LOINC Panel Details 82315-3 Level 3 emergency medical services patient care report

67840-9 EMS advance directives Narrative NEMSIS

Fully-Specified Name

Component: EMS advance directives
Property: -
Time: Pt
System: ^Patient
Scale: Nar
Method: NEMSIS

Additional Names

Short Name: EMS advance directives NEMSIS

Basic Attributes

Class: PANEL.NEMSIS
Type: Clinical
First Released: Version 2.38
Last Updated: Version 2.50
Panel Type: Panel

Survey Question

Source: EHistory Adv Dir

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Directivas anticipadas de EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT	Italian (Italy)	Servizi Medici di Emergenza, direttive anticipate:-:Pt:^Paziente:Nar:NEMSIS Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d Testamenti biologici;Direttive anticipate
zh-CN	Chinese (China)	急救医疗服务事前指示:-:时间点:^患者:叙述型:NEMSIS Synonyms: EMS National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统事前指示;事前意愿;事前要求;遗嘱;遗愿医嘱套餐医嘱套餐类医嘱套餐组医嘱组医嘱组.NEMSIS;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.NEMSIS;National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统;NEMSIS 医嘱组合医嘱组合类医嘱组套医嘱组套类医嘱组类医疗服务对象;客户;病人;病患;病号;超系统 - 病人叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型套餐套餐医嘱套餐医嘱组套餐医嘱组类实验室医嘱套餐实验室医嘱套餐类实验室医嘱组实验室医嘱组合类实验室医嘱组套实验室医嘱组套类实验室套餐医嘱组实验室套餐医嘱组类实验室检验项目医嘱组合类实验室检验项目组合类急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS）急救医疗服务事前指示（遗嘱、事前意愿、遗愿、事前要求）;EMS 事前指示;EMS 遗嘱;EMS 事前意愿急诊医疗服务时刻;随机;随意;瞬间检验医嘱组合类检验项目医嘱组合类检验项目组合类紧救医疗服务组组合组合医嘱组合类组套

48765-2 Allergies and adverse reactions Document

Term Description

Contains a list and description of any allergies or adverse reactions pertinent to current or past medical history. At a minimum this section should contain currently active and any relevant historical allergies and adverse reactions.
Source: Regenstrief LOINC

Fully-Specified Name

Component: Allergies &or adverse reactions
Property: Find
Time: Pt
System: ^Patient
Scale: Doc
Method

Additional Names

Short Name: Allergies &or adverse reactions Doc

Basic Attributes

Class: DOC.MISC
Type: Clinical
First Released: Version 2.21
Last Updated: Version 2.73
Change Reason: Previous Releases: Edited Component part from "Allergies, adverse reactions, alerts" to "Allergies &or adverse reactions." We removed the word "alerts" because it was potentially confusing by implying that it may contain other kinds of warnings (as a arbitrary example: public health disease outbreak notifications) when in fact it was always intended to be the typical "allergies" section.;
Order vs. Observation: Both

Member of these Panels

LOINC	Long Common Name
57082-0	Antepartum record panel
81898-9	Composite triage and nursing note - recommended IHE set
72231-4	Consultation note - recommended C-CDA R1.1 sections
81222-2	Consultation note - recommended C-CDA R2.0 and R2.1 sections
72232-2	Continuity of Care Document - recommended C-CDA R1.1 sections
81214-9	Continuity of Care Document - recommended C-CDA R2.0 and R2.1 sections
48769-4	Continuity of Care panel
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
72229-8	Discharge summary - recommended C-CDA R1.1 sections
81219-8	Discharge summary - recommended C-CDA R2.0 sections
81218-0	Discharge summary - recommended C-CDA R2.1 sections
81242-0	Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7	Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8	Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
81244-6	Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0	History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
81245-3	Interval document - recommended CDP Set 1 R1.0 and R1.1 sections
57083-8	Labor and Delivery record panel
92574-3	Labor and delivery summary - recommended IHE set
82315-3	Level 3 emergency medical services patient care report - recommended CDA R1 and R2 sections
84429-0	Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
82811-1	Nurse summary note - recommended sections
82308-8	Oncology plan of care and summary - recommended CDA R1.2 sections
74293-2	Oncology plan of care and summary - recommended CDA set
74449-0	Patient plan of care - recommended IHE set
59843-3	Procedure note - recommended C-CDA R1.1 sections
81217-2	Procedure note - recommended C-CDA R2.0 and R2.1 sections
72225-6	Progress note - recommended C-CDA R1.1 sections
81216-4	Progress note - recommended C-CDA R2.0 and R2.1 sections
81223-0	Referral note - recommended C-CDA R2.0 and R2.1 sections
81221-4	Transfer summary note - recommended C-CDA R2.0 sections
81614-0	Transfer summary note - recommended C-CDA R2.1 sections

Language Variants Get Info

Tag	Language	Translation
de-DE	German (Germany)	Allergien und unerwünschte Wirkungen:Befund:Zeitpunkt:^Patient:Dokument:
es-MX	Spanish (Mexico)	Alergias y reacciones adversas:Tipo:Punto temporal:^ Paciente:Documento:
it-IT	Italian (Italy)	Allergie &o reazioni avverse:Osservazione:Pt:^Paziente:Doc: Synonyms: Allergie e reazioni avverse Documentazione miscellanea Miscellanea Osservazione paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	allergieën en/of allergische reacties:bevinding:moment:^patiënt:document:
ru-RU	Russian (Russian Federation)	Аллергии &или неблагоприятные реакции:Находка:ТчкВрм:^Пациент:Док: Synonyms: Документ Точка во времени;Момент
zh-CN	Chinese (China)	变态反应和或不良反应:发现:时间点:^患者:文档型: Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书医疗服务对象;客户;病人;病患;病号;超系统 - 病人发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论变态反应与不良反应文档.其他;杂项类文档;其他文档时刻;随机;随意;瞬间杂项;杂项类;杂项试验过敏反应;过敏

