 Minutes E9.7 Time Units of Duration of Chief Complaint 1250 Days E9.7 Time Units of Duration of Chief Complaint 1260 Months E9.7 Time Units of Duration of Chief Complaint 1235 Seconds E9.7 Time Units of Duration of Chief Complaint 1255 Weeks E9.7 Time Units of Duration of Chief Complaint 1265 Years E9.7 Time Units of Duration of Chief Complaint -25 Not Applicable E9.7 Time Units of Duration of Chief Complaint -10 Not Known INV1.1 Quantity Units 9000000 Unit(s) INV1.1 Quantity Units 9000001 Pair(s) INV1.1 Quantity Units 9000002 Dozen INV3.1 Fuel Types 9001000 Diesel INV3.1 Fuel Types 9001001 Gasoline INV5.1 Cylinder Type 9002000 Aluminum INV5.1 Cylinder Type 9002001 Steel INV6.1 Ladder Material 9003000 Aluminum INV6.1 Ladder Material 9003001 Steel INV6.1 Ladder Material 9003002 Fiberglass INV7.1 Transaction Type 9004000 Transferred INV7.1 Transaction Type 9004001 Purchased INV7.1 Transaction Type 9004002 Sold IT1.1 Pulse Oximetry Qualifier 8000 At Room Air IT1.1 Pulse Oximetry Qualifier 8010 Low Concentration O2 (1-6 LPM) IT1.1 Pulse Oximetry Qualifier 8020 Medium Concentration O2 (7-9 LPM) IT1.1 Pulse Oximetry Qualifier 8030 High Concentration O2 (10-25 LPM) IT1.1 Pulse Oximetry Qualifier -25 Not Applicable IT1.10 BP Location -20 Not Recorded IT1.10 BP Location 916000 Right Arm IT1.10 BP Location 916001 Left Arm IT1.10 BP Location 916002 Right Leg IT1.10 BP Location 916003 Left Leg IT1.10 BP Location -25 Not Applicable IT1.11 Patient Position -20 Not Recorded IT1.11 Patient Position 917000 Fowlers IT1.11 Patient Position 917001 Semi-Fowlers IT1.11 Patient Position 917002 Sitting IT1.11 Patient Position 917003 Supine IT1.11 Patient Position 917005 Standing IT1.11 Patient Position 917004 Shock IT1.11 Patient Position 917006 Trendelenburg IT1.11 Patient Position 917007 Prone IT1.11 Patient Position 917008 Right Lateral Recumbent IT1.11 Patient Position 917009 Left Lateral Recumbent IT1.11 Patient Position -25 Not Applicable IT1.11 Patient Position -10 Not Known IT1.12 Provoked -25 Not Applicable IT1.12 Provoked 922007 Unprovoked IT1.12 Provoked 922006 Stress IT1.12 Provoked 922009 Respiration IT1.12 Provoked 922008 Palpation IT1.12 Provoked -20 Not Recorded IT1.12 Provoked 922004 Muscle Use IT1.12 Provoked 922005 Lie/Sit IT1.12 Provoked 922003 Foods IT1.12 Provoked 922002 Exertion IT1.12 Provoked 922001 Anxiety IT1.12 Provoked 922000 Anger IT1.13 Quality -25 Not Applicable IT1.13 Quality -20 Not Recorded IT1.13 Quality 923003 Burning IT1.13 Quality 923001 Dull IT1.13 Quality 923007 Expiratory IT1.13 Quality 923008 Insp/Exp IT1.13 Quality 923006 Inspiratory IT1.13 Quality 923005 Mild Onset IT1.13 Quality 923004 Onset-SUD IT1.13 Quality 923009 Pressure IT1.13 Quality 923000 Sharp IT1.13 Quality 923002 Tight IT1.14 Region 924002 Anterior IT1.14 Region 924007 Back IT1.14 Region 924003 Epigastric IT1.14 Region 924008 Jaw IT1.14 Region 924000 L Ant Chst IT1.14 Region 924019 Left Arm IT1.14 Region 924018 Left Leg IT1.14 Region 924014 LLQ IT1.14 Region 924017 Lower Back IT1.14 Region 924012 LUQ IT1.14 Region 924009 Neck IT1.14 Region -20 Not Recorded IT1.14 Region 924001 R Ant Chst IT1.14 Region 924010 Right Arm IT1.14 Region 924011 Right Leg IT1.14 Region 924015 RLQ IT1.14 Region 924013 RUQ IT1.14 Region 924004 Subcost L IT1.14 Region 924005 Subcost R IT1.14 Region 924006 Substernal IT1.14 Region 924016 Upper Back IT1.14 Region -25 Not Applicable IT1.15 Radiation 925018 Non-radiating IT1.15 Radiation -20 Not Recorded IT1.15 Radiation 925002 To Anterior IT1.15 Radiation 925010 To Arm IT1.15 Radiation 925007 To Back IT1.15 Radiation 925003 To Epigastric IT1.15 Radiation 925008 To Jaw IT1.15 Radiation 925000 To L Ant Chst IT1.15 Radiation 925014 To Left Lower IT1.15 Radiation 925012 To Left Upper IT1.15 Radiation 925011 To Leg IT1.15 Radiation 925017 To Lower Back IT1.15 Radiation 925009 To Neck IT1.15 Radiation 925001 To R Ant Chst IT1.15 Radiation 925015 To Right Lower IT1.15 Radiation 925013 To Right Upper IT1.15 Radiation 925004 To Subcost L IT1.15 Radiation 925005 To Subcost R IT1.15 Radiation 925006 To Substernal IT1.15 Radiation 925016 To Upper Back IT1.15 Radiation -25 Not Applicable IT1.17 Duration Units 926002 Days IT1.17 Duration Units 926001 Hours IT1.17 Duration Units 926000 Minutes IT1.17 Duration Units -20 Not Recorded IT1.17 Duration Units 926003 Weeks IT1.17 Duration Units -25 Not Applicable IT1.2 Pre Ambulance AED 8040 First Responder with AED IT1.2 Pre Ambulance AED 8060 No pre-ambulance AED IT1.2 Pre Ambulance AED 8030 Public Access Defibrillation IT1.2 Pre Ambulance AED 8070 Unknown IT1.2 Pre Ambulance AED -25 Not Applicable IT1.3 Pulse with Pre Ambulance Defib -20 Not Recorded IT1.3 Pulse with Pre Ambulance Defib -15 Not Reporting IT1.3 Pulse with Pre Ambulance Defib 9000 Device not applied (or not working) IT1.3 Pulse with Pre Ambulance Defib 8080 No IT1.3 Pulse with Pre Ambulance Defib 9020 No Device Available IT1.3 Pulse with Pre Ambulance Defib 8090 Shock Not Indicated IT1.3 Pulse with Pre Ambulance Defib 8070 Yes IT1.3 Pulse with Pre Ambulance Defib 9010 Yes,But Re-Arrest Prior to Ambulance IT1.3 Pulse with Pre Ambulance Defib -25 Not Applicable IT1.3 Pulse with Pre Ambulance Defib -10 Not Known IT1.3 Pulse with Pre Ambulance Defib -5 Not Available IT1.4 Airway -20 Not Recorded IT1.4 Airway -15 Not Reporting IT1.4 Airway 9320 Patent IT1.4 Airway 9330 Compromised IT1.4 Airway 9340 Obstructed IT1.4 Airway 9350 Other IT1.4 Airway -25 Not Applicable IT1.4 Airway -10 Not Known IT1.4 Airway -5 Not Available IT1.42 Pain Scale Type 3301001 Faces IT1.42 Pain Scale Type 3301002 FLACC IT1.42 Pain Scale Type 3301003 Numeric IT1.42 Pain Scale Type 3301004 PIPP IT1.42 Pain Scale Type -25 Not Applicable IT1.42 Pain Scale Type -10 Not Known IT1.42 Pain Scale Type -5 Not Available IT1.42 Pain Scale Type -20 Not Recorded IT1.42 Pain Scale Type -15 Not Reporting IT1.44 Was AED Used in Resuscitation 0 No IT1.44 Was AED Used in Resuscitation 1 Yes IT1.44 Was AED Used in Resuscitation -25 Not Applicable IT1.44 Was AED Used in Resuscitation -5 Not Available IT1.44 Was AED Used in Resuscitation -10 Not Known IT1.44 Was AED Used in Resuscitation 914001 AED Present but Not Used IT1.44 Was AED Used in Resuscitation 914002 AED Malfunctioned IT1.45 Who Initiated CPR -25 Not Applicable IT1.45 Who Initiated CPR -5 Not Available IT1.45 Who Initiated CPR -10 Not Known IT1.45 Who Initiated CPR 911002 Lay Person IT1.45 Who Initiated CPR 911003 Lay Person Family Member IT1.45 Who Initiated CPR 911001 First Responder IT1.45 Who Initiated CPR 911005 Responding EMS Personnel IT1.45 Who Initiated CPR 911004 Lay Person Medical Provider
IT1.46 Who First Applied Monitor/Defibrillator, AED -25 Not Applicable
IT1.46 Who First Applied Monitor/Defibrillator, AED -5 Not Available
IT1.46 Who First Applied Monitor/Defibrillator, AED -10 Not Known
IT1.46 Who First Applied Monitor/Defibrillator, AED 913002 Lay Person
IT1.46 Who First Applied Monitor/Defibrillator, AED 913003 Lay Person Family Member
IT1.46 Who First Applied Monitor/Defibrillator, AED 913001 First Responder
IT1.46 Who First Applied Monitor/Defibrillator, AED 913005 Responding EMS Personnel
IT1.46 Who First Applied Monitor/Defibrillator, AED 913004 Lay Person Medical Provider IT1.60 O2 Sat Site 689004 Ear IT1.60 O2 Sat Site 689003 LLE IT1.60 O2 Sat Site 689001 LUE IT1.60 O2 Sat Site 689005 Other IT1.60 O2 Sat Site 689002 RLE IT1.60 O2 Sat Site 689000 RUE IT1.60 O2 Sat Site -25 Not Applicable IT1.60 O2 Sat Site -5 Not Available IT1.60 O2 Sat Site -10 Not Known IT1.60 O2 Sat Site -20 Not Recorded IT1.60 O2 Sat Site -15 Not Reporting IT1.9 Respiration Regularity -20 Not Recorded IT1.9 Respiration Regularity 915000 Regularly-Regular IT1.9 Respiration Regularity 915001 Regularly-Irregular IT1.9 Respiration Regularity 915002 Irregularly-Irregular IT1.9 Respiration Regularity -25 Not Applicable IT10.1 Facility Diverted From-Name -20 Not Recorded IT10.1 Facility Diverted From-Name -15 Not Reporting IT10.1 Facility Diverted From-Name -25 Not Applicable IT10.1 Facility Diverted From-Name -10 Not Known IT10.1 Facility Diverted From-Name -5 Not Available IT10.10 Study Code 308001 Hypertonic Saline IT10.10 Study Code 308002 ROC Primed IT10.10 Study Code -25 Not Applicable IT10.10 Study Code -10 Not Known IT10.10 Study Code -5 Not Available IT10.11 Financial Sheet 1 Yes IT10.11 Financial Sheet 0 No IT10.11 Financial Sheet -25 Not Applicable IT10.11 Financial Sheet -10 Not Known IT10.11 Financial Sheet -5 Not Available IT10.12 Patient Transport Classification 314001 Emergent IT10.12 Patient Transport Classification 314002 Non-Emergency IT10.12 Patient Transport Classification 314003 Urgent IT10.12 Patient Transport Classification -25 Not Applicable IT10.12 Patient Transport Classification -10 Not Known IT10.12 Patient Transport Classification -5 Not Available IT10.12 Patient Transport Classification -20 Not Recorded IT10.12 Patient Transport Classification -15 Not Reporting Brush Patrol, Firefighting (Type VI Engine) - IT10.14 Vehicle Resource and Category Type 316001 Other Type IT10.14 Vehicle Resource and Category Type 316023 None IT10.14 Vehicle Resource and Category Type 316002 Crew Transport (Firefighting Crew) - Type I
IT10.14 Vehicle Resource and Category Type 316003 Crew Transport (Firefighting Crew) - Type II
IT10.14 Vehicle Resource and Category Type 316004 Crew Transport (Firefighting Crew) - Type III IT10.14 Vehicle Resource and Category Type 316005 Engine, Fire (Pumper) - Type I IT10.14 Vehicle Resource and Category Type 316006 Engine, Fire (Pumper) - Type II IT10.14 Vehicle Resource and Category Type 316007 Engine, Fire (Pumper) - Type III IT10.14 Vehicle Resource and Category Type 316008 Engine, Fire (Pumper)- Type IV IT10.14 Vehicle Resource and Category Type 316009 Engine, Fire (Pumper) - Other Type IT10.14 Vehicle Resource and Category Type 316010 Fire Boat - Type I IT10.14 Vehicle Resource and Category Type 316011 Fire Boat - Type II IT10.14 Vehicle Resource and Category Type 316012 Fire Boat - Type III Fire Truck Aerial (Ladder or Platform) - IT10.14 Vehicle Resource and Category Type 316013 Type I Fire Truck Aerial (Ladder or Platform) - IT10.14 Vehicle Resource and Category Type 316014 Type II IT10.14 Vehicle Resource and Category Type 316015 Foam Tender, Firefighting - Type I IT10.14 Vehicle Resource and Category Type 316016 Foam Tender, Firefighting - Type II Full Tender (Gasoline, Diesel, AvGas, aka IT10.14 Vehicle Resource and Category Type 316017 Gas Tanker) - Type I Full Tender (Gasoline, Diesel, AvGas, aka IT10.14 Vehicle Resource and Category Type 316018 Gas Tanker) - Type II IT10.14 Vehicle Resource and Category Type 316019 Water Tender, Firefighting (Tanker) - Type I
