Version 2.78

Term Description

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

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
Indent67840-9 EMS advance directives Narrative NEMSIS
Indent67516-5 The presence of a valid form or living will document directing end of life or healthcare treatment decisions
Indent48765-2 Allergies and adverse reactions Document
Indent69747-4 Does the patient have any environmental allergies NEMSIS
Indent79151-7 Known allergies to food or environmental agents
Indent67794-8 Does the patient have any allergies?
Indent67659-3 EMS billing Narrative NEMSIS
Indent67556-1 The condition codes are used to better describe the service and patient care delivery by an EMS service.
Indent69464-6 The CMS service level for this EMS encounter.
Indent67799-7 EMS cardiac arrest event Narrative NEMSIS
Indent67503-3 Indication of the etiology or cause of the cardiac arrest (classified as cardiac, non-cardiac, etc.)
Indent67508-2 AED Use Prior to EMS Arrival
Indent67844-1 EMS current medications Narrative NEMSIS
Indent67791-4 Does the patient take any medications?
Indent67556-1 The condition codes are used to better describe the service and patient care delivery by an EMS service.
Indent69749-0 Is the patient on anticoagulants NEMSIS
Indent67660-1 EMS dispatch Narrative NEMSIS
Indent67488-7 Indication of whether Emergency Medical Dispatch was performed for this EMS event
Indent67547-0 The number of patients transported by this EMS crew and unit. {#}
Indent67570-2 The complaint dispatch reported to the responding unit.
Indent67661-9 EMS disposition Narrative NEMSIS
Indent67547-0 The number of patients transported by this EMS crew and unit. {#}
Indent67548-8 Incident - patient disposition
Indent67550-4 Indication whether the transport was emergent or non-emergent.
Indent77153-5 EMS Transport mode descriptors NEMSIS
Indent67549-6 The method of transport by EMS
Indent67550-4 Indication whether the transport was emergent or non-emergent.
Indent77153-5 EMS Transport mode descriptors NEMSIS
Indent67800-3 EMS injury incident description Narrative NEMSIS
Indent67494-5 General mechanism of the forces which caused the injury
Indent67495-2 CDC field triage criteria NEMSIS
Indent67496-0 Other injury risk factors NEMSIS
Indent67497-8 The primary area or location of impact on the vehicle
Indent67498-6 The seat row location of the patient in vehicle at the time of the crash
Indent67499-4 Safety equipment in use by the patient at the time of the injury - MMUCC P7 data element
Indent67500-9 Indication of Airbag deployment during the motor vehicle crash
Indent67501-7 The distance in feet the patient fell, measured from the lowest point of the patient to the position of the patient at the end of the fall. [ft_us]
Indent67849-0 EMS medications administered Narrative NEMSIS
Indent67540-5 The patients response to the medication.
Indent67541-3 Any complication (abnormal effect on the patient) associated with the administration of the medication to the patient by EMS
Indent67539-7 Medication administered prior to this unit's EMS care
Indent67842-5 EMS past medical history Narrative NEMSIS
Indent67793-0 Has the patient had any significant medical conditions?
Indent68487-8 The patient's pre-existing medical and surgery history of the patient based on either ICD-10 Disease or ICD-10 Procedure Codes.
Indent67781-5 The narrative of the patient care report (PCR)
Indent67658-5 EMS exposures or injuries of EMS personnel Provider Narrative NEMSIS
Indent67554-6 Work related exposure, injury, or death?
Indent29545-1 Physical findings Narrative
Indent67524-9 The assessment of the patient's skin on examination
Indent67525-6 The assessment findings associated with the patients head.
Indent67536-3 The assessment of the patient's neurological status on examination
Indent67526-4 The assessment findings associated with the patients face
Indent67527-2 The assessment findings associated with the patients neck.
Indent67528-0 Physical findings of Chest+Lungs
Indent67529-8 The assessment findings associated with the patients heart
Indent67530-6 The assessment findings associated with the patients abdomen.
Indent67531-4 The assessment findings associated with the patients pelvic and genitourinary exam
Indent67532-2 The assessment findings associated with the patient spine (Cervical, Thoracic, Lumbar, and Sacral) and back exam.
Indent67533-0 The assessment of the patient's extremities.
Indent67534-8 The assessment findings of the patient's left eye examination
Indent67535-5 The assessment of the patient's mental status on examination
Indent67471-3 Indication of the possibility by the patient's history of current pregnancy
Indent67517-3 Last Oral Intake
Indent30525-0 Age a
Indent67523-1 Reperfusion checklist
Indent67515-7 Indication of whether or not there were any patient specific barriers to serving the patient at the scene
Indent8335-2 Body weight Estimated [lb_av];kg
Indent67670-0 The Length - based tape measure as take from the tape
Indent29554-3 Procedure Narrative
Indent67542-1 Indicates that the procedure which was performed and documented was performed prior to this EMS units care.