67659-3 EMS billing Narrative NEMSIS

Term Description

Billing-specific condition & service level
Source: Regenstrief LOINC

Fully-Specified Name

Component: EMS billing
Property: -
Time: Pt
System: ^Patient
Scale: Nar
Method: NEMSIS

Additional Names

Short Name: EMS billing NEMSIS

Basic Attributes

Class: PANEL.NEMSIS
Type: Clinical
First Released: Version 2.38
Last Updated: Version 2.50
Panel Type: Panel

Survey Question

Source: EBilling

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Facturación EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT	Italian (Italy)	Servizi Medici di Emergenza, fatturazione:-:Pt:^Paziente:Nar:NEMSIS Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN	Chinese (China)	急救医疗服务记账:-:时间点:^患者:叙述型:NEMSIS Synonyms: EMS National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统医嘱套餐医嘱套餐类医嘱套餐组医嘱组医嘱组.NEMSIS;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.NEMSIS;National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统;NEMSIS 医嘱组合医嘱组合类医嘱组套医嘱组套类医嘱组类医疗服务对象;客户;病人;病患;病号;超系统 - 病人叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型套餐套餐医嘱套餐医嘱组套餐医嘱组类实验室医嘱套餐实验室医嘱套餐类实验室医嘱组实验室医嘱组合类实验室医嘱组套实验室医嘱组套类实验室套餐医嘱组实验室套餐医嘱组类实验室检验项目医嘱组合类实验室检验项目组合类急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS）急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）记账;急救医疗服务账单;急救医疗服务计费;急救医疗服务付账急诊医疗服务时刻;随机;随意;瞬间检验医嘱组合类检验项目医嘱组合类检验项目组合类紧救医疗服务组组合组合医嘱组合类组套

67799-7 EMS cardiac arrest event Narrative NEMSIS

Fully-Specified Name

Component: EMS cardiac arrest event
Property: -
Time: Pt
System: ^Patient
Scale: Nar
Method: NEMSIS

Additional Names

Short Name: EMS cardiac arrest NEMSIS

Basic Attributes

Class: PANEL.NEMSIS
Type: Clinical
First Released: Version 2.38
Last Updated: Version 2.50
Panel Type: Panel

Survey Question

Source: EArrest

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Evento de paro cardíaco EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT	Italian (Italy)	Servizi Medici di Emergenza, evento di arresto cardiaco:-:Pt:^Paziente:Nar:NEMSIS Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN	Chinese (China)	急救医疗服务心脏停搏事件:-:时间点:^患者:叙述型:NEMSIS Synonyms: EMS National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统医嘱套餐医嘱套餐类医嘱套餐组医嘱组医嘱组.NEMSIS;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.NEMSIS;National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统;NEMSIS 医嘱组合医嘱组合类医嘱组套医嘱组套类医嘱组类医疗服务对象;客户;病人;病患;病号;超系统 - 病人叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型套餐套餐医嘱套餐医嘱组套餐医嘱组类实验室医嘱套餐实验室医嘱套餐类实验室医嘱组实验室医嘱组合类实验室医嘱组套实验室医嘱组套类实验室套餐医嘱组实验室套餐医嘱组类实验室检验项目医嘱组合类实验室检验项目组合类心博骤停;心搏停止;心跳停止;心脏停止跳动急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS）急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）心脏停搏事件;急救医疗服务心博骤停事件;急救医疗服务心搏停止事件;急救医疗服务心跳停止事件;急救医疗服务心脏停止跳动事件急诊医疗服务时刻;随机;随意;瞬间检验医嘱组合类检验项目医嘱组合类检验项目组合类紧救医疗服务组组合组合医嘱组合类组套

67844-1 EMS current medications Narrative NEMSIS

Reference Information

Type	Source	Reference
Webcontent	NEMSIS	http://www.cdc.gov/nchs/icd.htm RxNorm/ICD9/ICD10

Fully-Specified Name

Component: EMS current medications
Property: -
Time: Pt
System: ^Patient
Scale: Nar
Method: NEMSIS

Additional Names

Short Name: EMS current meds NEMSIS

Basic Attributes

Class: PANEL.NEMSIS
Type: Clinical
First Released: Version 2.38
Last Updated: Version 2.50
Panel Type: Panel

Survey Question

Source: EHistory Meds

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Medicamentos actuales de EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT	Italian (Italy)	Servizi Medici di Emergenza, farmaci attuali:-:Pt:^Paziente:Nar:NEMSIS Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN	Chinese (China)	急救医疗服务当前药物:-:时间点:^患者:叙述型:NEMSIS Synonyms: EMS National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统医嘱套餐医嘱套餐类医嘱套餐组医嘱组医嘱组.NEMSIS;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.NEMSIS;National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统;NEMSIS 医嘱组合医嘱组合类医嘱组套医嘱组套类医嘱组类医疗服务对象;客户;病人;病患;病号;超系统 - 病人叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型套餐套餐医嘱套餐医嘱组套餐医嘱组类实验室医嘱套餐实验室医嘱套餐类实验室医嘱组实验室医嘱组合类实验室医嘱组套实验室医嘱组套类实验室套餐医嘱组实验室套餐医嘱组类实验室检验项目医嘱组合类实验室检验项目组合类急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS）急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）当前药物;急救医疗服务当前治疗药物;急救医疗服务当前治疗用药;急救医疗服务当前用药急诊医疗服务时刻;随机;随意;瞬间检验医嘱组合类检验项目医嘱组合类检验项目组合类紧救医疗服务组组合组合医嘱组合类组套药物类;处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物

67660-1 EMS dispatch Narrative NEMSIS

Term Description

Information related to dispatch instructions
Source: Regenstrief LOINC

Fully-Specified Name

Component: EMS dispatch
Property: -
Time: Pt
System: ^Patient
Scale: Nar
Method: NEMSIS