IT10.14 Vehicle Resource and Category Type 316020 Water Tender, Firefighting (Tanker) - Type II IT10.14 Vehicle Resource and Category Type 316021 Water Tender, Firefighting - Type III IT10.14 Vehicle Resource and Category Type 316022 Water Tender, Firefighting - Type IV IT10.15 Vehicle Mutual Aid Response Type 317001 None IT10.15 Vehicle Mutual Aid Response Type 317002 Local IT10.15 Vehicle Mutual Aid Response Type 317003 Regional IT10.15 Vehicle Mutual Aid Response Type 317004 Statewide IT10.2 Specialty Team Notified 0 No IT10.2 Specialty Team Notified 300002 STEMI IT10.2 Specialty Team Notified 300003 Stroke / CVA IT10.2 Specialty Team Notified 300001 Trauma IT10.2 Specialty Team Notified -25 Not Applicable IT10.2 Specialty Team Notified -5 Not Available IT10.2 Specialty Team Notified -10 Not Known IT10.4 Smoke Detector Present 1 Yes IT10.4 Smoke Detector Present 0 No IT10.4 Smoke Detector Present -25 Not Applicable IT10.4 Smoke Detector Present -10 Not Known IT10.4 Smoke Detector Present -5 Not Available IT10.44 Patient Priority / Triage 331000 Red - Priority 1 - Critical IT10.44 Patient Priority / Triage 331001 Yellow - Priority 2 - Delay IT10.44 Patient Priority / Triage 331002 Green - Priority 3 - Stable IT10.44 Patient Priority / Triage 331003 Black - Priority 4 - Dead IT10.44 Patient Priority / Triage 331004 Grey - Priority 5 - Expectant IT10.44 Patient Priority / Triage -25 Not Applicable IT10.44 Patient Priority / Triage -5 Not Available IT10.44 Patient Priority / Triage -10 Not Known IT10.44 Patient Priority / Triage -15 Not Reporting IT10.44 Patient Priority / Triage -20 Not Recorded IT10.5 Smoke Detector Operational 1 Yes IT10.5 Smoke Detector Operational 0 No IT10.5 Smoke Detector Operational -25 Not Applicable IT10.5 Smoke Detector Operational -10 Not Known IT10.5 Smoke Detector Operational -5 Not Available IT10.6 Facility Notified By 304001 Radio IT10.6 Facility Notified By 304002 Phone IT10.6 Facility Notified By 304003 Unable IT10.6 Facility Notified By 304004 Direct IT10.6 Facility Notified By -25 Not Applicable IT10.6 Facility Notified By -10 Not Known IT10.6 Facility Notified By -5 Not Available IT10.7 Equipment Out Of Service 1 Yes IT10.7 Equipment Out Of Service 0 No IT10.7 Equipment Out Of Service -25 Not Applicable IT10.7 Equipment Out Of Service -10 Not Known IT10.7 Equipment Out Of Service -20 Not Recorded IT10.9 Study 1 Yes IT10.9 Study 0 No IT10.9 Study -25 Not Applicable IT10.9 Study -10 Not Known IT10.9 Study -5 Not Available IT11.1 Trauma Triage Criteria 310001 Amputation proximal to wrist or ankle IT11.1 Trauma Triage Criteria 310002 Blunt Trauma (no hemodynamic trauma) IT11.1 Trauma Triage Criteria 310003 BSA < 10% IT11.1 Trauma Triage Criteria 310004 BSA >= 10% IT11.1 Trauma Triage Criteria 310005 Flail Chest IT11.1 Trauma Triage Criteria 310006 GCS <= 13 IT11.1 Trauma Triage Criteria 310007 GCS improving IT11.1 Trauma Triage Criteria 310008 Hemodynamic compromise from trauma IT11.1 Trauma Triage Criteria 310009 Minor Injuries IT11.1 Trauma Triage Criteria 310010 Open or depressed skull fracture IT11.1 Trauma Triage Criteria 310011 Other single system injury IT11.1 Trauma Triage Criteria 310012 Paralysis resultling from trauma IT11.1 Trauma Triage Criteria 310013 Penetrating injuries to extremities IT11.1 Trauma Triage Criteria 310014 Penetrating injury to trunk, neck, or head IT11.1 Trauma Triage Criteria 310015 PTS <= 8 Respiratory compromise resulting from IT11.1 Trauma Triage Criteria 310016 trauma IT11.1 Trauma Triage Criteria 310017 Two or more proximal long bone fractures IT11.1 Trauma Triage Criteria 310018 Unstable Pelvis IT11.1 Trauma Triage Criteria -25 Not Applicable IT11.1 Trauma Triage Criteria -5 Not Available IT11.1 Trauma Triage Criteria -10 Not Known IT11.2 Trauma Referral Center Notified 0 No IT11.2 Trauma Referral Center Notified 1 Yes IT11.2 Trauma Referral Center Notified -25 Not Applicable IT11.2 Trauma Referral Center Notified -5 Not Available IT11.2 Trauma Referral Center Notified -10 Not Known IT11.6 Full Activation -25 Not Applicable IT11.6 Full Activation 318001 GCS < 12 IT11.6 Full Activation 318002 Systolic BP < 90 IT11.6 Full Activation 318003 Repiratory Rate < 10 or > 30 Penetrating Truama - IT11.6 Full Activation 318004 Head/Neck/Torso/Groin IT11.7 Partial Activation -25 Not Applicable IT11.7 Partial Activation 319001 Amputations IT11.7 Partial Activation 319002 Crush, Mangles Extremity IT11.7 Partial Activation 319003 Flail Chest IT11.7 Partial Activation 319004 Pelvic Fracture IT11.7 Partial Activation 319005 Skull Fracture - Open or Depressed IT11.7 Partial Activation 319006 Traumatic Paralysis IT11.7 Partial Activation 319007 2 or more Proximal Long Bone Fractures IT11.8 Mechanisms To Consider -25 Not Applicable
IT11.8 Mechanisms To Consider 329001 Ejection (Partial or Complete) from Vehicle IT11.8 Mechanisms To Consider 329002 Death in Same Passenger Compartment Intrusion > 12 Inches Occupant IT11.8 Mechanisms To Consider 329003 Compartment
IT11.8 Mechanisms To Consider 329004 Intrusion > 18 Inches into any Site of Vehicle Auto versus Pedestrian/Bicyclist Thrown, IT11.8 Mechanisms To Consider 329005 Run Over or with Significant Impact IT11.8 Mechanisms To Consider 329006 Burns > 10% IT11.8 Mechanisms To Consider 329007 Falls Two Times the Patient's Height IT11.8 Mechanisms To Consider 329008 Motorcycle Crash > 20 MPH Recreational Vehicle (ATV, Snowmobile, IT11.8 Mechanisms To Consider 329009 etc) IT11.9 Other Considerations -25 Not Applicable IT11.9 Other Considerations 330001 Geriatric IT11.9 Other Considerations 330002 Pediatric IT11.9 Other Considerations 330003 Pregnancy > 20 Weeks IT11.9 Other Considerations 330004 EMS Provider Judgment IT12.1 Stemi Triage Criteria 0 No IT12.1 Stemi Triage Criteria 1 Yes IT12.1 Stemi Triage Criteria -25 Not Applicable IT12.1 Stemi Triage Criteria -5 Not Available IT12.1 Stemi Triage Criteria -10 Not Known IT12.2 Stemi 12 Lead Used 0 No IT12.2 Stemi 12 Lead Used 1 Yes IT12.2 Stemi 12 Lead Used -25 Not Applicable IT12.2 Stemi 12 Lead Used -5 Not Available IT12.2 Stemi 12 Lead Used -10 Not Known IT12.3 Stemi 12 Lead Transmitted 0 No IT12.3 Stemi 12 Lead Transmitted 1 Yes IT12.3 Stemi 12 Lead Transmitted -25 Not Applicable IT12.3 Stemi 12 Lead Transmitted -5 Not Available IT12.3 Stemi 12 Lead Transmitted -10 Not Known IT12.4 Stemi 12 Lead Interpreted By 323001 EMT-Basic IT12.4 Stemi 12 Lead Interpreted By 323002 EMT-Intermediate IT12.4 Stemi 12 Lead Interpreted By 323003 EMT-Paramedic IT12.4 Stemi 12 Lead Interpreted By 323004 Cardiac Monitor Program IT12.4 Stemi 12 Lead Interpreted By 323005 Physician IT12.4 Stemi 12 Lead Interpreted By 323006 Registered Nurse IT12.4 Stemi 12 Lead Interpreted By 323007 Nurse Practioner IT12.4 Stemi 12 Lead Interpreted By 323008 Physician Assistant IT12.4 Stemi 12 Lead Interpreted By -25 Not Applicable IT12.4 Stemi 12 Lead Interpreted By -5 Not Available IT12.4 Stemi 12 Lead Interpreted By -10 Not Known IT12.5 Stemi Probable 0 No IT12.5 Stemi Probable 1 Yes IT12.5 Stemi Probable 324001 Inconclusive IT12.5 Stemi Probable -25 Not Applicable IT12.5 Stemi Probable -5 Not Available IT12.5 Stemi Probable -10 Not Known IT13.10 Stroke Scale Type 349001 Cincinnati IT13.10 Stroke Scale Type 349002 Los Angeles IT13.10 Stroke Scale Type -20 Not Recorded IT13.10 Stroke Scale Type -25 Not Applicable IT13.10 Stroke Scale Type -10 Not Known IT13.10 Stroke Scale Type -5 Not Available IT13.11 Stroke Scale Speech 350001 Normal IT13.11 Stroke Scale Speech 350002 Abnormal IT13.12 Stroke Scale Facial Droop 351001 Normal IT13.12 Stroke Scale Facial Droop 351002 Abnormal IT13.13 Stroke Scale Arm Drift 352001 Normal IT13.13 Stroke Scale Arm Drift 352002 Abnormal IT15.2 Certification Level 261000 Cardiac Technician IT15.2 Certification Level 261001 EMT-Basic - I.V. IT15.2 Certification Level 261002 EMT-Paramedic Specialist IT15.2 Certification Level 261003 EMT-AW IT15.2 Certification Level 261004 EMT-IV/AW IT15.2 Certification Level 261005 EMT-ILS/AW IT15.2 Certification Level 261006 EMT-D IT15.2 Certification Level 261007 EMT-I/D IT15.2 Certification Level 261008 Advanced EMT - A IT15.2 Certification Level 261009 Respiratory Therapist IT15.2 Certification Level 261010 Physician Assistant IT15.2 Certification Level 261011 MICT IT15.2 Certification Level 261012 Driver IT15.2 Certification Level 6090 EMT-Basic IT15.2 Certification Level 6100 EMT-Intermediate IT15.2 Certification Level 6110 EMT-Paramedic IT15.2 Certification Level 6111 Nurse IT15.2 Certification Level 6112 Physician IT15.2 Certification Level 6120 First Responder IT2.1 EKG Interpretation 9030 Normal Sinus Rhythm IT2.1 EKG Interpretation 9070 1st Degree Heart Block AV Heart Block-2nd Degree-Mobitz 1 IT2.1 EKG Interpretation 9080 (Wenckebach) IT2.1 EKG Interpretation 9090 AV Heart Block-2nd Degree-Mobitz 2 IT2.1 EKG Interpretation 9100 AV Heart Block-3rd Degree IT2.1 EKG Interpretation 9130 Agonal / Idioventricular IT2.1 EKG Interpretation 9120 Asytole IT2.1 EKG Interpretation 9060 Atrial Fibrillation IT2.1 EKG Interpretation 909000 Atrial Flutter IT2.1 EKG Interpretation 9150 Junctional IT2.1 EKG Interpretation 909001 Other IT2.1 EKG Interpretation 909002 Paced Rhythm Paroxysmal Supraventricular Tachycardia IT2.1 EKG Interpretation 909009 (PSVT) IT2.1 EKG Interpretation 9140 Pulseless Electrical Activity - PEA IT2.1 EKG Interpretation 909003 Sinus Arrhythmia IT2.1 EKG Interpretation 9040 Sinus Bradycardia IT2.1 EKG Interpretation 9050 Sinus Tachycardia IT2.1 EKG Interpretation 9110 Supraventricular Tachycardia IT2.1 EKG Interpretation 909004 Torsades De Points IT2.1 EKG Interpretation 909005 Unknown AED Non-Shockable Rhythm IT2.1 EKG Interpretation 909006 Unknown AED Shockable Rhythm IT2.1 EKG Interpretation 909007 Ventricular Fibrillation IT2.1 EKG Interpretation 909008 Ventricular Tachycardia IT2.2 EKG Ectopy 910000 12 Lead ECG-Anterior Ischemia IT2.2 EKG Ectopy 910007 No Ectopy Noted IT2.2 EKG Ectopy 910001 12 Lead ECG-Inferior Ischemia IT2.2 EKG Ectopy 910002 12 Lead ECG-Lateral Ischemia IT2.2 EKG Ectopy 910003 Artifact IT2.2 EKG Ectopy 910004 AV Block-1st Degree IT2.2 EKG Ectopy 910005 Left Bundle Branch Block IT2.2 EKG Ectopy 910006 Right Bundle Branch Block IT2.2 EKG Ectopy 9180 PAC - Premature Atrial Contractions IT2.2 EKG Ectopy 9170 PJC - Premature Junctional Contractions IT2.2 EKG Ectopy 9160 PVC - Premature Ventricular Contractions IT2.2 EKG Ectopy 9200 S-T Segment Depression IT2.2 EKG Ectopy 9190 S-T Segment Elevation IT2.2 EKG Ectopy -25 Not Applicable IT2.2 EKG Ectopy -10 Not Known IT2.4 EKG Cause for Change 912000 Initial Rhythm IT2.4 EKG Cause for Change 9280 Medication IT2.4 EKG Cause for Change 9270 Spontaneous IT2.4 EKG Cause for Change 9290 Defibrillation IT2.4 EKG Cause for Change 9300 Cardioversion IT2.4 EKG Cause for Change 9310 Other IT2.4 EKG Cause for Change -25 Not Applicable IT2.4 EKG Cause for Change -10 Not Known IT2.8 Shock Or Pacing Energy Units 238000 Joules IT2.8 Shock Or Pacing Energy Units 238001 Milliamps IT2.8 Shock Or Pacing Energy Units -20 Not Recorded IT2.8 Shock Or Pacing Energy Units -25 Not Applicable IT2.8 Shock Or Pacing Energy Units -10 Not Known IT2.8 Shock Or Pacing Energy Units -5 Not Available IT20.1 Resp: Retractions 3501001 Flaring IT20.1 Resp: Retractions 3501002 Grunting IT20.1 Resp: Retractions 3501003 Intercostal IT20.1 Resp: Retractions 3501004 Mild IT20.1 Resp: Retractions 3501005 Moderate IT20.1 Resp: Retractions 3501006 Severe IT20.1 Resp: Retractions 3501007 Subcostal IT20.1 Resp: Retractions 3501008 Substernal IT20.1 Resp: Retractions 3501009 Suprasternal IT20.1 Resp: Retractions -20 Not Recorded IT20.1 Resp: Retractions -25 Not Applicable IT20.1 Resp: Retractions -10 Not Known IT20.1 Resp: Retractions -5 Not Available IT20.10 Circ: Pulse Left - Pedal 3510000 1 + IT20.10 Circ: Pulse Left - Pedal 3510001 2 + IT20.10 Circ: Pulse Left - Pedal 3510002 3 + IT20.10 Circ: Pulse Left - Pedal 3510003 Absent IT20.10 Circ: Pulse Left - Pedal -20 Not Recorded IT20.10 Circ: Pulse Left - Pedal -25 Not Applicable IT20.10 Circ: Pulse Left - Pedal -10 Not Known IT20.10 Circ: Pulse Left - Pedal -5 Not Available IT20.15 Abd: Stool HEM 3515001 Negative IT20.15 Abd: Stool HEM 3515002 Positive IT20.15 Abd: Stool HEM -20 Not Recorded IT20.15 Abd: Stool HEM -25 Not Applicable IT20.15 Abd: Stool HEM -10 Not Known IT20.15 Abd: Stool HEM -5 Not Available IT20.16 Abd: Emesis HEM 3516001 Negative IT20.16 Abd: Emesis HEM 3516002 Positive IT20.16 Abd: Emesis HEM 3516003 Bilious IT20.16 Abd: Emesis HEM 3516004 Projectile IT20.16 Abd: Emesis HEM -20 Not Recorded IT20.16 Abd: Emesis HEM -25 Not Applicable IT20.16 Abd: Emesis HEM -10 Not Known IT20.16 Abd: Emesis HEM -5 Not Available IT20.17 Abd: Bowel Sounds 3517001 Absent IT20.17 Abd: Bowel Sounds 3517002 Active IT20.17 Abd: Bowel Sounds 3517003 Hyperactive IT20.17 Abd: Bowel Sounds 3517004 Hypoactive IT20.17 Abd: Bowel Sounds -20 Not Recorded IT20.17 Abd: Bowel Sounds -25 Not Applicable IT20.17 Abd: Bowel Sounds -10 Not Known IT20.17 Abd: Bowel Sounds -5 Not Available IT20.19 Abd: Diet 3519001 Bottle IT20.19 Abd: Diet 3519002 Breast IT20.19 Abd: Diet 3519003 Clear Liquid IT20.19 Abd: Diet 3519004 Diabetic IT20.19 Abd: Diet 3519005 Enteral IT20.19 Abd: Diet 3519006 No Salt IT20.19 Abd: Diet 3519007 NPO IT20.19 Abd: Diet 3519008 Other IT20.19 Abd: Diet 3519009 Regular IT20.19 Abd: Diet 3519010 Soft IT20.19 