Indent67543-9 The number of attempts taken to complete a procedure or intervention regardless of success {#}
Indent67544-7 Indication of whether or not the procedure performed on the patient was successful
Indent67545-4 Any complication associated with the performance of the procedure on the patient
Indent67546-2 The patient response to the procedure
Indent71576-3 Airway device placement confirmation method
Indent67504-1 Indication of reason resuscitation the patient who is in cardiac arrest not attempted
Indent67663-5 EMS protocol Narrative NEMSIS
Indent67537-1 The protocol used by EMS personnel to direct the clinical care of the patient
Indent67538-9 The age group the protocol is written to address
Indent67553-8 Condition indicating eligibility for illness or injury registry
Indent67664-3 EMS response Narrative NEMSIS
Indent67480-4 The dispatch delays, if any, associated with the dispatch of the EMS unit to the patient encounter
Indent67557-9 The response delays, if any, of the unit associated with the patient encounter
Indent67558-7 The scene delays, if any, of the unit associated with the patient encounter
Indent67559-5 The transport delays, if any, of the unit associated with the patient encounter
Indent67560-3 The turn-around delays, if any, associated with the EMS unit associated with the patient encounter
Indent69466-1 The EMS Location or healthcare facility name representing the geographic location of the vehicle at the time of dispatch.
Indent52002-3 Ambulance transport, Destination site latitude coordinate
Indent52003-1 Ambulance transport, Destination site longitude coordinate
Indent67484-6 The mileage (counter or odometer reading) of the vehicle at the beginning of the call (when the wheels begin moving). [mi_us]
Indent67485-3 The mileage (counter or odometer reading) of the vehicle when it arrives at the patient [mi_us]
Indent67486-1 The mileage (counter or odometer reading) of the vehicle when it arrives at the patient's destination [mi_us]
Indent67487-9 The ending mileage (counter or odometer reading) of the vehicle (at time back in service) [mi_us]
Indent67482-0 The indication whether the response was emergent or non-emergent. An emergent response is an immediate response.
Indent77157-6 EMS Response mode descriptors NEMSIS
Indent77156-8 EMS unit Level of care capability
Indent67665-0 EMS scene Narrative NEMSIS
Indent67481-2 Documentation that this EMS Unit was the first EMS Unit for any EMS Agency on the Scene.
Indent67489-5 Indicator of how many total patients were at the scene
Indent67490-3 Indicator if this event would be considered a mass casualty incident (overwhelmed existing EMS resources)
Indent67666-8 EMS situation Narrative NEMSIS
Indent10154-3 Chief complaint Narrative - Reported
Indent69467-9 Possible injury
Indent67492-9 The EMS personnel's impression of the patient's primary problem or most significant condition which led to the management given to the patient (treatments, medications, or procedures).IDC-10 code
Indent67776-5 Other symptoms identified by the patient or observed by EMS personnel based on the ICD-10 Primary Symptom Code
Indent67493-7 The condition of the patient on EMS arrival at the scene
Indent69542-9 Provider's Secondary Impressions
Indent67843-3 EMS social history Narrative NEMSIS
Indent69757-3 Are there any indications of drug or alcohol use by the patient?
Indent67669-2 Indicators for the potential use of alcohol or drugs by the patient.
Indent67667-6 EMS times Narrative NEMSIS
Indent69469-5 911 call to public safety answering point or other designated entity requesting EMS services [Date and time] Facility
Indent69471-1 Responding unit was notified by dispatch [Date and time] Vehicle
Indent69472-9 Unit responded [Date and time] Vehicle
Indent69473-7 Responding unit arrived on the scene [Date and time] Vehicle
Indent69474-5 Responding unit arrived at the patient's side [Date and time] Vehicle
Indent69475-2 Responding unit left the scene with a patient [Date and time] Vehicle
Indent69476-0 Responding unit arrived with the patient at the destination or transfer point [Date and time] Vehicle
Indent69477-8 Unit was back in service and available for response [Date and time] Vehicle
Indent69470-3 Dispatch was notified by the 911 call taker [Date and time] Facility
Indent8716-3 Vital signs
Indent8480-6 Systolic blood pressure mm[Hg]
Indent8462-4 Diastolic blood pressure mm[Hg]
Indent8867-4 Heart rate {beats}/min;{counts/min}
Indent9279-1 Respiratory rate {breaths}/min;{counts/min}
Indent59408-5 Oxygen saturation in Arterial blood by Pulse oximetry %
Indent67520-7 Stroke scale score
Indent56840-2 Pain score {score}
Indent67775-7 Level of responsiveness (AVPU)
Indent2339-0 Blood glucose level mg/dL
Indent19911-7 Carbon monoxide level cm3/min/mm[Hg]
Indent19889-5 Carbon dioxide level %
Indent67519-9 The cardiac rhythm and other electrocardiography findings associated with the patient
Indent9267-6 Glasgow coma score eye opening
Indent9268-4 Glasgow coma score motor
Indent9270-0 Glasgow coma score verbal
Indent55285-1 Glasgow coma score qualifier
Indent9269-2 Glasgow coma score total {score}