Additional Names

Short Name: EMS dispatch NEMSIS

Basic Attributes

Class: PANEL.NEMSIS
Type: Clinical
First Released: Version 2.38
Last Updated: Version 2.50
Panel Type: Panel

Survey Question

Source: EDispatch

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Envío EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT	Italian (Italy)	Servizi Medici di Emergenza, assegnazione:-:Pt:^Paziente:Nar:NEMSIS Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN	Chinese (China)	急救医疗服务调度:-:时间点:^患者:叙述型:NEMSIS Synonyms: EMS National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统医嘱套餐医嘱套餐类医嘱套餐组医嘱组医嘱组.NEMSIS;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.NEMSIS;National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统;NEMSIS 医嘱组合医嘱组合类医嘱组套医嘱组套类医嘱组类医疗服务对象;客户;病人;病患;病号;超系统 - 病人叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型套餐套餐医嘱套餐医嘱组套餐医嘱组类实验室医嘱套餐实验室医嘱套餐类实验室医嘱组实验室医嘱组合类实验室医嘱组套实验室医嘱组套类实验室套餐医嘱组实验室套餐医嘱组类实验室检验项目医嘱组合类实验室检验项目组合类急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS）急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）调度;急救医疗服务派遣;急救医疗服务分派急诊医疗服务时刻;随机;随意;瞬间检验医嘱组合类检验项目医嘱组合类检验项目组合类紧救医疗服务组组合组合医嘱组合类组套

67661-9 EMS disposition Narrative NEMSIS

Term Description

Information related to transportation, destination
Source: Regenstrief LOINC

Fully-Specified Name

Component: EMS disposition
Property: -
Time: Pt
System: ^Patient
Scale: Nar
Method: NEMSIS

Additional Names

Short Name: EMS disposition NEMSIS

Basic Attributes

Class: PANEL.NEMSIS
Type: Clinical
First Released: Version 2.38
Last Updated: Version 2.50
Panel Type: Panel

Survey Question

Source: EDisposition

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Disposición EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT	Italian (Italy)	Servizi Medici di Emergenza, disposizione:-:Pt:^Paziente:Nar:NEMSIS Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN	Chinese (China)	急救医疗服务处置:-:时间点:^患者:叙述型:NEMSIS Synonyms: EMS National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统医嘱套餐医嘱套餐类医嘱套餐组医嘱组医嘱组.NEMSIS;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.NEMSIS;National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统;NEMSIS 医嘱组合医嘱组合类医嘱组套医嘱组套类医嘱组类医疗服务对象;客户;病人;病患;病号;超系统 - 病人叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型处理;安排;布置套餐套餐医嘱套餐医嘱组套餐医嘱组类实验室医嘱套餐实验室医嘱套餐类实验室医嘱组实验室医嘱组合类实验室医嘱组套实验室医嘱组套类实验室套餐医嘱组实验室套餐医嘱组类实验室检验项目医嘱组合类实验室检验项目组合类急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS）急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）处置;急救医疗服务处理;急救医疗服务安排急诊医疗服务时刻;随机;随意;瞬间检验医嘱组合类检验项目医嘱组合类检验项目组合类紧救医疗服务组组合组合医嘱组合类组套

67800-3 EMS injury incident description Narrative NEMSIS

Term Description

Appropriate ICD-10 External Cause Code (Minimal Values Provided as an Example), Pedestrian injured in transport accident (ICD-10: V01-V09), Pedal cyclist injured in transport accident (ICD-10: V10-V19), Motorcycle rider injured in transport accident (ICD-10: V20-V29), Occupant of three-wheeled motor vehicle injured in transport accident (ICD-10: V30-V39), Car occupant injured in transport accident (ICD-10: V40-V49), Occupant of pick-up truck or van injured in transport accident (ICD-10: V50-V59), Occupant of heavy transport vehicle injured in transport accident (ICD-10: V60-V69), Bus occupant injured in transport accident (ICD-10: V70-V79), Other land transport accidents (ICD-10: V80-V89), Water transport accidents (ICD-10: V90-V94), Air and space transport accidents (ICD-10: V95-V97), Other and unspecified transport accidents (ICD-10: V98-V99), Falls (ICD-10: W00-W19), Exposure to inanimate mechanical forces (ICD-10: W20-W49), Exposure to animate mechanical forces (ICD-10: W50-W64), Accidental drowning and submersion (ICD-10: W65-W74), Other accidental threats to breathing (ICD-10: W75-W84), Exposure to electric current, radiation and extreme ambient air temperature and pressure (ICD-10: W85-W99), Exposure to smoke, fire and flames (ICD_10: X00-X09), Contact with heat and hot substances (ICD-10: X10-X19), Contact with venomous animals and plants (ICD-10: X20-X29), Exposure to forces of nature (ICD-10: X30-X39), Accidental poisoning by and exposure to noxious substances (ICD-10: X40-X49), Overexertion, travel and privation (ICD-10: X50-X57), Accidental exposure to other and unspecified factors (ICD-10: X58-X59), Intentional self-harm (ICD-10: X60-X84), Assault (ICD-10: X85-Y09), Event of undetermined intent (ICD-10: Y10-Y34), Legal intervention and operations of war (ICD-10: Y35-Y36), Complications of medical and surgical care (ICD-10:Y40-Y84), Sequelae of external causes of morbidity and mortality (ICD-10: Y85-Y89)
Source: Regenstrief LOINC

Fully-Specified Name

Component: EMS injury incident description
Property: -
Time: Pt
System: ^Patient
Scale: Nar
Method: NEMSIS

Additional Names

Short Name: EMS injury incident description NEMSIS

Basic Attributes

Class: PANEL.NEMSIS
Type: Clinical
First Released: Version 2.38
Last Updated: Version 2.50
Panel Type: Panel