Abd: Diet 3519011 Special IT20.19 Abd: Diet -20 Not Recorded IT20.19 Abd: Diet -25 Not Applicable IT20.19 Abd: Diet -10 Not Known IT20.19 Abd: Diet -5 Not Available IT20.2 Resp: Existing Chest Tubes - Left 3502001 Suction (SX) IT20.2 Resp: Existing Chest Tubes - Left 3502002 Heimlich Valve (HV) IT20.2 Resp: Existing Chest Tubes - Left 3502003 Pleurivac (PV) IT20.2 Resp: Existing Chest Tubes - Left -20 Not Recorded IT20.2 Resp: Existing Chest Tubes - Left -25 Not Applicable IT20.2 Resp: Existing Chest Tubes - Left -10 Not Known IT20.2 Resp: Existing Chest Tubes - Left -5 Not Available IT20.21 Abd: Gastric Tubes 3521001 Jejunostomy Tube (J-Tube) IT20.21 Abd: Gastric Tubes 3521002 Nasogastric Tube (NG Tube) IT20.21 Abd: Gastric Tubes 3521003 Nasojejunal Tube (NJT) IT20.21 Abd: Gastric Tubes 3521004 Orogastric Tube (OGT) Percutaneous Endoscopic Gastrotomy Tube IT20.21 Abd: Gastric Tubes 3521005 (PEG-Tube) IT20.21 Abd: Gastric Tubes -20 Not Recorded IT20.21 Abd: Gastric Tubes -25 Not Applicable IT20.21 Abd: Gastric Tubes -10 Not Known IT20.21 Abd: Gastric Tubes -5 Not Available IT20.22 Abd: Gastric Tubes Patent 0 No IT20.22 Abd: Gastric Tubes Patent 1 Yes IT20.22 Abd: Gastric Tubes Patent -20 Not Recorded IT20.22 Abd: Gastric Tubes Patent -25 Not Applicable IT20.22 Abd: Gastric Tubes Patent -10 Not Known IT20.22 Abd: Gastric Tubes Patent -5 Not Available IT20.24 Abd: Genitourinary 3524001 Ambiguous IT20.24 Abd: Genitourinary 3524002 Normal Female IT20.24 Abd: Genitourinary 3524003 Normal Male IT20.24 Abd: Genitourinary -20 Not Recorded IT20.24 Abd: Genitourinary -25 Not Applicable IT20.24 Abd: Genitourinary -10 Not Known IT20.24 Abd: Genitourinary -5 Not Available IT20.25 Abd: Urine 3525001 Amber IT20.25 Abd: Urine 3525002 Clear IT20.25 Abd: Urine 3525003 Cloudy IT20.25 Abd: Urine 3525004 Hematuria IT20.25 Abd: Urine 3525005 Sediment IT20.25 Abd: Urine 3525006 Yellow IT20.25 Abd: Urine -20 Not Recorded IT20.25 Abd: Urine -25 Not Applicable IT20.25 Abd: Urine -10 Not Known IT20.25 Abd: Urine -5 Not Available IT20.27 Neuro: Fontanel 3141001 Flat IT20.27 Neuro: Fontanel 3141002 Full IT20.27 Neuro: Fontanel 3141003 Depressed IT20.27 Neuro: Fontanel 3141004 Bulging IT20.27 Neuro: Fontanel 3141005 Soft IT20.27 Neuro: Fontanel -20 Not Recorded IT20.27 Neuro: Fontanel -25 Not Applicable IT20.27 Neuro: Fontanel -10 Not Known IT20.27 Neuro: Fontanel -5 Not Available IT20.29 Neuro: Tone 3143001 Normal IT20.29 Neuro: Tone 3143002 Floppy IT20.29 Neuro: Tone 3143003 Hypertonic IT20.29 Neuro: Tone 3143004 Hypotonic IT20.29 Neuro: Tone 3143005 Jittery / Spastic IT20.29 Neuro: Tone -20 Not Recorded IT20.29 Neuro: Tone -25 Not Applicable IT20.29 Neuro: Tone -10 Not Known IT20.29 Neuro: Tone -5 Not Available IT20.3 Resp: Existing Chest Tubes - Right 3503001 Suction (SX) IT20.3 Resp: Existing Chest Tubes - Right 3503002 Heimlich Valve (HV) IT20.3 Resp: Existing Chest Tubes - Right 3503003 Pleurivac (PV) IT20.3 Resp: Existing Chest Tubes - Right -20 Not Recorded IT20.3 Resp: Existing Chest Tubes - Right -25 Not Applicable IT20.3 Resp: Existing Chest Tubes - Right -10 Not Known IT20.3 Resp: Existing Chest Tubes - Right -5 Not Available IT20.30 Neuro: Level of Consciousness 3144001 Alert-Oriented IT20.30 Neuro: Level of Consciousness 3144002 Alert-Disoriented IT20.30 Neuro: Level of Consciousness 3144003 Comatose IT20.30 Neuro: Level of Consciousness 3144004 Lethargic IT20.30 Neuro: Level of Consciousness 3144005 Obtunded IT20.30 Neuro: Level of Consciousness 3144006 Pharmocologically Sedated / Paralysis IT20.30 Neuro: Level of Consciousness 3144007 Stuporous IT20.30 Neuro: Level of Consciousness -20 Not Recorded IT20.30 Neuro: Level of Consciousness -25 Not Applicable IT20.30 Neuro: Level of Consciousness -10 Not Known IT20.30 Neuro: Level of Consciousness -5 Not Available IT20.31 Motor Strength - Arm, Left 3145001 Minimal Resistance IT20.31 Motor Strength - Arm, Left 3145002 No Resistance IT20.31 Motor Strength - Arm, Left 3145003 Resists Force IT20.31 Motor Strength - Arm, Left 3145004 Resists Gravity IT20.31 Motor Strength - Arm, Left -20 Not Recorded IT20.31 Motor Strength - Arm, Left -25 Not Applicable IT20.31 Motor Strength - Arm, Left -10 Not Known IT20.31 Motor Strength - Arm, Left -5 Not Available IT20.32 Motor Strength - Arm, Right 3146001 Minimal Resistance IT20.32 Motor Strength - Arm, Right 3146002 No Resistance IT20.32 Motor Strength - Arm, Right 3146003 Resists Force IT20.32 Motor Strength - Arm, Right 3146004 Resists Gravity IT20.32 Motor Strength - Arm, Right -20 Not Recorded IT20.32 Motor Strength - Arm, Right -25 Not Applicable IT20.32 Motor Strength - Arm, Right -10 Not Known IT20.32 Motor Strength - Arm, Right -5 Not Available IT20.33 Motor Strength - Leg, Left 3147001 Minimal Resistance IT20.33 Motor Strength - Leg, Left 3147002 No Resistance IT20.33 Motor Strength - Leg, Left 3147003 Resists Force IT20.33 Motor Strength - Leg, Left 3147004 Resists Gravity IT20.33 Motor Strength - Leg, Left -20 Not Recorded IT20.33 Motor Strength - Leg, Left -25 Not Applicable IT20.33 Motor Strength - Leg, Left -10 Not Known IT20.33 Motor Strength - Leg, Left -5 Not Available IT20.34 Motor Strength - Leg, Right 3148001 Minimal Resistance IT20.34 Motor Strength - Leg, Right 3148002 No Resistance IT20.34 Motor Strength - Leg, Right 3148003 Resists Force IT20.34 Motor Strength - Leg, Right 3148004 Resists Gravity IT20.34 Motor Strength - Leg, Right -20 Not Recorded IT20.34 Motor Strength - Leg, Right -25 Not Applicable IT20.34 Motor Strength - Leg, Right -10 Not Known IT20.34 Motor Strength - Leg, Right -5 Not Available IT20.35 Neuro: Range of Motion 3149001 Contractures IT20.35 Neuro: Range of Motion 3149002 Normal IT20.35 Neuro: Range of Motion -20 Not Recorded IT20.35 Neuro: Range of Motion -25 Not Applicable IT20.35 Neuro: Range of Motion -10 Not Known IT20.35 Neuro: Range of Motion -5 Not Available IT20.36 Neuro: Reflexes 3150001 Cough IT20.36 Neuro: Reflexes 3150002 Gag IT20.36 Neuro: Reflexes 3150003 MORO / Startle IT20.36 Neuro: Reflexes 3150004 Suck IT20.36 Neuro: Reflexes -20 Not Recorded IT20.36 Neuro: Reflexes -25 Not Applicable IT20.36 Neuro: Reflexes -10 Not Known IT20.36 Neuro: Reflexes -5 Not Available IT20.37 Musculo: Other 3151001 Caput IT20.37 Musculo: Other 3151002 Cephalohematoma IT20.37 Musculo: Other 3151003 CSF Otorrhea IT20.37 Musculo: Other 3151004 CSF Rhinorrhea IT20.37 Musculo: Other 3151005 Hip Clicks-Left IT20.37 Musculo: Other 3151006 Hip Clicks-Right IT20.37 Musculo: Other 3151007 Nuchal Rigidity IT20.37 Musculo: Other 3151008 VP Shunt IT20.37 Musculo: Other -20 Not Recorded IT20.37 Musculo: Other -25 Not Applicable IT20.37 Musculo: Other -10 Not Known IT20.37 Musculo: Other -5 Not Available IT20.40 Abd: Foley Present 0 No IT20.40 Abd: Foley Present 1 Yes IT20.40 Abd: Foley Present -20 Not Recorded IT20.40 Abd: Foley Present -25 Not Applicable IT20.40 Abd: Foley Present -10 Not Known IT20.40 Abd: Foley Present -5 Not Available IT20.44 Abd: Gastric Tubes Placement Confirmed 0 No IT20.44 Abd: Gastric Tubes Placement Confirmed 1 Yes IT20.44 Abd: Gastric Tubes Placement Confirmed -20 Not Recorded IT20.44 Abd: Gastric Tubes Placement Confirmed -25 Not Applicable IT20.44 Abd: Gastric Tubes Placement Confirmed -10 Not Known IT20.44 Abd: Gastric Tubes Placement Confirmed -5 Not Available IT20.45 Abd: Gastric Tubes Drainage Present 0 No IT20.45 Abd: Gastric Tubes Drainage Present 1 Yes IT20.45 Abd: Gastric Tubes Drainage Present -20 Not Recorded IT20.45 Abd: Gastric Tubes Drainage Present -25 Not Applicable IT20.45 Abd: Gastric Tubes Drainage Present -10 Not Known IT20.45 Abd: Gastric Tubes Drainage Present -5 Not Available IT20.46 Resp: Respiratory Pattern 3534000 Regular IT20.46 Resp: Respiratory Pattern 3534001 Irregular IT20.46 Resp: Respiratory Pattern 3534002 Apnea IT20.46 Resp: Respiratory Pattern 3534003 Kussmaul IT20.46 Resp: Respiratory Pattern 3534004 Cheyne - Stokes IT20.46 Resp: Respiratory Pattern -20 Not Recorded IT20.46 Resp: Respiratory Pattern -25 Not Applicable IT20.46 Resp: Respiratory Pattern -10 Not Known IT20.46 Resp: Respiratory Pattern -5 Not Available IT20.47 Resp: Effort 3535000 Grunting IT20.47 Resp: Effort 3535001 Flaring IT20.47 Resp: Effort -20 Not Recorded IT20.47 Resp: Effort -25 Not Applicable IT20.47 Resp: Effort -10 Not Known IT20.47 Resp: Effort -5 Not Available IT20.5 Circ: Pulse Right - Radial 3505000 1 + IT20.5 Circ: Pulse Right - Radial 3505001 2 + IT20.5 Circ: Pulse Right - Radial 3505002 3 + IT20.5 Circ: Pulse Right - Radial 3505003 Absent IT20.5 Circ: Pulse Right - Radial -20 Not Recorded IT20.5 Circ: Pulse Right - Radial -25 Not Applicable IT20.5 Circ: Pulse Right - Radial -10 Not Known IT20.5 Circ: Pulse Right - Radial -5 Not Available IT20.56 Cardio: Skin Perfusion 3544000 Cap Refill Less Than 2 Seconds IT20.56 Cardio: Skin Perfusion 3544001 Cap Refill 2-4 Seconds IT20.56 Cardio: Skin Perfusion 3544002 Cap Refill More Than 4 Seconds IT20.56 Cardio: Skin Perfusion -20 Not Recorded IT20.56 Cardio: Skin Perfusion -25 Not Applicable IT20.56 Cardio: Skin Perfusion -10 Not Known IT20.56 Cardio: Skin Perfusion -5 Not Available IT20.57 Cardio: Skin Edema 3545000 1+ - Dependent IT20.57 Cardio: Skin Edema 3545001 1+ - General IT20.57 Cardio: Skin Edema 3545002 2+ - Dependent IT20.57 Cardio: Skin Edema 3545003 2+ - General IT20.57 Cardio: Skin Edema 3545004 3+ - Dependent IT20.57 Cardio: Skin Edema 3545005 3+ - General IT20.57 Cardio: Skin Edema -20 Not Recorded IT20.57 Cardio: Skin Edema -25 Not Applicable IT20.57 Cardio: Skin Edema -10 Not Known IT20.57 Cardio: Skin Edema -5 Not Available IT20.58 Cardio: Skin Color 3546000 Plethoric IT20.58 Cardio: Skin Color 3546001 Pink IT20.58 Cardio: Skin Color 3546002 Pale IT20.58 Cardio: Skin Color 3546003 Ashen IT20.58 Cardio: Skin Color 3546004 Mottled IT20.58 Cardio: Skin Color 3546005 Jaundiced IT20.58 Cardio: Skin Color 3546006 Cyanotic IT20.58 Cardio: Skin Color -20 Not Recorded IT20.58 Cardio: Skin Color -25 Not Applicable IT20.58 Cardio: Skin Color -10 Not Known IT20.58 Cardio: Skin Color -5 Not Available IT20.6 Circ: Pulse Right - Femoral 3506000 1 + IT20.6 Circ: Pulse Right - Femoral 3506001 2 + IT20.6 Circ: Pulse Right - Femoral 3506002 3 + IT20.6 Circ: Pulse Right - Femoral 3506003 Absent IT20.6 Circ: Pulse Right - Femoral -20 Not Recorded IT20.6 Circ: Pulse Right - Femoral -25 Not Applicable IT20.6 Circ: Pulse Right - Femoral -10 Not Known IT20.6 Circ: Pulse Right - Femoral -5 Not Available IT20.61 Resp: Airway 3549000 Natural & Protected IT20.61 Resp: Airway 3549001 Glossopharyngeal Reflexes Intact IT20.61 Resp: Airway 3549002 Mallampati Class I or II IT20.61 Resp: Airway 3549003 Airway - Abnormal IT20.61 Resp: Airway 3549004 Compromised IT20.61 Resp: Airway 3549005 Cuff Collapse/Failure/Leak IT20.61 Resp: Airway 3549006 Dysphagic IT20.61 Resp: Airway 3549007 Esophageal Intubation IT20.61 Resp: Airway 3549008 Extratracheal Intubation
IT20.61 Resp: Airway 3549009 Foreign Body Airway Obstruction - Complete IT20.61 Resp: Airway 3549010 Foreign Body Airway Obstruction - Partial IT20.61 Resp: Airway 3549011 Glossopharyngeal Reflexes Absent Glossopharyngeal Reflexes Blunted Due To IT20.61 Resp: Airway 3549012 Sedatives IT20.61 Resp: Airway 3549013 Glossopharyngeal Reflexes Suboptimal IT20.61 Resp: Airway 3549014 Gross Air Leak IT20.61 Resp: Airway 3549015 Grossly Unprotected IT20.61 Resp: Airway 3549016 Guarded IT20.61 Resp: Airway 3549017 Intubated - Nasal Endotracheal IT20.61 Resp: Airway 3549018 Intubated - Oral Endotracheal IT20.61 Resp: Airway 3549019 Intubated - Stoma Endotracheal IT20.61 Resp: Airway 3549020 Intubated - Supraglottic Airway Device IT20.61 Resp: Airway 3549021 Mainstem intubation (left) IT20.61 Resp: Airway 3549022 Mainstem intubation (right) IT20.61 Resp: Airway 3549023 Mallampati Class III IT20.61 Resp: Airway 3549024 Mallampati Class IV IT20.61 Resp: Airway 3549025 Mandibular Restrictions IT20.61 Resp: Airway 3549026 Stridor IT20.61 Resp: Airway 3549027 Thyromental Limitations IT20.61 Resp: Airway 3549028 Thyrosternal Restrictions IT20.61 Resp: Airway 3549029 Trismus IT20.61 Resp: Airway 3549030 Unmanageable Secretions IT20.61 Resp: Airway -25 Not Applicable IT20.61 Resp: Airway -5 Not Available IT20.61 Resp: Airway -10 Not Known IT20.61 Resp: Airway -20 Not Recorded IT20.61 Resp: Airway -15 Not Reporting IT20.62 Cardio: Cardiovascular 3550000 Normocardic, Regular Rate & Rhythm IT20.62 Cardio: Cardiovascular 3550001 ECG Without ST Segment Abnormalities IT20.62 Cardio: Cardiovascular 3550002 Capillary Refill < 2 seconds IT20.62 Cardio: Cardiovascular 3550003 Cardio - Abnormal IT20.62 Cardio: Cardiovascular 3550004 Bradycardic (irregular) IT20.62 Cardio: Cardiovascular 3550005 Bradycardic (Regular) IT20.62 Cardio: Cardiovascular 3550006 Carotid Bruit (Left) IT20.62 Cardio: Cardiovascular 3550007 Carotid Bruit (Right) IT20.62 Cardio: Cardiovascular 3550008 Dependent Edema IT20.62 Cardio: Cardiovascular 3550009 ECG Not In Place IT20.62 Cardio: Cardiovascular 3550010 Hemodialysis Fistula Without Bruit IT20.62 Cardio: Cardiovascular 3550011 Hemodialysis Fistula Without Thrill IT20.62 Cardio: Cardiovascular 3550012 Hemodialysis Graft Without Bruit IT20.62 Cardio: Cardiovascular 3550013 Hemodialysis Graft Without Thrill IT20.62 Cardio: Cardiovascular 3550014 Hypertensive IT20.62 Cardio: Cardiovascular 3550015 Hypoperfused IT20.62 Cardio: Cardiovascular 3550016 Hypotensive IT20.62 Cardio: Cardiovascular 3550017 Jugular Venous Distention IT20.62 Cardio: Cardiovascular 3550018 Mortis - Livor IT20.62 Cardio: Cardiovascular 3550019 Mortis - Rigor IT20.62 Cardio: Cardiovascular 3550020 Peripheral Edema IT20.62 Cardio: Cardiovascular 3550021 Pitting Edema IT20.62 Cardio: Cardiovascular 3550022 Pulseless IT20.62 Cardio: Cardiovascular 3550023 Pulseless Electrical Activity IT20.62 Cardio: Cardiovascular 3550024 Pulsus Differens (Left > Right) IT20.62 Cardio: Cardiovascular 3550025 Pulsus Bigeminus IT20.62 Cardio: Cardiovascular 3550026 Pulsus Differens (Right > Left) IT20.62 Cardio: Cardiovascular 3550027 Pulsus Paradoxus IT20.62 Cardio: Cardiovascular 3550028 Tachycardic (Irregular) IT20.62 Cardio: Cardiovascular 3550029 Tachycardic (Regular) IT20.62 Cardio: Cardiovascular 3550030 Thoracic Bruit IT20.62 Cardio: Cardiovascular 3550031 Unmatched Central Pulses (To ECG) IT20.62 Cardio: Cardiovascular 3550032 Unmatched Peripheral Pulses (To ECG) IT20.62 Cardio: Cardiovascular -25 Not Applicable IT20.62 Cardio: Cardiovascular -5 Not Available IT20.62 Cardio: Cardiovascular -10 Not Known IT20.62 Cardio: Cardiovascular -20 Not Recorded IT20.62 Cardio: Cardiovascular -15 Not Reporting IT20.63 Pulse Right - Carotid 3551000 +1 IT20.63 Pulse Right - Carotid 3551001 +2 IT20.63 Pulse Right - Carotid 3551002 +3 IT20.63 Pulse Right - Carotid 3551003 Absent IT20.63 Pulse Right - Carotid 3551004 Strong IT20.63 Pulse Right - Carotid 3551005 Weak IT20.63 Pulse Right - Carotid 3551006 Not Checked IT20.63 Pulse Right - Carotid -25 Not Applicable IT20.63 Pulse Right - Carotid -5 Not Available IT20.63 Pulse Right - Carotid -10 Not Known IT20.63 Pulse Right - Carotid -20 Not Recorded IT20.63 Pulse Right - Carotid -15 Not Reporting IT20.64 Pulse Left - Carotid 3552000 +1 IT20.64 Pulse Left - Carotid 3552001 +2 IT20.64 Pulse Left - Carotid 3552002 +3 IT20.64 Pulse Left - Carotid 3552003 Absent IT20.64 Pulse Left - Carotid 3552004 Strong IT20.64 Pulse Left - Carotid 3552005 Weak IT20.64 Pulse Left - Carotid 3552006 Not Checked IT20.64 Pulse Left - Carotid -25 Not Applicable IT20.64 Pulse Left - Carotid -5 Not Available IT20.64 Pulse Left - Carotid -10 Not Known IT20.64 Pulse Left - Carotid -20 Not Recorded IT20.64 Pulse Left - Carotid -15 Not Reporting IT20.65 Pulse Right - Brachial 3553000 +1 IT20.65 Pulse Right - Brachial 3553001 +2 IT20.65 Pulse Right - Brachial 3553002 +3 IT20.65 Pulse Right - Brachial 3553003 Absent IT20.65 Pulse Right - Brachial 3553004 Strong IT20.65 Pulse Right - Brachial 3553005 Weak IT20.65 Pulse Right - Brachial 3553006 Not Checked IT20.65 Pulse Right - Brachial -25 Not Applicable IT20.65 Pulse Right - Brachial -5 Not Available IT20.65 Pulse Right - Brachial -10 Not Known IT20.65 Pulse Right - Brachial -20 Not Recorded IT20.65 Pulse Right - Brachial -15 Not Reporting IT20.66 Pulse Left - Brachial 3554000 +1 IT20.66 Pulse Left - Brachial 3554001 +2 IT20.66 Pulse Left - Brachial 3554002 +3 IT20.66 Pulse Left - Brachial 3554003 Absent IT20.66 Pulse Left - Brachial 3554004 Strong IT20.66 Pulse Left - Brachial 3554005 Weak IT20.66 Pulse Left - Brachial 3554006 Not Checked IT20.66 Pulse Left - Brachial -25 Not Applicable IT20.66 Pulse Left - Brachial -5 Not Available IT20.66 Pulse Left - Brachial -10 Not Known IT20.66 Pulse Left - Brachial -20 Not Recorded IT20.66 Pulse Left - Brachial -15 Not Reporting IT20.67 Pulse Right - Popliteal 3555000 +1 IT20.67 Pulse Right - Popliteal 3555001 +2 IT20.67 Pulse Right - Popliteal 3555002 +3 IT20.67 Pulse Right - Popliteal 3555003 Absent IT20.67 Pulse Right - Popliteal 3555004 Strong IT20.67 Pulse Right - Popliteal 3555005 Weak IT20.67 Pulse Right - Popliteal 3555006 Not Checked IT20.67 Pulse Right - Popliteal -25 Not Applicable IT20.67 Pulse Right - Popliteal -5 Not Available IT20.67 Pulse Right - Popliteal -10 Not Known IT20.67 Pulse Right - Popliteal -20 Not Recorded IT20.67 Pulse Right - Popliteal -15 Not Reporting IT20.68 Pulse Left - Popliteal 3556000 +1 IT20.68 Pulse Left - Popliteal 3556001 +2 IT20.68 Pulse Left - Popliteal 3556002 +3 IT20.68 Pulse Left - Popliteal 3556003 Absent IT20.68 Pulse Left - Popliteal 3556004 Strong IT20.68 Pulse Left - Popliteal 3556005 Weak IT20.68 Pulse Left - Popliteal 3556006 Not Checked IT20.68 Pulse Left - Popliteal -25 Not Applicable IT20.68 Pulse Left - Popliteal -5 Not Available IT20.68 Pulse Left - Popliteal -10 Not Known IT20.68 Pulse Left - Popliteal -20 Not Recorded IT20.68 Pulse Left - Popliteal -15 Not Reporting IT20.69 Integumentary Assessment 3557000 Warm IT20.69 Integumentary Assessment 3557001 Dry IT20.69 Integumentary Assessment 3557002 Supple IT20.69 Integumentary Assessment 3557003 Pink IT20.69 Integumentary Assessment 3557004 Intact IT20.69 Integumentary Assessment 3557005 Afebrile IT20.69 Integumentary Assessment 3557006 Angioedema IT20.69 Integumentary Assessment 3557007 Ashen IT20.69 Integumentary Assessment 3557008 Clammy IT20.69 Integumentary Assessment 3557009 Cold IT20.69 Integumentary Assessment 3557010 Cool IT20.69 Integumentary Assessment 3557011 Cyanosis (Acro) IT20.69 Integumentary Assessment 3557012 Cyanosis (Central) IT20.69 Integumentary Assessment 3557013 Cyanosis (Circumoral) IT20.69 Integumentary Assessment 3557014 Cyanosis (Peripheral) IT20.69 Integumentary Assessment 3557015 Diaphoresis IT20.69 Integumentary Assessment 3557016 Flushed IT20.69 Integumentary Assessment 3557017 Hot IT20.69 Integumentary Assessment 3557018 Jaundiced IT20.69 Integumentary Assessment 3557019 Pale IT20.69 Integumentary Assessment 3557020 Rash (Generalized) IT20.69 Integumentary Assessment 3557021 Rash (Localized) IT20.69 Integumentary Assessment 3557022 Urticaria (Generalized) IT20.69 Integumentary Assessment 3557023 Urticaria (Localized) IT20.69 Integumentary Assessment -25 Not Applicable IT20.69 Integumentary Assessment -5 Not Available IT20.69 Integumentary Assessment -10 Not Known IT20.69 Integumentary Assessment -20 Not Recorded IT20.69 Integumentary Assessment -15 Not Reporting IT20.7 Circ: Pulse Right - Pedal 3507000 1 + IT20.7 Circ: Pulse Right - Pedal 3507001 2 + IT20.7 Circ: Pulse Right - Pedal 3507002 3 + IT20.7 Circ: Pulse Right - Pedal 3507003 Absent IT20.7 Circ: Pulse Right - Pedal -20 Not Recorded IT20.7 Circ: Pulse Right - Pedal -25 Not Applicable IT20.7 Circ: Pulse Right - Pedal -10 Not Known IT20.7 Circ: Pulse Right - Pedal -5 Not Available IT20.75 Patient Weight Actual/Estimate 742000 Actual IT20.75 Patient Weight Actual/Estimate 742001 Estimate IT20.75 Patient Weight Actual/Estimate -25 Not Applicable IT20.75 Patient Weight Actual/Estimate -5 Not Available IT20.75 Patient Weight Actual/Estimate -10 Not Known IT20.75 Patient Weight Actual/Estimate -20 Not Recorded IT20.75 Patient Weight Actual/Estimate -15 Not Reporting IT20.77 Abd: Stool Color -25 Not Applicable IT20.77 Abd: Stool Color -5 Not Available IT20.77 Abd: Stool Color -10 Not Known IT20.77 Abd: Stool Color -20 Not Recorded IT20.77 Abd: Stool Color -15 Not Reporting IT20.79 Abd: Gastric Tubes Nare Left/Right 845000 Left IT20.79 Abd: Gastric Tubes Nare Left/Right 845001 Right IT20.79 Abd: Gastric Tubes Nare Left/Right -25 Not Applicable IT20.79 Abd: Gastric Tubes Nare Left/Right -5 Not Available IT20.79 Abd: Gastric Tubes Nare Left/Right -10 Not Known IT20.79 Abd: Gastric Tubes Nare Left/Right -20 Not Recorded IT20.79 Abd: Gastric Tubes Nare Left/Right -15 Not Reporting IT20.8 Circ: Pulse Left - Radial 3508000 1 + IT20.8 Circ: Pulse Left - Radial 3508001 2 + IT20.8 Circ: Pulse Left - Radial 3508002 3 + IT20.8 Circ: Pulse Left - Radial 3508003 Absent IT20.8 Circ: Pulse Left - Radial -20 Not Recorded IT20.8 Circ: Pulse Left - Radial -25 Not Applicable IT20.8 Circ: Pulse Left - Radial -10 Not Known IT20.8 Circ: Pulse Left - Radial -5 Not Available IT20.80 Abd: Gastric Tubes Suction 846000 Clamped IT20.80 Abd: Gastric Tubes Suction 846001 Gravity IT20.80 Abd: Gastric Tubes Suction 846002 Suction IT20.80 Abd: Gastric Tubes Suction -25 Not Applicable IT20.80 Abd: Gastric Tubes Suction -5 Not Available IT20.80 Abd: Gastric Tubes Suction -10 Not Known IT20.80 Abd: Gastric Tubes Suction -20 Not Recorded IT20.80 Abd: Gastric Tubes Suction -15 Not Reporting IT20.81 Resp: Aeration Left 999004 Absent IT20.81 Resp: Aeration Left 999002 Diminished IT20.81 Resp: Aeration Left 999001 Fair IT20.81 Resp: Aeration Left 999000 Good IT20.81 Resp: Aeration Left 999005 Other IT20.81 Resp: Aeration Left 999003 Poor IT20.82 Resp: Aeration Right 1000004 Absent IT20.82 Resp: Aeration Right 1000002 Diminished IT20.82 Resp: Aeration Right 1000001 Fair IT20.82 Resp: Aeration Right 1000000 Good IT20.82 Resp: Aeration Right 1000005 Other IT20.82 Resp: Aeration Right 1000003 Poor IT20.83 Resp: Lung Sounds Left 1001000 Clear IT20.83 Resp: Lung Sounds Left 1001001 Coarse IT20.83 Resp: Lung Sounds Left 1001002 Expiratory Wheeze IT20.83 Resp: Lung Sounds Left 1001003 Inspiratory Wheeze IT20.83 Resp: Lung Sounds Left 1001005 Rales IT20.83 Resp: Lung Sounds Left 1001004 Rhonchi IT20.83 Resp: Lung Sounds Left 1001006 Stridor IT20.84 Resp: Lung Sounds Right 1002000 Clear IT20.84 Resp: Lung Sounds Right 1002001 Coarse IT20.84 Resp: Lung Sounds Right 1002002 Expiratory Wheeze IT20.84 Resp: Lung Sounds Right 1002003 Inspiratory Wheeze IT20.84 Resp: Lung Sounds Right 1002005 Rales IT20.84 Resp: Lung Sounds Right 1002004 Rhonchi IT20.84 Resp: Lung Sounds Right 1002006 Stridor IT20.9 Circ: Pulse Left - Femoral 3509000 1 + IT20.9 Circ: Pulse Left - Femoral 3509001 2 + IT20.9 Circ: Pulse Left - Femoral 3509002 3 + IT20.9 Circ: Pulse Left - Femoral 3509003 Absent IT20.9 Circ: Pulse Left - Femoral -20 Not Recorded IT20.9 Circ: Pulse Left - Femoral -25 Not Applicable IT20.9 Circ: Pulse Left - Femoral -10 Not Known IT20.9 Circ: Pulse Left - Femoral -5 Not Available IT23.1 Hospital Designations 145013 Base Hospital IT23.1 Hospital Designations 145009 Burn Center IT23.1 Hospital Designations 145000 Hospital (General) IT23.1 Hospital Designations 145011 Neonatal Center IT23.1 Hospital Designations 145010 Pediatric Center IT23.1 Hospital Designations 145012 Rehab Center IT23.1 Hospital Designations 145006 Rural Access Hospital IT23.1 Hospital Designations 145007 STEMI Center (24/7) IT23.1 Hospital Designations 145008 Stroke Center IT23.1 Hospital Designations 145001 Trauma Center Level 1 IT23.1 Hospital Designations 145002 Trauma Center Level 2 IT23.1 Hospital Designations 145003 Trauma Center Level 3 IT23.1 Hospital Designations 145004 Trauma Center Level 4 IT23.1 Hospital Designations 145005 Trauma Center Level 5 Additional Delay in Receiving Appropriate IT29.12 Risks of Transfer 768002 Treatment IT29.12 Risks of Transfer 768000 Death IT29.12 Risks of Transfer 768001 