Survey Question

Source: EInjury

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Descripción del incidente de lesión de EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT	Italian (Italy)	Servizi Medici di Emergenza, descrizione lesioni incidente:-:Pt:^Paziente:Nar:NEMSIS Synonyms: Descrizione incidente lesivo National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN	Chinese (China)	急救医疗服务损伤事故描述:-:时间点:^患者:叙述型:NEMSIS Synonyms: EMS National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统伤害事件描述;受伤事件描述;损伤意外事件描述;损伤偶然事件描述;损伤事故描述;损伤事件说明医嘱套餐医嘱套餐类医嘱套餐组医嘱组医嘱组.NEMSIS;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.NEMSIS;National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统;NEMSIS 医嘱组合医嘱组合类医嘱组套医嘱组套类医嘱组类医疗服务对象;客户;病人;病患;病号;超系统 - 病人叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型套餐套餐医嘱套餐医嘱组套餐医嘱组类实验室医嘱套餐实验室医嘱套餐类实验室医嘱组实验室医嘱组合类实验室医嘱组套实验室医嘱组套类实验室套餐医嘱组实验室套餐医嘱组类实验室检验项目医嘱组合类实验室检验项目组合类急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS）急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）损伤事故描述;急救医疗服务受伤事故描述;急救医疗服务工伤事故描述;急救医疗服务损伤事故说明急诊医疗服务时刻;随机;随意;瞬间检验医嘱组合类检验项目医嘱组合类检验项目组合类紧救医疗服务组组合组合医嘱组合类组套

67849-0 EMS medications administered Narrative NEMSIS

Fully-Specified Name

Component: EMS medications administered
Property: -
Time: Pt
System: ^Patient
Scale: Nar
Method: NEMSIS

Additional Names

Short Name: EMS meds administered NEMSIS

Basic Attributes

Class: PANEL.NEMSIS
Type: Clinical
First Released: Version 2.38
Last Updated: Version 2.50
Panel Type: Panel

Survey Question

Source: EMedications Gvn

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Medicamentos EMS administrados:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT	Italian (Italy)	Servizi Medici di Emergenza, farmaci somministrati:-:Pt:^Paziente:Nar:NEMSIS Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN	Chinese (China)	急救医疗服务已施用的药物:-:时间点:^患者:叙述型:NEMSIS Synonyms: EMS National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统医嘱套餐医嘱套餐类医嘱套餐组医嘱组医嘱组.NEMSIS;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.NEMSIS;National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统;NEMSIS 医嘱组合医嘱组合类医嘱组套医嘱组套类医嘱组类医疗服务对象;客户;病人;病患;病号;超系统 - 病人叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型套餐套餐医嘱套餐医嘱组套餐医嘱组类实验室医嘱套餐实验室医嘱套餐类实验室医嘱组实验室医嘱组合类实验室医嘱组套实验室医嘱组套类实验室套餐医嘱组实验室套餐医嘱组类实验室检验项目医嘱组合类实验室检验项目组合类急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS）急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）已施用的药物;急救医疗服务已施用的治疗药物;急救医疗服务已给予的治疗用药;急救医疗服务已给予的用药;急救医疗服务已施用药物;急救医疗服务已用药物急诊医疗服务时刻;随机;随意;瞬间检验医嘱组合类检验项目医嘱组合类检验项目组合类紧救医疗服务组组合组合医嘱组合类组套药物类;处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物

67842-5 EMS past medical history Narrative NEMSIS

Fully-Specified Name

Component: EMS past medical history
Property: -
Time: Pt
System: ^Patient
Scale: Nar
Method: NEMSIS

Additional Names

Short Name: EMS past medical hx NEMSIS

Basic Attributes

Class: PANEL.NEMSIS
Type: Clinical
First Released: Version 2.38
Last Updated: Version 2.50
Panel Type: Panel

Survey Question

Source: EHistory Past Med

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Antecedentes médicos de EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT	Italian (Italy)	Servizi Medici di Emergenza, storia clinica:-:Pt:^Paziente:Nar:NEMSIS Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d Storia clinica precedente
zh-CN	Chinese (China)	急救医疗服务既往病史:-:时间点:^患者:叙述型:NEMSIS Synonyms: EMS National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统医嘱套餐医嘱套餐类医嘱套餐组医嘱组医嘱组.NEMSIS;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.NEMSIS;National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统;NEMSIS 医嘱组合医嘱组合类医嘱组套医嘱组套类医嘱组类医学史;病历资料;病历数据医疗服务对象;客户;病人;病患;病号;超系统 - 病人叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型套餐套餐医嘱套餐医嘱组套餐医嘱组类实验室医嘱套餐实验室医嘱套餐类实验室医嘱组实验室医嘱组合类实验室医嘱组套实验室医嘱组套类实验室套餐医嘱组实验室套餐医嘱组类实验室检验项目医嘱组合类实验室检验项目组合类急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS）急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）既往病史;急救医疗服务既往医学史急诊医疗服务既往医学史时刻;随机;随意;瞬间检验医嘱组合类检验项目医嘱组合类检验项目组合类紧救医疗服务组组合组合医嘱组合类组套

67781-5 The narrative of the patient care report (PCR)

Fully-Specified Name

Component: Summarization of encounter note
Property: Hx
Time: Pt
System: {Setting}
Scale: Nar
Method: {Role}

Additional Names

Short Name: Summ of encounter note

Basic Attributes

Class: NEMSIS
Type: Clinical
First Released: Version 2.40
Last Updated: Version 2.54
Change Reason: Based on Clinical LOINC Committee decision during the September 2014 meeting, {Provider} was changed to {Author Type} to emphasize a greater breadth of potential document authors. At the September 2015 Clinical LOINC Committee meeting, the Committee decided to change {Author Type} to {Role} to align with the 'Role' axis name in the LOINC Document Ontology.