Deterioration of Medical Condition IT29.12 Risks of Transfer 768003 Other IT29.12 Risks of Transfer -25 Not Applicable IT29.12 Risks of Transfer -5 Not Available IT29.12 Risks of Transfer -10 Not Known IT29.12 Risks of Transfer -20 Not Recorded IT29.12 Risks of Transfer -15 Not Reporting IT29.14 Consent Signed For Transfer 0 No IT29.14 Consent Signed For Transfer 1 Yes IT29.14 Consent Signed For Transfer -25 Not Applicable IT29.14 Consent Signed For Transfer -5 Not Available IT29.14 Consent Signed For Transfer -10 Not Known IT29.14 Consent Signed For Transfer -20 Not Recorded IT29.14 Consent Signed For Transfer -15 Not Reporting IT29.15 Advance Directive Attached 0 No IT29.15 Advance Directive Attached 1 Yes IT29.15 Advance Directive Attached -25 Not Applicable IT29.15 Advance Directive Attached -5 Not Available IT29.15 Advance Directive Attached -10 Not Known IT29.15 Advance Directive Attached -20 Not Recorded IT29.15 Advance Directive Attached -15 Not Reporting IT29.7 Accepting Hospital Notified 0 No IT29.7 Accepting Hospital Notified 1 Yes IT29.7 Accepting Hospital Notified -25 Not Applicable IT29.7 Accepting Hospital Notified -5 Not Available IT29.7 Accepting Hospital Notified -10 Not Known IT29.7 Accepting Hospital Notified -20 Not Recorded IT29.7 Accepting Hospital Notified -15 Not Reporting IT30.3 Contact Type For Follow-Up 814000 Accepting MD IT30.3 Contact Type For Follow-Up 814003 Other IT30.3 Contact Type For Follow-Up 814002 PCP (Primary Care Provider) IT30.3 Contact Type For Follow-Up 814001 RN IT30.3 Contact Type For Follow-Up -25 Not Applicable IT30.3 Contact Type For Follow-Up -5 Not Available IT30.3 Contact Type For Follow-Up -10 Not Known IT30.3 Contact Type For Follow-Up -20 Not Recorded IT30.3 Contact Type For Follow-Up -15 Not Reporting IT4.11 Controlled Substance Amount Units 213001 mg IT4.11 Controlled Substance Amount Units 213002 mcg IT4.11 Controlled Substance Amount Units -20 Not Recorded IT4.11 Controlled Substance Amount Units -25 Not Applicable IT4.11 Controlled Substance Amount Units -10 Not Known IT4.11 Controlled Substance Amount Units -5 Not Available IT4.18 Signature Status/Reason Unable To Sign -25 Not Applicable IT4.18 Signature Status/Reason Unable To Sign -5 Not Available IT4.18 Signature Status/Reason Unable To Sign -10 Not Known IT4.18 Signature Status/Reason Unable To Sign -20 Not Recorded IT4.18 Signature Status/Reason Unable To Sign -15 Not Reporting IT5.12 ALS Unit Special Call 1 Yes IT5.12 ALS Unit Special Call 0 No IT5.12 ALS Unit Special Call -25 Not Applicable IT5.12 ALS Unit Special Call -10 Not Known IT5.12 ALS Unit Special Call -5 Not Available IT5.13 First EMS Unit Arriving -25 Not Applicable IT5.13 First EMS Unit Arriving -10 Not Known IT5.13 First EMS Unit Arriving -5 Not Available IT5.14 Other Responding Unit Code -25 Not Applicable IT5.16 Unit Type 365001 ALS IT5.16 Unit Type 365002 BLS IT5.16 Unit Type 365003 PFR IT5.16 Unit Type -25 Not Applicable IT5.16 Unit Type -10 Not Known IT5.16 Unit Type -5 Not Available IT5.17 Conveyed By 366001 FD ALS Unit IT5.17 Conveyed By 366002 FD BLS Unit IT5.17 Conveyed By 366003 Pvt. Ambulance IT5.17 Conveyed By 366004 Other IT5.17 Conveyed By 366005 Air-Medical Unit IT5.17 Conveyed By -25 Not Applicable IT5.17 Conveyed By -10 Not Known IT5.17 Conveyed By -5 Not Available IT5.18 MVC Number Of Vehicles 367001 Single IT5.18 MVC Number Of Vehicles 367002 Multiple IT5.18 MVC Number Of Vehicles -25 Not Applicable IT5.18 MVC Number Of Vehicles -10 Not Known IT5.18 MVC Number Of Vehicles -5 Not Available IT5.19 Exterior Damage 368001 Minor IT5.19 Exterior Damage 368002 Moderate IT5.19 Exterior Damage 368003 Major IT5.19 Exterior Damage 368004 None IT5.19 Exterior Damage -25 Not Applicable IT5.19 Exterior Damage -10 Not Known IT5.19 Exterior Damage -5 Not Available IT5.20 Dispatch Level -25 Not Applicable IT5.20 Dispatch Level 369002 BLS IT5.20 Dispatch Level 369001 ALS IT5.20 Dispatch Level -10 Not Known IT5.20 Dispatch Level -5 Not Available IT5.23 Base (Hospital) Contacted -25 Not Applicable IT5.23 Base (Hospital) Contacted -10 Not Known IT5.23 Base (Hospital) Contacted -5 Not Available IT5.23 Base (Hospital) Contacted -20 Not Recorded IT5.23 Base (Hospital) Contacted -15 Not Reporting IT5.24 Disaster Related Incident #1 0 No IT5.24 Disaster Related Incident #1 1 Yes IT5.24 Disaster Related Incident #1 -25 Not Applicable IT5.24 Disaster Related Incident #1 -5 Not Available IT5.24 Disaster Related Incident #1 -10 Not Known IT5.36 Receiving Hospital Unit 335401 STEMI IT5.36 Receiving Hospital Unit 335402 CPR IT5.36 Receiving Hospital Unit 335403 Burn IT5.36 Receiving Hospital Unit 335404 Trauma IT5.36 Receiving Hospital Unit -25 Not Applicable IT5.36 Receiving Hospital Unit -5 Not Available IT5.36 Receiving Hospital Unit -10 Not Known IT5.36 Receiving Hospital Unit -20 Not Recorded IT5.36 Receiving Hospital Unit -15 Not Reporting IT5.38 EMS Shift -25 Not Applicable IT5.38 EMS Shift -5 Not Available IT5.38 EMS Shift -10 Not Known IT5.38 EMS Shift -20 Not Recorded IT5.38 EMS Shift -15 Not Reporting IT5.49 Level of Service Provided 384000 BLS Only IT5.49 Level of Service Provided 384001 ALS Evaluation / BLS IT5.49 Level of Service Provided 384002 ALS No-Contact IT5.49 Level of Service Provided 384003 ALS (Base Hospital Contact) IT5.49 Level of Service Provided -25 Not Applicable IT5.49 Level of Service Provided -5 Not Available IT5.49 Level of Service Provided -10 Not Known IT5.49 Level of Service Provided -20 Not Recorded IT5.49 Level of Service Provided -15 Not Reporting IT5.51 PSAP / Dispatch Center -25 Not Applicable IT5.51 PSAP / Dispatch Center -5 Not Available IT5.51 PSAP / Dispatch Center -10 Not Known IT5.51 PSAP / Dispatch Center -20 Not Recorded IT5.51 PSAP / Dispatch Center -15 Not Reporting IT5.52 Incident Area Classification 387000 Urban IT5.52 Incident Area Classification 387001 Suburban IT5.52 Incident Area Classification 387002 Rural IT5.52 Incident Area Classification 387003 Wilderness IT5.52 Incident Area Classification -25 Not Applicable IT5.52 Incident Area Classification -5 Not Available IT5.52 Incident Area Classification -10 Not Known IT5.52 Incident Area Classification -20 Not Recorded IT5.52 Incident Area Classification -15 Not Reporting IT5.6 Motor Vehicle Type -20 Not Recorded IT5.6 Motor Vehicle Type -15 Not Reporting IT5.6 Motor Vehicle Type 960009 Aircraft IT5.6 Motor Vehicle Type 960006 ATV IT5.6 Motor Vehicle Type 960004 Bus IT5.6 Motor Vehicle Type 960000 Car IT5.6 Motor Vehicle Type 960005 Motorcycle IT5.6 Motor Vehicle Type 960003 Semi IT5.6 Motor Vehicle Type 960007 Snowmobile IT5.6 Motor Vehicle Type 960010 SUV - Compact IT5.6 Motor Vehicle Type 960012 SUV - Fullsize IT5.6 Motor Vehicle Type 960011 SUV - Midsize IT5.6 Motor Vehicle Type 960001 Truck IT5.6 Motor Vehicle Type 960002 Van IT5.6 Motor Vehicle Type 960008 Watercraft IT5.6 Motor Vehicle Type -25 Not Applicable IT5.6 Motor Vehicle Type -10 Not Known IT5.6 Motor Vehicle Type -5 Not Available IT5.68 Last Oral Intake Type 691001 Liquids IT5.68 Last Oral Intake Type 691000 Solids IT5.68 Last Oral Intake Type -25 Not Applicable IT5.68 Last Oral Intake Type -5 Not Available IT5.68 Last Oral Intake Type -10 Not Known IT5.68 Last Oral Intake Type -20 Not Recorded IT5.68 Last Oral Intake Type -15 Not Reporting IT5.69 Turn-Out Time Delay 743000 Staff Issue IT5.69 Turn-Out Time Delay 743001 Truck Problem IT5.69 Turn-Out Time Delay 743002 Radio Traffic IT5.69 Turn-Out Time Delay 743003 Incorrect Time Recorded By Dispatch IT5.69 Turn-Out Time Delay 743004 Flight Planning/Coordination Did Not Receive Initial Dispatch (No Tones IT5.69 Turn-Out Time Delay 743005 Or Voice Activation) IT5.69 Turn-Out Time Delay 743006 Other IT5.69 Turn-Out Time Delay -25 Not Applicable IT5.69 Turn-Out Time Delay -5 Not Available IT5.69 Turn-Out Time Delay -10 Not Known IT5.69 Turn-Out Time Delay -20 Not Recorded IT5.69 Turn-Out Time Delay -15 Not Reporting IT5.7 Last Oral Intake Date and Time -20 Not Recorded IT5.7 Last Oral Intake Date and Time -15 Not Reporting IT5.7 Last Oral Intake Date and Time -25 Not Applicable IT5.7 Last Oral Intake Date and Time -10 Not Known IT5.7 Last Oral Intake Date and Time -5 Not Available IT5.70 Last Oral Intake Timeframe 895001 Afternoon IT5.70 Last Oral Intake Timeframe 895002 Evening IT5.70 Last Oral Intake Timeframe 895000 Morning IT5.70 Last Oral Intake Timeframe -25 Not Applicable IT5.70 Last Oral Intake Timeframe -5 Not Available IT5.70 Last Oral Intake Timeframe -10 Not Known IT5.70 Last Oral Intake Timeframe -20 Not Recorded IT5.70 Last Oral Intake Timeframe -15 Not Reporting IT5.8 Who called 911? 962002 3rd Party IT5.8 Who called 911? 962001 Family IT5.8 Who called 911? 962003 Other at pt/fam. request IT5.8 Who called 911? 962000 Patient IT5.8 Who called 911? 962004 Unknown IT5.8 Who called 911? -25 Not Applicable IT6.1 Degree of Burn 1 1st Degree IT6.1 Degree of Burn 2 2nd Degree IT6.1 Degree of Burn 3 3rd Degree IT7.10 Abdomen Initial 929001 Abnormal sounds present IT7.10 Abdomen Initial 929000 No sounds = normal IT7.10 Abdomen Initial -20 Not Recorded IT7.10 Abdomen Initial -15 Not Reporting IT7.10 Abdomen Initial -25 Not Applicable IT7.10 Abdomen Initial -10 Not Known IT7.10 Abdomen Initial -5 Not Available IT7.102 CMS Prior To 143000 Intact IT7.102 CMS Prior To 143001 Not Intact IT7.102 CMS Prior To -20 Not Recorded IT7.102 CMS Prior To -25 Not Applicable IT7.102 CMS Prior To -10 Not Known IT7.102 CMS Prior To -5 Not Available IT7.103 CMS After 144000 Intact IT7.103 CMS After 144001 Not Intact IT7.103 CMS After -20 Not Recorded IT7.103 CMS After -25 Not Applicable IT7.103 CMS After -10 Not Known IT7.103 CMS After -5 Not Available IT7.11 Abdomen Final 930001 Abnormal sounds present IT7.11 Abdomen Final 930000 No sounds = normal IT7.11 Abdomen Final -20 Not Recorded IT7.11 Abdomen Final -15 Not Reporting IT7.11 Abdomen Final -25 Not Applicable IT7.11 Abdomen Final -10 Not Known IT7.11 Abdomen Final -5 Not Available IT7.12 Tube Misting Initial 0 Negative IT7.12 Tube Misting Initial -20 Not Recorded IT7.12 Tube Misting Initial -15 Not Reporting IT7.12 Tube Misting Initial 1 Positive IT7.12 Tube Misting Initial -25 Not Applicable IT7.12 Tube Misting Initial -10 Not Known IT7.12 Tube Misting Initial -5 Not Available IT7.13 Tube Misting Final 0 Negative IT7.13 Tube Misting Final -20 Not Recorded IT7.13 Tube Misting Final -15 Not Reporting IT7.13 Tube Misting Final 1 Positive IT7.13 Tube Misting Final -25 Not Applicable IT7.13 Tube Misting Final -10 Not Known IT7.13 Tube Misting Final -5 Not Available IT7.14 Recheck at Hospital Initial 931001 Displaced-Tube Removed IT7.14 Recheck at Hospital Initial 931002 NA-patient not moved IT7.14 Recheck at Hospital Initial -20 Not Recorded IT7.14 Recheck at Hospital Initial -15 Not Reporting IT7.14 Recheck at Hospital Initial 931000 Tube in place IT7.14 Recheck at Hospital Initial -25 Not Applicable IT7.14 Recheck at Hospital Initial -10 Not Known IT7.14 Recheck at Hospital Initial -5 Not Available IT7.15 Recheck at Hospital Final 932001 Displaced-Tube Removed IT7.15 Recheck at Hospital Final 932002 NA-patient not moved IT7.15 Recheck at Hospital Final -20 Not Recorded IT7.15 Recheck at Hospital Final -15 Not Reporting IT7.15 Recheck at Hospital Final 932000 Tube in place IT7.15 Recheck at Hospital Final -25 Not Applicable IT7.15 Recheck at Hospital Final -10 Not Known IT7.15 Recheck at Hospital Final -5 Not Available IT7.18 ETCO2 Dectector Color Initial -20 Not Recorded IT7.18 ETCO2 Dectector Color Initial -15 Not Reporting IT7.18 ETCO2 Dectector Color Initial 933001 Purple to tan IT7.18 ETCO2 Dectector Color Initial 933000 Purple to Yellow (Yes) IT7.18 ETCO2 Dectector Color Initial 933002 Purple without change IT7.18 ETCO2 Dectector Color Initial 933003 Unable to determine IT7.18 ETCO2 Dectector Color Initial -25 Not Applicable IT7.18 ETCO2 Dectector Color Initial -10 Not Known IT7.18 ETCO2 Dectector Color Initial -5 Not Available IT7.19 ETCO2 Dectector Color Final -20 Not Recorded IT7.19 ETCO2 Dectector Color Final -15 Not Reporting IT7.19 ETCO2 Dectector Color Final 934001 Purple to tan IT7.19 ETCO2 Dectector Color Final 934000 Purple to Yellow (Yes) IT7.19 ETCO2 Dectector Color Final 934002 Purple without change IT7.19 ETCO2 Dectector Color Final 934003 Unable to determine IT7.19 ETCO2 Dectector Color Final -25 Not Applicable IT7.19 ETCO2 Dectector Color Final -10 Not Known IT7.19 ETCO2 Dectector Color Final -5 Not Available IT7.24 Procedure Location -20 Not Recorded IT7.24 Procedure Location -15 Not Reporting IT7.24 Procedure Location 963000 Antecubital-Left IT7.24 Procedure Location 963001 Antecubital-Right IT7.24 Procedure Location 963002 External Jugular-Left IT7.24 Procedure Location 963003 External Jugular-Right IT7.24 Procedure Location 963005 Femoral-Left Distal IO IT7.24 Procedure Location 963004 Femoral-Left IV IT7.24 Procedure Location 963007 Femoral-Right Distal IO IT7.24 Procedure Location 963006 Femoral-Right IV IT7.24 Procedure Location 963008 Forearm-Left IT7.24 Procedure Location 963009 Forearm-Right IT7.24 Procedure Location 963010 Hand-Left IT7.24 Procedure Location 963011 Hand-Right IT7.24 Procedure Location 963022 Humeral Head IO-Left IT7.24 Procedure Location 963023 Humeral Head IO-Right IT7.24 Procedure Location 963012 Lower Extremity-Left IT7.24 Procedure Location 963013 Lower Extremity-Right IT7.24 Procedure Location 963014 Other IT7.24 Procedure Location 963015 Scalp IT7.24 Procedure Location 963016 Sternal IO IT7.24 Procedure Location 963017 Tibia IO-Left IT7.24 Procedure Location 963018 Tibia IO-Right IT7.24 Procedure Location 963019 Umbilical IT7.24 Procedure Location 963020 Wrist-Left IT7.24 Procedure Location 963021 Wrist-Right IT7.24 Procedure Location 963024 Abdomen IT7.24 Procedure Location 963025 Arm-Left IT7.24 Procedure Location 963026 Arm-Right IT7.24 Procedure Location 963027 Back IT7.24 Procedure Location 963028 Chest-Left IT7.24 Procedure Location 963029 Chest-Right IT7.24 Procedure Location 963030 Eye-Left IT7.24 Procedure Location 963031 Eye-Right IT7.24 Procedure Location 963032 Eyes-Both IT7.24 Procedure Location 963033 Foot-Left IT7.24 Procedure Location 963034 Foot-Right IT7.24 Procedure Location 963035 GI/GU IT7.24 Procedure Location 963036 Head IT7.24 Procedure Location 963037 Mouth IT7.24 Procedure Location 963038 Neck IT7.24 Procedure Location 963039 Nose IT7.24 Procedure Location 963041 Tibia Distal IO-Left IT7.24 Procedure Location 963040 Pelvis IT7.24 Procedure Location 963042 Tibia Distal IO-Right IT7.24 Procedure Location -25 Not Applicable IT7.24 Procedure Location -10 Not Known IT7.24 Procedure Location -5 Not Available IT7.25 Method of Securing ETT -20 Not Recorded IT7.25 Method of Securing ETT -15 Not Reporting IT7.25 Method of Securing ETT 964000 Tube Tamer IT7.25 Method of Securing ETT 964001 Tie IT7.25 Method of Securing ETT 964002 Tape IT7.25 Method of Securing ETT -25 Not Applicable IT7.25 Method of Securing ETT -10 Not Known IT7.25 Method of Securing ETT -5 Not Available IT7.26 ETT Placement Verification -20 Not Recorded IT7.26 ETT Placement Verification -15 Not Reporting IT7.26 ETT Placement Verification 965000 Trachea IT7.26 ETT Placement Verification 965001 Mainstem Bronchus IT7.26 ETT Placement Verification 965002 Esophagus IT7.26 ETT Placement Verification 965003 Pharynx/Hypopharynx IT7.26 ETT Placement Verification -25 Not Applicable IT7.26 ETT Placement Verification -10 Not Known IT7.26 ETT Placement Verification -5 Not Available IT7.27 ETT Findings -20 Not Recorded IT7.27 ETT Findings -15 Not Reporting IT7.27 ETT Findings 966000 Soft Tissue Injury IT7.27 ETT Findings 966001 Injury to Teeth IT7.27 ETT Findings 966002 Evidence of Aspiration IT7.27 ETT Findings 966003 Leaky Cuff IT7.27 ETT Findings 966004 No Problems/Complications IT7.27 ETT Findings -25 Not Applicable IT7.27 ETT Findings -10 Not Known IT7.27 ETT Findings -5 Not Available IT7.28 ETT Method -20 Not Recorded IT7.28 ETT Method -15 Not Reporting IT7.28 ETT Method 967000 Direct Visualization IT7.28 ETT Method 967001 X-Ray IT7.28 ETT Method 967002 Auscultation/Observation of chest IT7.28 ETT Method 967003 Other Verification Method IT7.28 ETT Method -25 Not Applicable IT7.28 ETT Method -10 Not Known IT7.28 ETT Method -5 Not Available IT7.4 Breath Sounds Initial 0 Negative IT7.4 Breath Sounds Initial -20 Not Recorded IT7.4 Breath Sounds Initial -15 Not Reporting IT7.4 Breath Sounds Initial 1 Positive IT7.4 Breath Sounds Initial -25 Not Applicable IT7.4 Breath Sounds Initial -10 Not Known IT7.4 Breath Sounds Initial -5 Not Available IT7.44 Wave Form Present 0 No IT7.44 Wave Form Present 1 Yes IT7.44 Wave Form Present -25 Not Applicable IT7.44 Wave Form Present -20 Not Recorded IT7.44 Wave Form Present -10 Not Known IT7.44 Wave Form Present -5 Not Available IT7.45 Breath Sounds-Left 0 No IT7.45 Breath Sounds-Left 1 Yes IT7.45 Breath Sounds-Left -25 Not Applicable IT7.45 Breath Sounds-Left -10 Not Known IT7.45 Breath Sounds-Left -5 Not Available IT7.45 Breath Sounds-Left -20 Not Recorded IT7.45 Breath Sounds-Left -15 Not Reporting IT7.46 Esophageal Detector Device: Inflates 0 No IT7.46 Esophageal Detector Device: Inflates 1 Yes IT7.46 Esophageal Detector Device: Inflates -25 Not Applicable IT7.46 Esophageal Detector Device: Inflates -20 Not Recorded IT7.46 Esophageal Detector Device: Inflates -10 Not Known IT7.46 Esophageal Detector Device: Inflates -5 Not Available Esophageal Detector Device: Syringe Draws IT7.47 Back 0 No Esophageal Detector Device: Syringe Draws IT7.47 Back 1 Yes Esophageal Detector Device: Syringe Draws IT7.47 Back -25 Not Applicable Esophageal Detector Device: Syringe Draws IT7.47 Back -20 Not Recorded Esophageal Detector Device: Syringe Draws IT7.47 Back -10 Not Known Esophageal Detector Device: Syringe Draws IT7.47 Back -5 Not Available IT7.48 Airway Measured At 3018001 Lips IT7.48 Airway Measured At 3018002 Teeth IT7.48 Airway Measured At -25 Not Applicable IT7.48 Airway Measured At -10 Not Known IT7.48 Airway Measured At -5 Not Available IT7.48 Airway Measured At -20 Not Recorded IT7.48 Airway Measured At -15 Not Reporting IT7.49 Breath Sounds-Right 0 No IT7.49 Breath Sounds-Right 1 Yes IT7.49 Breath Sounds-Right -25 Not Applicable IT7.49 Breath Sounds-Right -10 Not Known IT7.49 Breath Sounds-Right -5 Not Available IT7.49 Breath Sounds-Right -20 Not Recorded IT7.49 Breath Sounds-Right -15 Not Reporting IT7.5 Breath Sounds Final 0 Negative IT7.5 Breath Sounds Final -20 Not Recorded IT7.5 Breath Sounds Final -15 Not Reporting IT7.5 Breath Sounds Final 1 Positive IT7.5 Breath Sounds Final -25 Not Applicable IT7.5 Breath Sounds Final -10 Not Known IT7.5 Breath Sounds Final -5 Not Available IT7.55 Chest Rise-Left 0 No IT7.55 Chest Rise-Left 1 Yes IT7.55 Chest Rise-Left -20 Not Recorded IT7.55 Chest Rise-Left -25 Not Applicable IT7.55 Chest Rise-Left -10 Not Known IT7.55 Chest Rise-Left -5 Not Available IT7.56 Chest Rise-Right 0 No IT7.56 Chest Rise-Right 1 Yes IT7.56 Chest Rise-Right -20 Not Recorded IT7.56 Chest Rise-Right -25 Not Applicable IT7.56 Chest Rise-Right -10 Not Known IT7.56 Chest Rise-Right -5 Not Available IT7.6 Chest Inital 0 Negative IT7.6 Chest Inital -20 Not Recorded IT7.6 Chest Inital -15 Not Reporting IT7.6 Chest Inital 1 Positive IT7.6 Chest Inital -25 Not Applicable IT7.6 Chest Inital -10 Not Known IT7.6 Chest Inital -5 Not Available IT7.61 Medication/Dose Verified By -20 Not Recorded IT7.61 Medication/Dose Verified By -15 Not Reporting IT7.61 Medication/Dose Verified By -25 Not Applicable IT7.61 Medication/Dose Verified By -10 Not Known IT7.61 Medication/Dose Verified By -5 Not Available IT7.63 Esophageal Detector Device 3071001 Free Pull IT7.63 Esophageal Detector Device 3071002 Resistance IT7.63 Esophageal Detector Device 3071003 Unable to Determine IT7.63 Esophageal Detector Device 3071004 NA for Peds Pt IT7.63 Esophageal Detector Device 3071005 Bulb reinflates IT7.63 Esophageal Detector Device 3071006 Bulb stays compressed IT7.64 Gastric Sounds 0 No IT7.64 Gastric Sounds 1 Yes IT7.64 Gastric Sounds -20 Not Recorded IT7.64 Gastric Sounds -25 Not Applicable IT7.64 Gastric Sounds -10 Not Known IT7.64 Gastric Sounds -5 Not Available IT7.65 Tube Misting 0 No IT7.65 Tube Misting 1 Yes IT7.65 Tube Misting -20 Not Recorded IT7.65 Tube Misting -25 Not Applicable IT7.65 Tube Misting -10 Not Known IT7.65 Tube Misting -5 Not Available Visualized Tube passed through Vocal IT7.66 Verify Tube Placement 3074001 Cords IT7.66 Verify Tube Placement 3074002 Displaced - Tube Removed IT7.66 Verify Tube Placement 3074003 NA - Patient Not Moved IT7.66 Verify Tube Placement 3074004 Chest X-Ray Verified IT7.66 Verify Tube Placement 3074005 Chest X-Ray Not Available IT7.68 ETCO2-Colormetric 3076001 Purple to Yellow IT7.68 ETCO2-Colormetric 3076002 Purple to Tan IT7.68 ETCO2-Colormetric 3076003 Purple without Change IT7.68 ETCO2-Colormetric 3076004 Unable to Determine IT7.7 Chest Final 0 Negative IT7.7 Chest Final -20 Not Recorded IT7.7 Chest Final -15 Not Reporting IT7.7 Chest Final 1 Positive IT7.7 Chest Final -25 Not Applicable IT7.7 Chest Final -10 Not Known IT7.7 Chest Final -5 Not Available IT7.70 Procedure Site Verified By -20 Not Recorded IT7.70 Procedure Site Verified By -15 Not Reporting IT7.70 Procedure Site Verified By -25 Not Applicable IT7.70 Procedure Site Verified By -10 Not Known IT7.70 Procedure Site Verified By -5 Not Available IT7.71 Preoxygenation Done 0 No IT7.71 Preoxygenation Done 1 Yes IT7.71 Preoxygenation Done -20 Not Recorded IT7.71 Preoxygenation Done -25 Not Applicable IT7.71 Preoxygenation Done -10 Not Known IT7.71 Preoxygenation Done -5 Not Available IT7.78 Airway POGO Score 3406001 Grade 1 IT7.78 Airway POGO Score 3406002 Grade 2 IT7.78 Airway POGO Score 3406003 Grade 3 IT7.78 Airway POGO Score -20 Not Recorded IT7.78 Airway POGO Score -25 Not Applicable IT7.78 Airway POGO Score -10 Not Known IT7.78 Airway POGO Score -5 Not Available IT7.8 E.D.D (TOOMEY) Initial 927000 Free Pull IT7.8 E.D.D (TOOMEY) Initial 927003 NA for Peds IT7.8 E.D.D (TOOMEY) Initial -20 Not Recorded IT7.8 E.D.D (TOOMEY) Initial -15 Not Reporting IT7.8 E.D.D (TOOMEY) Initial 927001 Resistance IT7.8 E.D.D (TOOMEY) Initial 927002 Unable to determine IT7.8 E.D.D (TOOMEY) Initial -25 Not Applicable IT7.8 E.D.D (TOOMEY) Initial -10 Not Known IT7.8 E.D.D (TOOMEY) Initial -5 Not Available IT7.83 Medication Site 3411001 Abdomen IT7.83 Medication Site 3411002 Antecubital-Left IT7.83 Medication Site 3411003 Antecubital-Right IT7.83 Medication Site 3411004 Arm-Left IT7.83 Medication Site 3411005 Arm-Right IT7.83 Medication Site 3411006 Assessment-Global IT7.83 Medication Site 3411007 Back IT7.83 Medication Site 3411008 Chest IT7.83 Medication Site 3411009 Chest-Left IT7.83 Medication Site 3411010 Chest-Right IT7.83 Medication Site 3411011 Ear-Left IT7.83 Medication Site 3411012 Ear-Right IT7.83 Medication Site 3411013 Esophagus IT7.83 Medication Site 3411014 External Jugular-Left IT7.83 Medication Site 3411015 External Jugular-Right IT7.83 Medication Site 3411016 Eye-Left IT7.83 Medication Site 3411017 Eye-Right IT7.83 Medication Site 3411018 Eyes-Both IT7.83 Medication Site 3411019 Foot-Left IT7.83 Medication Site 3411020 Foot-Right IT7.83 Medication Site 3411021 Forearm-Left IT7.83 Medication Site 3411022 Forearm-Right IT7.83 Medication Site 3411023 GI/GU IT7.83 Medication Site 3411024 Hand-Left IT7.83 Medication Site 3411025 Hand-Right IT7.83 Medication Site 3411026 Head IT7.83 Medication Site 3411027 Humeral Head IOLeft IT7.83 Medication Site 3411028 Humeral Head IORight IT7.83 Medication Site 3411029 Lower Extremity-Left IT7.83 Medication Site 3411030 Lower Extremity-Right IT7.83 Medication Site 3411031 Mainstem Bronchus IT7.83 Medication Site 3411032 Mouth IT7.83 Medication Site 3411033 Neck IT7.83 Medication Site 3411034 Nose IT7.83 Medication Site 3411035 Other IT7.83 Medication Site 3411036 Pelvis IT7.83 Medication Site 3411037 Pharynx/Hypopharynx IT7.83 Medication Site 3411038 Scalp IT7.83 Medication Site 3411039 Sternal IO IT7.83 Medication Site 3411040 Tibia Distal IO-Left IT7.83 Medication