Survey Question

Text: The narrative of the patient care report (PCR)
Source: ENarrative.01

Member of these Panels

LOINC	Long Common Name
82315-3	Level 3 emergency medical services patient care report - recommended CDA R1 and R2 sections
84429-0	Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2	National EMS Information System - version 3 set

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Resumen de la nota del encuentro:Hx:Punto temporal:{Configuración}:Narrativo:{Role}
it-IT	Italian (Italy)	Riepilogo dell'incontro, note:Hx:Pt:{Setting}:Nar:{Role} Synonyms: National EMS Information System data - dati del Si Punto nel tempo (episodio) Ruolo non specificato Storia;Anamnesi
nl-NL	Dutch (Netherlands)	samenvatting van contact:voorgeschiedenis:moment:{instelling}:tekstueel:{rol} Synonyms: anamnese
zh-CN	Chinese (China)	就医记录摘要:历史记录:时间点:{环境}:叙述型:{角色} Synonyms: National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统事件发生的地方;场景;环境;背景历史;史;病史叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型就医（就医过程、就诊、邂逅、就诊过程、接触过程、接触、遭遇、遭遇过程、医患交互、医患互动、医患相互作用、医患接触过程）记录摘要;就医过程记录摘要;就医记录概要;就医记录概括;就医记录总汇;就医记录小结;就医记录总结时刻;随机;随意;瞬间未加明确说明的角色笔记;按语;注释;说明;票据;单据;证明书

67658-5 EMS exposures or injuries of EMS personnel Provider Narrative NEMSIS

Term Description

e.g. EMT exposure, needle stick, etc
Source: Regenstrief LOINC

Fully-Specified Name

Component: EMS exposures or injuries of EMS personnel
Property: -
Time: Pt
System: Provider
Scale: Nar
Method: NEMSIS

Additional Names

Short Name: Expos inj EMS person Provider NEMSIS

Basic Attributes

Class: PANEL.NEMSIS
Type: Clinical
First Released: Version 2.38
Last Updated: Version 2.50
Panel Type: Panel

Survey Question

Source: EExposure-Injuries

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Exposiciones de EMS o lesiones del personal de EMS:-:Punto temporal:Proveedor:Narrativo:NEMSIS
it-IT	Italian (Italy)	Servizi Medici di Emergenza, esposizioni o lesioni del personale pronto intervento sanitario:-:Pt:Provider:Nar:NEMSIS Synonyms: National EMS Information System data - dati del Si Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN	Chinese (China)	急救医疗服务人员的急救医疗服务暴露或损伤:-:时间点:服务提供者:叙述型:NEMSIS Synonyms: EMS National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统医嘱套餐医嘱套餐类医嘱套餐组医嘱组医嘱组.NEMSIS;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.NEMSIS;National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统;NEMSIS 医嘱组合医嘱组合类医嘱组套医嘱组套类医嘱组类叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型套餐套餐医嘱套餐医嘱组套餐医嘱组类实验室医嘱套餐实验室医嘱套餐类实验室医嘱组实验室医嘱组合类实验室医嘱组套实验室医嘱组套类实验室套餐医嘱组实验室套餐医嘱组类实验室检验项目医嘱组合类实验室检验项目组合类急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS）急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）人员的急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）暴露或损伤（受伤）急诊医疗服务提供方;提供者;服务人员;服务提供方;服务方;服务机构;服务者时刻;随机;随意;瞬间检验医嘱组合类检验项目医嘱组合类检验项目组合类紧救医疗服务组组合组合医嘱组合类组套

29545-1 Physical findings Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: ^Patient
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 2.03
Last Updated: Version 2.63

Member of these Panels

LOINC	Long Common Name
72231-4	Consultation note - recommended C-CDA R1.1 sections
81222-2	Consultation note - recommended C-CDA R2.0 and R2.1 sections
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
81242-0	Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7	Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8	Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
81244-6	Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0	History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
81245-3	Interval document - recommended CDP Set 1 R1.0 and R1.1 sections
92575-0	Labor and delivery admission history and physical - recommended IHE set
57083-8	Labor and Delivery record panel
92574-3	Labor and delivery summary - recommended IHE set
82315-3	Level 3 emergency medical services patient care report - recommended CDA R1 and R2 sections
84429-0	Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
74449-0	Patient plan of care - recommended IHE set
59843-3	Procedure note - recommended C-CDA R1.1 sections
81217-2	Procedure note - recommended C-CDA R2.0 and R2.1 sections
72225-6	Progress note - recommended C-CDA R1.1 sections
81216-4	Progress note - recommended C-CDA R2.0 and R2.1 sections
81223-0	Referral note - recommended C-CDA R2.0 and R2.1 sections
81221-4	Transfer summary note - recommended C-CDA R2.0 sections
81614-0	Transfer summary note - recommended C-CDA R2.1 sections

Language Variants Get Info

Tag	Language	Translation
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:^paciente:Narrativo:observado
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:^ Paciente:Narrativo:Observed
fr-BE	French (Belgium)	Examen physique:Observation:Temps ponctuel:^Patient:Narratif:Observé
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:^Paziente:Nar:Osservato Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichamelijke bevindingen:bevinding:moment:^patiënt:tekstueel:observatie
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:^Paciente:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:^Пациент:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:^患者:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标医疗服务对象;客户;病人;病患;病号;超系统 - 病人历史纪录与体格检查历史纪录与体格检查小节发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查观测法

29554-3 Procedure Narrative

Term Description

Procedure records the descriptions of the procedure with an extensive narrative and may include procedure site preparation, pertinent details related to measurements and markings, procedure times, instrumentation, and vital signs and other monitoring data.
Source: Regenstrief LOINC