Site 3411041 Tibia Distal IO-Right IT7.83 Medication Site 311042 Tibia Distal IO-Right IT7.83 Medication Site 3411042 Tibia Proximal IO-Left IT7.83 Medication Site 3411043 Tibia Proximal IO-Right IT7.83 Medication Site 3411044 Trachea IT7.83 Medication Site 3411045 Umbilical IT7.83 Medication Site 3411046 Wrist-Left IT7.83 Medication Site 3411047 Wrist-Right IT7.83 Medication Site -20 Not Recorded IT7.83 Medication Site -25 Not Applicable IT7.83 Medication Site -10 Not Known IT7.83 Medication Site -5 Not Available IT7.86 Condition of Site (values) 3414001 Grade 0 = No symptoms IT7.86 Condition of Site (values) 3414002 Grade 1 = Erythema at site w/ or w/o pain Grade 2 = Pain at site w/ erythema and/or IT7.86 Condition of Site (values) 3414003 edema Grade 3 = Pain at site w/ erythema and/or edema, streak formation, palpable venous IT7.86 Condition of Site (values) 3414004 cord Grade 4 = Pain at site w/ erythema and/or edema, streak formation, palpable venous IT7.86 Condition of Site (values) 3414005 cord > 1 inch in length, purulent drainage IT7.86 Condition of Site (values) -20 Not Recorded IT7.86 Condition of Site (values) -25 Not Applicable IT7.86 Condition of Site (values) -10 Not Known IT7.86 Condition of Site (values) -5 Not Available IT7.9 E.D.D (TOOMEY) Final 928000 Free Pull IT7.9 E.D.D (TOOMEY) Final 928003 NA for Peds IT7.9 E.D.D (TOOMEY) Final -20 Not Recorded IT7.9 E.D.D (TOOMEY) Final -15 Not Reporting IT7.9 E.D.D (TOOMEY) Final 928001 Resistance IT7.9 E.D.D (TOOMEY) Final 928002 Unable to determine IT7.9 E.D.D (TOOMEY) Final -25 Not Applicable IT7.9 E.D.D (TOOMEY) Final -10 Not Known IT7.9 E.D.D (TOOMEY) Final -5 Not Available IT7.92 Laryngoscope Blade 954009 GlideScope #2 IT7.92 Laryngoscope Blade 954010 GlideScope #3 IT7.92 Laryngoscope Blade 954011 GlideScope #4 IT7.92 Laryngoscope Blade 954012 Grandview IT7.92 Laryngoscope Blade 954000 MacIntosh #1 IT7.92 Laryngoscope Blade 954001 MacIntosh #2 IT7.92 Laryngoscope Blade 954002 MacIntosh #3 IT7.92 Laryngoscope Blade 954003 MacIntosh #4 IT7.92 Laryngoscope Blade 954004 Miller #0 IT7.92 Laryngoscope Blade 954005 Miller #1 IT7.92 Laryngoscope Blade 954006 Miller #2 IT7.92 Laryngoscope Blade 954007 Miller #3 IT7.92 Laryngoscope Blade 954008 Miller #4 IT7.92 Laryngoscope Blade 954019 Wis-Hipple #0 IT7.92 Laryngoscope Blade 954018 Wis-Hipple #00 IT7.92 Laryngoscope Blade 954020 Wis-Hipple #1 IT7.92 Laryngoscope Blade 954021 Wis-Hipple #1.5 IT7.92 Laryngoscope Blade 954013 Wisconsin #0 IT7.92 Laryngoscope Blade 954014 Wisconsin #1 IT7.92 Laryngoscope Blade 954015 Wisconsin #2 IT7.92 Laryngoscope Blade 954016 Wisconsin #3 IT7.92 Laryngoscope Blade 954017 Wisconsin #4 IT7.93 IV Flushed Easily 1 Yes IT7.93 IV Flushed Easily 0 No IT7.93 IV Flushed Easily -20 Not Recorded IT7.93 IV Flushed Easily -25 Not Applicable IT7.93 IV Flushed Easily -10 Not Known IT7.93 IV Flushed Easily -5 Not Available IT8.1 Medically Necessary 0 No IT8.1 Medically Necessary -20 Not Recorded IT8.1 Medically Necessary -15 Not Reporting IT8.1 Medically Necessary 1 Yes IT8.1 Medically Necessary -25 Not Applicable IT8.1 Medically Necessary -10 Not Known IT8.1 Medically Necessary -5 Not Available IT8.11 Physical Restraints 0 No IT8.11 Physical Restraints -20 Not Recorded IT8.11 Physical Restraints -15 Not Reporting IT8.11 Physical Restraints 1 Yes IT8.11 Physical Restraints -25 Not Applicable IT8.11 Physical Restraints -10 Not Known IT8.11 Physical Restraints -5 Not Available IT8.12 Hospital Admit 0 No IT8.12 Hospital Admit -20 Not Recorded IT8.12 Hospital Admit -15 Not Reporting IT8.12 Hospital Admit 1 Yes IT8.12 Hospital Admit -25 Not Applicable IT8.12 Hospital Admit -10 Not Known IT8.12 Hospital Admit -5 Not Available IT8.13 MSP Reason 941008 Any Liability Insurance IT8.13 MSP Reason 941005 Black Lung Disabled Beneficiary Under Age 65 With IT8.13 MSP Reason 941007 LGHP ESRD Benif In 12 Month Coord Period With IT8.13 MSP Reason 941001 Employer Plan IT8.13 MSP Reason 941002 No Fault Insurance Including Auto/Other IT8.13 MSP Reason -20 Not Recorded IT8.13 MSP Reason -15 Not Reporting IT8.13 MSP Reason 941004 PHS Or Other Federal Agency IT8.13 MSP Reason 941006 VA IT8.13 MSP Reason 941003 Workers Comp Working Aged Benif/Spouse With Employer IT8.13 MSP Reason 941000 Plan IT8.13 MSP Reason -25 Not Applicable IT8.13 MSP Reason -10 Not Known IT8.13 MSP Reason -5 Not Available IT8.14 Patient Generation 943002 I IT8.14 Patient Generation 943003 II IT8.14 Patient Generation 943004 III IT8.14 Patient Generation 943005 IV IT8.14 Patient Generation 943000 Jr IT8.14 Patient Generation -20 Not Recorded IT8.14 Patient Generation -15 Not Reporting IT8.14 Patient Generation 943001 Sr IT8.14 Patient Generation -25 Not Applicable IT8.14 Patient Generation -10 Not Known IT8.14 Patient Generation -5 Not Available IT8.15 Patient Belongings 944003 Clothing IT8.15 Patient Belongings 944006 False Teeth IT8.15 Patient Belongings 944004 Glasses IT8.15 Patient Belongings 944005 ID Card/License IT8.15 Patient Belongings 944002 Insurance Card IT8.15 Patient Belongings 944007 Jewelry (Describe Below) IT8.15 Patient Belongings 944000 Medications IT8.15 Patient Belongings -20 Not Recorded IT8.15 Patient Belongings -15 Not Reporting IT8.15 Patient Belongings 944008 Other (Describe Below) IT8.15 Patient Belongings 944001 Wallet/Purse IT8.15 Patient Belongings -25 Not Applicable IT8.15 Patient Belongings -10 Not Known IT8.15 Patient Belongings -5 Not Available IT8.17 Patient Belongings Left With 945003 At Destination with Patient At Destination with Staff (includes Aeromed. IT8.17 Patient Belongings Left With 945002 staff) IT8.17 Patient Belongings Left With 945000 At Incident Location with Family/friends IT8.17 Patient Belongings Left With 945001 At Incident with Law Enforcements IT8.17 Patient Belongings Left With 945004 At Other (Describe Below) IT8.17 Patient Belongings Left With -20 Not Recorded IT8.17 Patient Belongings Left With -15 Not Reporting IT8.17 Patient Belongings Left With -25 Not Applicable IT8.17 Patient Belongings Left With -10 Not Known IT8.17 Patient Belongings Left With -5 Not Available AGAINST MEDICAL ADVICE, refuse medical care, transportation, and/or advice IT8.19 AMA Type 946000 by this agency. REFUSE SPECIFIC care, advice, or recommended destination as provided by IT8.19 AMA Type 946002 this agency. REQUEST RELEASE, as I do not feel my condition requires emergency care and/or IT8.19 AMA Type 946001 transportation by this agency. IT8.2 Moved by Stretcher 0 No IT8.2 Moved by Stretcher -20 Not Recorded IT8.2 Moved by Stretcher -15 Not Reporting IT8.2 Moved by Stretcher 1 Yes IT8.2 Moved by Stretcher -25 Not Applicable IT8.2 Moved by Stretcher -10 Not Known IT8.2 Moved by Stretcher -5 Not Available IT8.21 AMA Reason 947000 Chief Complaint resolved IT8.21 AMA Reason 947001 Feels ambulance transport not necessary IT8.21 AMA Reason 947003 Other IT8.21 AMA Reason 947002 Private tx to hospital/PMD available IT8.22 Alternate Plan 948004 Call PMD IT8.22 Alternate Plan 948001 Go home & monitor IT8.22 Alternate Plan 948005 Other IT8.22 Alternate Plan 948002 Private auto to hospital IT8.22 Alternate Plan 948003 Private auto to PMD IT8.22 Alternate Plan 948000 Stay home & monitor IT8.23 Who with Patient now? 949000 Family IT8.23 Who with Patient now? 949001 Friends IT8.23 Who with Patient now? 949003 Law Enforcement IT8.23 Who with Patient now? 949002 Legal Guardian/DDM IT8.23 Who with Patient now? 949005 Other IT8.23 Who with Patient now? 949004 Responsible Adult (i.e. School Nurse) IT8.24 Is Patient Oriented? 0 No IT8.24 Is Patient Oriented? -20 Not Recorded IT8.24 Is Patient Oriented? -15 Not Reporting IT8.24 Is Patient Oriented? 1 Yes IT8.24 Is Patient Oriented? -25 Not Applicable IT8.24 Is Patient Oriented? -10 Not Known IT8.24 Is Patient Oriented? -5 Not Available IT8.25 Is Patient Unimpaired? 0 No IT8.25 Is Patient Unimpaired? -20 Not Recorded IT8.25 Is Patient Unimpaired? -15 Not Reporting IT8.25 Is Patient Unimpaired? 1 Yes IT8.25 Is Patient Unimpaired? -25 Not Applicable IT8.25 Is Patient Unimpaired? -10 Not Known IT8.25 Is Patient Unimpaired? -5 Not Available IT8.26 Is Patient Competent? 0 No IT8.26 Is Patient Competent? -20 Not Recorded IT8.26 Is Patient Competent? -15 Not Reporting IT8.26 Is Patient Competent? 1 Yes IT8.26 Is Patient Competent? -25 Not Applicable IT8.26 Is Patient Competent? -10 Not Known IT8.26 Is Patient Competent? -5 Not Available Has Patient been advised that 911 can be IT8.27 reassessed? 0 No Has Patient been advised that 911 can be IT8.27 reassessed? -20 Not Recorded Has Patient been advised that 911 can be IT8.27 reassessed? -15 Not Reporting Has Patient been advised that 911 can be IT8.27 reassessed? 1 Yes Has Patient been advised that 911 can be IT8.27 reassessed? -25 Not Applicable Has Patient been advised that 911 can be IT8.27 reassessed? -10 Not Known Has Patient been advised that 911 can be IT8.27 reassessed? -5 Not Available Have Risks and Complications been IT8.28 discussed? 0 No Have Risks and Complications been IT8.28 discussed? 1 Yes Have Risks and Complications been IT8.28 discussed? -25 Not Applicable IT8.29 Is Patient 18 years of age? 0 No IT8.29 Is Patient 18 years of age? -20 Not Recorded IT8.29 Is Patient 18 years of age? -15 Not Reporting IT8.29 Is Patient 18 years of age? 1 Yes IT8.29 Is Patient 18 years of age? -25 Not Applicable IT8.29 Is Patient 18 years of age? -10 Not Known IT8.29 Is Patient 18 years of age? -5 Not Available IT8.3 Visible Hemorrhaging 0 No IT8.3 Visible Hemorrhaging -20 Not Recorded IT8.3 Visible Hemorrhaging -15 Not Reporting IT8.3 Visible Hemorrhaging 1 Yes IT8.3 Visible Hemorrhaging -25 Not Applicable IT8.3 Visible Hemorrhaging -10 Not Known IT8.3 Visible Hemorrhaging -5 Not Available
IT8.30 No medical care or only BLS care rendered? 0 No
IT8.30 No medical care or only BLS care rendered? -20 Not Recorded
IT8.30 No medical care or only BLS care rendered? -15 Not Reporting
IT8.30 No medical care or only BLS care rendered? 1 Yes
IT8.30 No medical care or only BLS care rendered? -25 Not Applicable
IT8.30 No medical care or only BLS care rendered? -10 Not Known
IT8.30 No medical care or only BLS care rendered? -5 Not Available IT8.4 Unconscious/Shock 0 No IT8.4 Unconscious/Shock -20 Not Recorded IT8.4 Unconscious/Shock -15 Not Reporting IT8.4 Unconscious/Shock 1 Yes IT8.4 Unconscious/Shock -25 Not Applicable IT8.4 Unconscious/Shock -10 Not Known IT8.4 Unconscious/Shock -5 Not Available IT8.5 Bed Confined Before 0 No IT8.5 Bed Confined Before -20 Not Recorded IT8.5 Bed Confined Before -15 Not Reporting IT8.5 Bed Confined Before 1 Yes IT8.5 Bed Confined Before -25 Not Applicable IT8.5 Bed Confined Before -10 Not Known IT8.5 Bed Confined Before -5 Not Available IT8.50 CMS Representative -20 Not Recorded IT8.50 CMS Representative -15 Not Reporting IT8.50 CMS Representative 998000 Patient's Legal Guardian IT8.50 CMS Representative 998001 Patient's Health Care Power of Attorney IT8.50 CMS Representative 998002 Person recv'g govt. benefits for patient Person arranging treatment or handles pt. IT8.50 CMS Representative 998003 affairs