Fully-Specified Name

Component: Procedure
Property: Type
Time: Pt
System: ^Patient
Scale: Nar
Method

Additional Names

Short Name: Procedure

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 2.03
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
84907-5	Cancer pathology panel - Colorectal cancer specimen
81244-6	Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
81241-2	Enhanced surgical operation note - recommended CDP Set 1 R1.0 and R1.1sections
82315-3	Level 3 emergency medical services patient care report - recommended CDA R1 and R2 sections
84429-0	Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
59843-3	Procedure note - recommended C-CDA R1.1 sections
81217-2	Procedure note - recommended C-CDA R2.0 and R2.1 sections
72227-2	Surgical operation note - recommended C-CDA R1.1 and R2.0 and R2.1 sections

Language Variants Get Info

Tag	Language	Translation
de-DE	German (Germany)	Prozedur oder Maßnahme:Typ:Zeitpunkt:^Patient:Freitext:
es-ES	Spanish (Spain)	Procedimiento:Tipo:Punto temporal:^paciente:Narrativo:
es-AR	Spanish (Argentina)	procedimiento:tipo:punto en el tiempo:^paciente:Narrativo:
es-MX	Spanish (Mexico)	Procedimiento:Tipo:Punto temporal:^ Paciente:Narrativo:
it-IT	Italian (Italy)	Procedura:Tipo:Pt:^Paziente:Nar: Synonyms: Esame obbiettivo paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	verrichting:type:moment:^patiënt:tekstueel:
pt-BR	Portuguese (Brazil)	Procedimento:Tipo:Pt:^Paciente:Nar: Synonyms: Typ; Point in time; Random; Narrative; Report
ru-RU	Russian (Russian Federation)	Вмешательство:Тип:ТчкВрм:^Пациент:Опис: Synonyms: Описательный Процедура Точка во времени;Момент
zh-CN	Chinese (China)	操作项目:类型:时间点:^患者:叙述型: Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标医疗服务对象;客户;病人;病患;病号;超系统 - 病人历史纪录与体格检查历史纪录与体格检查小节叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型型操作;程序;手续;步骤;规程;程序流程时刻;随机;随意;瞬间病史与体格检查

67663-5 EMS protocol Narrative NEMSIS

Term Description

Protocol followed by crew
Source: Regenstrief LOINC

Fully-Specified Name

Component: EMS protocol
Property: -
Time: Pt
System: ^Patient
Scale: Nar
Method: NEMSIS

Additional Names

Short Name: EMS protocol NEMSIS

Basic Attributes

Class: PANEL.NEMSIS
Type: Clinical
First Released: Version 2.38
Last Updated: Version 2.50
Panel Type: Panel

Survey Question

Source: EProtocol

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Protocolo EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT	Italian (Italy)	Servizi Medici di Emergenza, protocollo:-:Pt:^Paziente:Nar:NEMSIS Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN	Chinese (China)	急救医疗服务方案:-:时间点:^患者:叙述型:NEMSIS Synonyms: EMS National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统医嘱套餐医嘱套餐类医嘱套餐组医嘱组医嘱组.NEMSIS;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.NEMSIS;National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统;NEMSIS 医嘱组合医嘱组合类医嘱组套医嘱组套类医嘱组类医疗服务对象;客户;病人;病患;病号;超系统 - 病人叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型套餐套餐医嘱套餐医嘱组套餐医嘱组类实验室医嘱套餐实验室医嘱套餐类实验室医嘱组实验室医嘱组合类实验室医嘱组套实验室医嘱组套类实验室套餐医嘱组实验室套餐医嘱组类实验室检验项目医嘱组合类实验室检验项目组合类急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS）急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）计划;急救医疗服务协议急诊医疗服务时刻;随机;随意;瞬间检验医嘱组合类检验项目医嘱组合类检验项目组合类紧救医疗服务组组合组合医嘱组合类组套

67664-3 EMS response Narrative NEMSIS

Term Description

Places, odometer readings
Source: Regenstrief LOINC

Fully-Specified Name

Component: EMS response
Property: -
Time: Pt
System: ^Patient
Scale: Nar
Method: NEMSIS

Additional Names

Short Name: EMS response NEMSIS

Basic Attributes

Class: PANEL.NEMSIS
Type: Clinical
First Released: Version 2.38
Last Updated: Version 2.50
Panel Type: Panel

Survey Question

Source: EResponse

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Respuesta de EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT	Italian (Italy)	Servizi Medici di Emergenza, risposta:-:Pt:^Paziente:Nar:NEMSIS Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN	Chinese (China)	急救医疗服务响应:-:时间点:^患者:叙述型:NEMSIS Synonyms: EMS National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统医嘱套餐医嘱套餐类医嘱套餐组医嘱组医嘱组.NEMSIS;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.NEMSIS;National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统;NEMSIS 医嘱组合医嘱组合类医嘱组套医嘱组套类医嘱组类医疗服务对象;客户;病人;病患;病号;超系统 - 病人叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型套餐套餐医嘱套餐医嘱组套餐医嘱组类实验室医嘱套餐实验室医嘱套餐类实验室医嘱组实验室医嘱组合类实验室医嘱组套实验室医嘱组套类实验室套餐医嘱组实验室套餐医嘱组类实验室检验项目医嘱组合类实验室检验项目组合类急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS）急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）响应;急救医疗服务反应急诊医疗服务时刻;随机;随意;瞬间检验医嘱组合类检验项目医嘱组合类检验项目组合类紧救医疗服务组组合组合医嘱组合类组套

67665-0 EMS scene Narrative NEMSIS

Term Description

Location, other services present, number of patients
Source: Regenstrief LOINC

Fully-Specified Name

Component: EMS scene
Property: -
Time: Pt
System: ^Patient
Scale: Nar
Method: NEMSIS

Additional Names

Short Name: EMS scene NEMSIS

Basic Attributes

Class: PANEL.NEMSIS
Type: Clinical
First Released: Version 2.38
Last Updated: Version 2.50
Panel Type: Panel

Survey Question

Source: EScene

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Escena EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT	Italian (Italy)	Servizi Medici di Emergenza, luogo:-:Pt:^Paziente:Nar:NEMSIS Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN	Chinese (China)	急救医疗服务现场:-:时间点:^患者:叙述型:NEMSIS Synonyms: EMS National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统医嘱套餐医嘱套餐类医嘱套餐组医嘱组医嘱组.NEMSIS;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.NEMSIS;National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统;NEMSIS 医嘱组合医嘱组合类医嘱组套医嘱组套类医嘱组类医疗服务对象;客户;病人;病患;病号;超系统 - 病人叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型套餐套餐医嘱套餐医嘱组套餐医嘱组类实验室医嘱套餐实验室医嘱套餐类实验室医嘱组实验室医嘱组合类实验室医嘱组套实验室医嘱组套类实验室套餐医嘱组实验室套餐医嘱组类实验室检验项目医嘱组合类实验室检验项目组合类急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS）急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）现场;急救医疗服务事发地点急诊医疗服务时刻;随机;随意;瞬间检验医嘱组合类检验项目医嘱组合类检验项目组合类紧救医疗服务组组合组合医嘱组合类组套

67666-8 EMS situation Narrative NEMSIS

Term Description

Complaint
Source: Regenstrief LOINC

Fully-Specified Name

Component: EMS situation
Property: -
Time: Pt
System: ^Patient
Scale: Nar
Method: NEMSIS

Additional Names

Short Name: EMS situation NEMSIS

Basic Attributes

Class: PANEL.NEMSIS
Type: Clinical
First Released: Version 2.38
Last Updated: Version 2.50
Panel Type: Panel

Survey Question

Source: ESituation

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Situación EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT	Italian (Italy)	Servizi Medici di Emergenza, situazione:-:Pt:^Paziente:Nar:NEMSIS Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN	Chinese (China)	急救医疗服务患者情况:-:时间点:^患者:叙述型:NEMSIS Synonyms: EMS National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统医嘱套餐医嘱套餐类医嘱套餐组医嘱组医嘱组.NEMSIS;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.NEMSIS;National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统;NEMSIS 医嘱组合医嘱组合类医嘱组套医嘱组套类医嘱组类医疗服务对象;客户;病人;病患;病号;超系统 - 病人叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型套餐套餐医嘱套餐医嘱组套餐医嘱组类实验室医嘱套餐实验室医嘱套餐类实验室医嘱组实验室医嘱组合类实验室医嘱组套实验室医嘱组套类实验室套餐医嘱组实验室套餐医嘱组类实验室检验项目医嘱组合类实验室检验项目组合类急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS）急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）患者（病人、病号、病患）情况;急救医疗服务病人情况;急救医疗服务患者状况急诊医疗服务时刻;随机;随意;瞬间检验医嘱组合类检验项目医嘱组合类检验项目组合类紧救医疗服务组组合组合医嘱组合类组套

67843-3 EMS social history Narrative NEMSIS

Fully-Specified Name

Component: EMS social history
Property: -
Time: Pt
System: ^Patient
Scale: Nar
Method: NEMSIS

Additional Names

Short Name: EMS social hx NEMSIS

Basic Attributes

Class: PANEL.NEMSIS
Type: Clinical
First Released: Version 2.38
Last Updated: Version 2.50
Panel Type: Panel

Survey Question

Source: EHistory Social

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Historia social de EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT	Italian (Italy)	Servizi Medici di Emergenza, stile di vita:-:Pt:^Paziente:Nar:NEMSIS Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Servizi medici di emergenza, storia so Set di dati del Sistema Informativo del Servizio d
zh-CN	Chinese (China)	急救医疗服务社会史:-:时间点:^患者:叙述型:NEMSIS Synonyms: EMS National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统医嘱套餐医嘱套餐类医嘱套餐组医嘱组医嘱组.NEMSIS;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.NEMSIS;National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统;NEMSIS 医嘱组合医嘱组合类医嘱组套医嘱组套类医嘱组类医疗服务对象;客户;病人;病患;病号;超系统 - 病人叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型套餐套餐医嘱套餐医嘱组套餐医嘱组类实验室医嘱套餐实验室医嘱套餐类实验室医嘱组实验室医嘱组合类实验室医嘱组套实验室医嘱组套类实验室套餐医嘱组实验室套餐医嘱组类实验室检验项目医嘱组合类实验室检验项目组合类急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS）急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）社会史急诊医疗服务时刻;随机;随意;瞬间检验医嘱组合类检验项目医嘱组合类检验项目组合类社会历史紧救医疗服务组组合组合医嘱组合类组套

67667-6 EMS times Narrative NEMSIS

Term Description

Times recorded to assess delays
Source: Regenstrief LOINC

Fully-Specified Name

Component: EMS times
Property: -
Time: Pt
System: ^Patient
Scale: Nar
Method: NEMSIS

Additional Names

Short Name: EMS times NEMSIS

Basic Attributes

Class: PANEL.NEMSIS
Type: Clinical
First Released: Version 2.38
Last Updated: Version 2.50
Panel Type: Panel

Survey Question

Source: ETimes

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Tiempos de EMS:-:Punto temporal:^ Paciente:Narrativo:NEMSIS
it-IT	Italian (Italy)	Servizi Medici di Emergenza, tempi:-:Pt:^Paziente:Nar:NEMSIS Synonyms: National EMS Information System data - dati del Si paziente Punto nel tempo (episodio) Set di dati del Sistema Informativo del Servizio d
zh-CN	Chinese (China)	急救医疗服务时间:-:时间点:^患者:叙述型:NEMSIS Synonyms: EMS National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统医嘱套餐医嘱套餐类医嘱套餐组医嘱组医嘱组.NEMSIS;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.NEMSIS;National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统;NEMSIS 医嘱组合医嘱组合类医嘱组套医嘱组套类医嘱组类医疗服务对象;客户;病人;病患;病号;超系统 - 病人叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型套餐套餐医嘱套餐医嘱组套餐医嘱组类实验室医嘱套餐实验室医嘱套餐类实验室医嘱组实验室医嘱组合类实验室医嘱组套实验室医嘱组套类实验室套餐医嘱组实验室套餐医嘱组类实验室检验项目医嘱组合类实验室检验项目组合类急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS）急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）时间;急救医疗服务时间类急诊医疗服务时刻;随机;随意;瞬间检验医嘱组合类检验项目医嘱组合类检验项目组合类紧救医疗服务组组合组合医嘱组合类组套