Representative of agency/institute furnishing IT8.50 CMS Representative 998004 care, services, assistance to pt. IT8.50 CMS Representative -25 Not Applicable IT8.50 CMS Representative -10 Not Known IT8.50 CMS Representative -5 Not Available Physician Certification Statement (PCS) IT8.51 Form Obtained -25 Not Applicable Physician Certification Statement (PCS) IT8.51 Form Obtained -10 Not Known Physician Certification Statement (PCS) IT8.51 Form Obtained -5 Not Available Physician Certification Statement (PCS) IT8.51 Form Obtained 0 No Physician Certification Statement (PCS) IT8.51 Form Obtained 1 Yes IT8.6 Bed Confined After 0 No IT8.6 Bed Confined After -20 Not Recorded IT8.6 Bed Confined After -15 Not Reporting IT8.6 Bed Confined After 1 Yes IT8.6 Bed Confined After -25 Not Applicable IT8.6 Bed Confined After -10 Not Known IT8.6 Bed Confined After -5 Not Available IT8.7 Type of Transport 939000 Initial Trip IT8.7 Type of Transport -20 Not Recorded IT8.7 Type of Transport -15 Not Reporting IT8.7 Type of Transport 939001 Return Trip IT8.7 Type of Transport 939003 Round Trip IT8.7 Type of Transport 939002 Transfer Trip IT8.7 Type of Transport -25 Not Applicable IT8.7 Type of Transport -10 Not Known IT8.7 Type of Transport -5 Not Available IT8.74 AMA - Auto Pedestrian Collision 0 No IT8.74 AMA - Auto Pedestrian Collision 1 Yes IT8.75 AMA - Motorcycle Collision 0 No IT8.75 AMA - Motorcycle Collision 1 Yes IT8.8 Transported To/For 940000 Closest Facility IT8.8 Transported To/For -20 Not Recorded IT8.8 Transported To/For -15 Not Reporting IT8.8 Transported To/For 940002 Request of Family IT8.8 Transported To/For 940001 Request of Physician IT8.8 Transported To/For 940003 Specialized Care IT8.8 Transported To/For 940004 To Rehabilitation Center IT8.8 Transported To/For -25 Not Applicable IT8.8 Transported To/For -10 Not Known IT8.8 Transported To/For -5 Not Available IT9.20 Service Primary Contact 1 Yes IT9.20 Service Primary Contact 0 No IT9.21 Service Medical Control Director 1 Yes IT9.21 Service Medical Control Director 0 No IT9.8 Leave of Absence 982002 Disciplinary IT9.8 Leave of Absence 982001 Medical IT9.8 Leave of Absence 982000 Military IT9.8 Leave of Absence 982003 Personal TRC1.11 #1 ED Received Via 2010001 EMS TRC1.11 #1 ED Received Via 2010002 LERN Protocol TRC1.11 #1 ED Received Via 2010003 Patient Request TRC1.11 #1 ED Received Via 2010004 POV TRC1.12 #1 ED DC + 1 Yes TRC1.12 #1 ED DC + 0 No TRC1.12 #1 ED DC + -25 N/A TRC1.13 #1 ED DC + Service 2012001 ED Evaluation TRC1.13 #1 ED DC + Service 2012002 Neuro TRC1.13 #1 ED DC + Service 2012003 OB Trauma TRC1.13 #1 ED DC + Service 2012004 Ortho TRC1.13 #1 ED DC + Service 2012005 Peds Trauma TRC1.13 #1 ED DC + Service 2012006 Stabilization TRC1.14 #1 ED DC - 1 Yes TRC1.14 #1 ED DC - 0 No TRC1.14 #1 ED DC - -25 N/A TRC1.15 Impact of Diversion 2014001 Away by LERN TRC1.15 Impact of Diversion 2014002 Out of Region Transfer TRC1.16 Final Destination 2015001 ED Evaluation TRC1.16 Final Destination 2015002 Neuro TRC1.16 Final Destination 2015003 OB Trauma TRC1.16 Final Destination 2015004 Ortho TRC1.16 Final Destination 2015005 Peds Trauma TRC1.16 Final Destination 2015006 Stabilization TRC1.17 DC Received Via 2016001 LERN Protocol TRC1.17 DC Received Via 2016002 Patient Request TRC1.17 DC Received Via 2016003 Out of Region TRC1.18 DC Service 2017001 ED Evaluation TRC1.18 DC Service 2017002 Neuro TRC1.18 DC Service 2017003 OB Trauma TRC1.18 DC Service 2017004 Ortho TRC1.18 DC Service 2017005 Peds Trauma TRC1.18 DC Service 2017006 Stabilization TRC1.19 Impact to network if not definitive care 2018001 No LERN Impact TRC1.19 Impact to network if not definitive care 2018002 Out of Region Transfer TRC1.19 Impact to network if not definitive care 2018003 To by LERN TRC1.20 Region # DC Refusal 1 Yes TRC1.20 Region # DC Refusal 0 No TRC1.20 Region # DC Refusal -25 N/A TRC1.22 DC Refusal Reason 2021001 NO CT TRC1.22 DC Refusal Reason 2021002 NO ICU TRC1.22 DC Refusal Reason 2021003 NO Neuro TRC1.22 DC Refusal Reason 2021004 NO OB Trauma TRC1.22 DC Refusal Reason 2021005 No Ortho TRC1.22 DC Refusal Reason 2021006 No Peds Trauma TRC1.22 DC Refusal Reason 2021007 No Surgery TRC1.22 DC Refusal Reason 2021008 Region at Capacity TRC1.23 MD Routes to DC 1 Yes TRC1.23 MD Routes to DC 0 No TRC1.23 MD Routes to DC -25 N/A TRC1.24 DC Refusal = Transfer 1 Yes TRC1.24 DC Refusal = Transfer 0 No TRC1.24 DC Refusal = Transfer -25 N/A TRC1.27 MOI 2026001 Assault TRC1.27 MOI 2026002 ATV TRC1.27 MOI 2026003 Burns TRC1.27 MOI 2026004 Drowning TRC1.27 MOI 2026005 Fall TRC1.27 MOI 2026006 GSW TRC1.27 MOI 2026007 Home TRC1.27 MOI 2026008 MVA TRC1.27 MOI 2026009 Other TRC1.27 MOI 2026010 Pedestrian TRC1.27 MOI 2026011 Stabbing TRC1.27 MOI 2026012 Trauma TRC1.27 MOI 2026013 Work TRC1.28 Primary Injury 2027001 Blunt Adbomen TRC1.28 Primary Injury 2027002 Blunt Chest/Back TRC1.28 Primary Injury 2027003 Blunt Crush/Extremties TRC1.28 Primary Injury 2027004 Blunt Head/Neck TRC1.28 Primary Injury 2027005 Burns TRC1.28 Primary Injury 2027006 LERN- TRC1.28 Primary Injury 2027007 Penetrating Abdomen TRC1.28 Primary Injury 2027008 Penetrating Chect/Back TRC1.28 Primary Injury 2027009 Penetrating Extremity TRC1.28 Primary Injury 2027010 Penetrating Head/Neck TRC1.28 Primary Injury 2027011 Trauma Code TRC1.29 Location of Injury 2028001 Abdomen TRC1.29 Location of Injury 2028002 Chest TRC1.29 Location of Injury 2028003 Back TRC1.29 Location of Injury 2028004 Extremities TRC1.29 Location of Injury 2028005 Neck TRC1.29 Location of Injury 2028006 Head TRC1.31 Age Group 2030001 Adult (15-64) TRC1.31 Age Group 2030002 Geriatric (65+) TRC1.31 Age Group 2030003 Pediatric (14-) TRC1.32 Gender 2031001 Female TRC1.32 Gender 2031002 Male TRC1.36 Loss of Consciousness 1 Yes TRC1.36 Loss of Consciousness 0 No TRC1.36 Loss of Consciousness -25 N/A TRC1.39 Airway 2038001 Emergency Surgical Airway TRC1.39 Airway 2038002 Nasally Intubated TRC1.39 Airway 2038003 Orally Intubated TRC1.39 Airway 2038004 Oxygen via BVM Assisted Ventilations TRC1.39 Airway 2038005 Oxygen via Facemask TRC1.39 Airway 2038006 Oxygen via NC TRC1.39 Airway 2038007 Oxygen via NRB TRC1.40 Circulation 2039001 Bandaging TRC1.40 Circulation 2039002 Blood TRC1.40 Circulation 2039003 CPR TRC1.40 Circulation 2039004 IV TRC1.41 Splinting 2040001 Isolated Extremity TRC1.41 Splinting 2040002 Multiple Extremity TRC1.41 Splinting 2040003 Spinal Pkg TRC1.43 EMS Condition on Arrival 2042001 Stable TRC1.43 EMS Condition on Arrival 2042002 Stable for Transfer per ED Intervention TRC1.43 EMS Condition on Arrival 2042003 Stable for Transport per EMS Intervention TRC1.43 EMS Condition on Arrival 2042004 Unchanged TRC1.43 EMS Condition on Arrival 2042005 Unstable TRC1.44 #1 ED Condition on Arrival 2043001 Stable TRC1.44 #1 ED Condition on Arrival 2043002 Stable for Transfer per ED Intervention TRC1.44 #1 ED Condition on Arrival 2043003 Stable for Transport per EMS Intervention TRC1.44 #1 ED Condition on Arrival 2043004 Unchanged TRC1.44 #1 ED Condition on Arrival 2043005 Unstable TRC1.45 #1 ED Condition on Departure 2044001 Stable TRC1.45 #1 ED Condition on Departure 2044002 Stable for Transfer per ED Intervention TRC1.45 #1 ED Condition on Departure 2044003 Stable for Transport per EMS Intervention TRC1.45 #1 ED Condition on Departure 2044004 Unchanged TRC1.45 #1 ED Condition on Departure 2044005 Unstable TRC1.46 DC Condition on Arrival 2045001 Stable TRC1.46 DC Condition on Arrival 2045002 Stable for Transfer per ED Intervention TRC1.46 DC Condition on Arrival 2045003 Stable for Transport per EMS Intervention TRC1.46 DC Condition on Arrival 2045004 Unchanged TRC1.46 DC Condition on Arrival 2045005 Unstable TRC1.59 #1 ED Disposition 2058001 Admit Neuro Surgery TRC1.59 #1 ED Disposition 2058002 Admit OB Observation TRC1.59 #1 ED Disposition 2058003 Admit Observation TRC1.59 #1 ED Disposition 2058004 Admit Ortho Surgery TRC1.59 #1 ED Disposition 2058005 Admit Peds Observation TRC1.59 #1 ED Disposition 2058006 Admit Surgery TRC1.59 #1 ED Disposition 2058007 CT TRC1.59 #1 ED Disposition 2058008 Deceased TRC1.59 #1 ED Disposition 2058009 Discharged TRC1.59 #1 ED Disposition 2058010 Transferred Out of Region TRC1.59 #1 ED Disposition 2058011 Transferred to Regional DC TRC1.60 DC Disposition 2059001 Admit Neuro Surgery TRC1.60 DC Disposition 2059002 Admit OB Observation TRC1.60 DC Disposition 2059003 Admit Observation TRC1.60 DC Disposition 2059004 Admit Ortho Surgery TRC1.60 DC Disposition 2059005 Admit Peds Observation TRC1.60 DC Disposition 2059006 Admit Surgery TRC1.60 DC Disposition 2059007 CT TRC1.60 DC Disposition 2059008 Deceased TRC1.60 DC Disposition 2059009 Discharged TRC1.60 DC Disposition 2059010 Transferred Out of Region TRC1.60 DC Disposition 2059011 Transferred to Regional DC TRC1.65 Mode of Transportation 2064002 POV TRC1.65 Mode of Transportation 2064001 EMS TRC2.1 Meet Trauma Criteria 1 Yes TRC2.1 Meet Trauma Criteria 0 No TRC2.1 Meet Trauma Criteria -25 N/A TRC2.2 Meets Trauma Criteria Reason Unstable 2101001 Unmanageable Airway TRC2.2 Meets Trauma Criteria Reason Unstable 2101002 Tension Pneumothorax TRC2.2 Meets Trauma Criteria Reason Unstable 2101003 Traumatic cardiac arrest TRC2.2 Meets Trauma Criteria Reason Unstable 2101004 Burn patient without patent airway TRC2.2 Meets Trauma Criteria Reason Unstable 2101005 Burn patient >40% BSA without IV Meets Trauma Criteria Reason Neurologic GCS <14 and Penetrating Head Injury or TRC2.3 Trauma 2102001 Depressed Skull Fracture Meets Trauma Criteria Reason Neurologic GCS <14 and Open Head Injury With or TRC2.3 Trauma 2102002 Without CSF Leak Meets Trauma Criteria Reason Neurologic TRC2.3 Trauma 2102003 GCS <14 and Deterioration of the GCS GCS <14 and Lateralizing Signs or Paralysis Meets Trauma Criteria Reason Neurologic (i.e., one-sided weakness, motor, or sensory TRC2.3 Trauma 2102004 deficit Meets Trauma Criteria Reason Neurologic TRC2.3 Trauma 2102005 GCS <14
TRC2.4 Meets Trauma Criteria Reason Physiologic 2103004 SBP <60 (term neonate)
TRC2.4 Meets Trauma Criteria Reason Physiologic 2103003 SBP <70 (age 1 to 12 months)
TRC2.4 Meets Trauma Criteria Reason Physiologic 2103002 SBP <70 + 2 [age (yrs)] (age 1 to 8)
TRC2.4 Meets Trauma Criteria Reason Physiologic 2103001 SBP <90 (adults & > 9 y/o)
TRC2.4 Meets Trauma Criteria Reason Physiologic 2103005 RR <10 or >29 (adults & > 9 y/o)
TRC2.4 Meets Trauma Criteria Reason Physiologic 2103006 RR <15 or >30 (age 1 to 8)
TRC2.4 Meets Trauma Criteria Reason Physiologic 2103007 RR 4 <25 or >50 (<12 m/o) All penetrating injuries to neck, torso & TRC2.5 Meets Trauma Criteria Reason Anatomic 2104001 extremities proximal to elbow & knee TRC2.5 Meets Trauma Criteria Reason Anatomic 2104002 Flail Chest TRC2.5 Meets Trauma Criteria Reason Anatomic 2104003 2 or more proximal long-bone fractures TRC2.5 Meets Trauma Criteria Reason Anatomic 2104004 Crush, degloved or mangled extremity TRC2.5 Meets Trauma Criteria Reason Anatomic 2104005 Amputation proximal to wrist & ankle TRC2.5 Meets Trauma Criteria Reason Anatomic 2104006 Pelvic Fracture Hip fractures (hip tenderness, deformity, TRC2.5 Meets Trauma Criteria Reason Anatomic 2104007 lateral deviation of foot Major joint dislocations (hip, knee, ankle, TRC2.5 Meets Trauma Criteria Reason Anatomic 2104008 elbow) TRC2.5 Meets Trauma Criteria Reason Anatomic 2104009 Open Fractures Fractures with neurovascular compromise (decreased peripheral pulses or prolonged capillary refill, motor or sensory deficits distal TRC2.5 Meets Trauma Criteria Reason Anatomic 2104010 to fracture
TRC2.6 Meets Trauma Criteria Reason Mechanism 2105001 Falls > 20 ft. (adults)
TRC2.6 Meets Trauma Criteria Reason Mechanism 2105002 Falls > 10 ft. (child) or 2 to 3 times height
TRC2.6 Meets Trauma Criteria Reason Mechanism 2105003 High-risk auto crash
TRC2.6 Meets Trauma Criteria Reason Mechanism 2105004 Intrusion > 12 in, occupant site
TRC2.6 Meets Trauma Criteria Reason Mechanism 2105005 Intrusion >20 in. any site
TRC2.6 Meets Trauma Criteria Reason Mechanism 2105006 Ejection, partial or complete from automobile
TRC2.6 Meets Trauma Criteria Reason Mechanism 2105007 Death in same passenger compartment Auto vs. pedestrian/bicyclist thrown, run over TRC2.6 Meets Trauma Criteria Reason Mechanism 2105008 or >5 MPH impact
TRC2.6 Meets Trauma Criteria Reason Mechanism 2105009 Motorcycle crash >20 MPH TRC2.7 Meets Trauma Criteria Reason Special 2106001 Pregnancy >20 weeks TRC2.7 Meets Trauma Criteria Reason Special 2106002 Burns (will follow ABA guidelines) TRC2.8 Meets Trauma Criteria Reason Other 2107001 Age >55 y/o or <8 y/o TRC2.8 Meets Trauma Criteria Reason Other 2107002 Anticoagulation & bleeding disorders TRC2.8 Meets Trauma Criteria Reason Other 2107003 End stage renal disease TRC2.8 Meets Trauma Criteria Reason Other 2107004 Transplant patients TRC2.9 Meets Trauma Criteria Reason GCS<14 2108006 GCS<14 Status Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active
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