8716-3 Vital signs

Term Description

The Vital signs section includes blood pressure, body temperature, heart rate, and respiratory rate. It may also include other clinical findings, such as height, weight, body mass index, head circumference, and pulse oximetry. In particular, notable vital signs or physical findings such as the most recent, maximum and/or minimum, baseline, or relevant trends may be included.
Source: Regenstrief LOINC

Fully-Specified Name

Component: Vital signs
Property: Find
Time: Pt
System: ^Patient
Scale: Nar
Method: Observed

Additional Names

Short Name: Vital signs

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0h(3)
Last Updated: Version 2.73
Common Test Rank Get Info: 576

Member of these Panels

LOINC	Long Common Name
69459-6	Care record summary panel
81898-9	Composite triage and nursing note - recommended IHE set
72231-4	Consultation note - recommended C-CDA R1.1 sections
81222-2	Consultation note - recommended C-CDA R2.0 and R2.1 sections
72232-2	Continuity of Care Document - recommended C-CDA R1.1 sections
81214-9	Continuity of Care Document - recommended C-CDA R2.0 and R2.1 sections
48769-4	Continuity of Care panel
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
72229-8	Discharge summary - recommended C-CDA R1.1 sections
81219-8	Discharge summary - recommended C-CDA R2.0 sections
81218-0	Discharge summary - recommended C-CDA R2.1 sections
81242-0	Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7	Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8	Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0	History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
81245-3	Interval document - recommended CDP Set 1 R1.0 and R1.1 sections
92575-0	Labor and delivery admission history and physical - recommended IHE set
57083-8	Labor and Delivery record panel
82315-3	Level 3 emergency medical services patient care report - recommended CDA R1 and R2 sections
84429-0	Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
82811-1	Nurse summary note - recommended sections
82308-8	Oncology plan of care and summary - recommended CDA R1.2 sections
74293-2	Oncology plan of care and summary - recommended CDA set
72225-6	Progress note - recommended C-CDA R1.1 sections
81216-4	Progress note - recommended C-CDA R2.0 and R2.1 sections
81223-0	Referral note - recommended C-CDA R2.0 and R2.1 sections
81221-4	Transfer summary note - recommended C-CDA R2.0 sections
81614-0	Transfer summary note - recommended C-CDA R2.1 sections

Language Variants Get Info

Tag	Language	Translation
de-DE	German (Germany)	Vitalparameter:Befund:Zeitpunkt:^Patient:Freitext:Beobachtet
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:signos vitales:Narrativo:observado
es-MX	Spanish (Mexico)	Signos vitales:Tipo:Punto temporal:^ Paciente:Narrativo:Observed
fr-BE	French (Belgium)	Signes vitaux:Observation:Temps ponctuel:^Patient:Narratif:Observé
it-IT	Italian (Italy)	Segni vitali:Osservazione:Pt:^Paziente:Nar:Osservato Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	vitale functies:bevinding:moment:^patiënt:tekstueel:observatie
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Sinais vitais:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Жизненно важные функции:Находка:ТчкВрм:^Пациент:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	生命体征:发现:时间点:^患者:叙述型:观察法 Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标医疗服务对象;客户;病人;病患;病号;超系统 - 病人历史纪录与体格检查历史纪录与体格检查小节发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间生命体征类;生命征象病史与体格检查观测法

82315-3

Level 3 emergency medical services patient care report - recommended CDA R1 and R2 sections

Active

67840-9 EMS advance directives Narrative NEMSIS

Fully-Specified Name

Additional Names

Basic Attributes

Survey Question

Language Variants Get Info

Related Names

48765-2 Allergies and adverse reactions Document

Term Description

Fully-Specified Name

Additional Names

Basic Attributes

Member of these Panels

Language Variants Get Info

Related Names

67659-3 EMS billing Narrative NEMSIS

Term Description

Fully-Specified Name

Additional Names

Basic Attributes

Survey Question

Language Variants Get Info

Related Names

67799-7 EMS cardiac arrest event Narrative NEMSIS

Fully-Specified Name

Additional Names

Basic Attributes

Survey Question

Language Variants Get Info

Related Names

67844-1 EMS current medications Narrative NEMSIS

Reference Information

Fully-Specified Name

Additional Names

Basic Attributes

Survey Question

Language Variants Get Info

Related Names

67660-1 EMS dispatch Narrative NEMSIS

Term Description

Fully-Specified Name

Additional Names

Basic Attributes

Survey Question

Language Variants Get Info

Related Names

67661-9 EMS disposition Narrative NEMSIS

Term Description

Fully-Specified Name

Additional Names

Basic Attributes

Survey Question

Language Variants Get Info

Related Names

67800-3 EMS injury incident description Narrative NEMSIS

Term Description

Fully-Specified Name

Additional Names

Basic Attributes

Survey Question

Language Variants Get Info

Related Names

67849-0 EMS medications administered Narrative NEMSIS

Fully-Specified Name

Additional Names

Basic Attributes

Survey Question

Language Variants Get Info

Related Names

67842-5 EMS past medical history Narrative NEMSIS

Fully-Specified Name

Additional Names

Basic Attributes

Survey Question

Language Variants Get Info

Related Names

67781-5 The narrative of the patient care report (PCR)