Fully-Specified Name

Component
Level 3 emergency medical services patient care report - recommended CDA R1 & R2 set
Property
-
Time
Pt
System
{Setting}
Scale
-
Method

Additional Names

Short Name
L3 EMS Pt Care Rpt CDA R1+R2 set

Basic Attributes

Class
PANEL.DOC
Type
Clinical
First Released
Version 2.58
Last Updated
Version 2.72
Panel Type
Convenience group

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Informe de atención al paciente de servicios médicos de emergencia de nivel 3: conjunto CDA R1 y R2 recomendado:-:Punto temporal:{Configuración}:-:
it-IT Italian (Italy) Livello 3 rapporto di assistenza al paziente di servizi medici di emergenza - set CDA R1 & R2 raccomandate:-:Pt:{Setting}:-:
Synonyms: Livello 3 rapporto di assistenza al paziente di se Panel documentazione Punto nel tempo (episodio) Referto
zh-CN Chinese (China) 第3级 急救医疗服务患者医疗服务报告 - 推荐 CDA R1 与 R2 集合:-:时间点:{环境}:-:
Synonyms: Ⅲ III 三 事件发生的地方;场景;环境;背景 先天性红细胞生成异常性贫血 先天性红细胞生成异常性贫血（Congenital dyserythropoietic anaemia，CDA） 先天性红细胞生成障碍性贫血 先天性红血球生成不良性贫血 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.文档;文书组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）;文件医嘱组;医疗文书医嘱组;医疗文件医嘱组 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 叁 多重;多重型;多重标尺类型;多重精度类型 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 报道;汇报;调查报告;报表;报导 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 程度 第3级（L3、Level 3、第3层） 急救医疗服务（EMS）患者医疗服务报告 - 推荐 CDA R1 与 R2 集合（集、代码集、取值集合、值集）;HL7 临床文档架构;HL7 Clinical Document Architecture;HL7 CDA 等级 级 级别 组 组合 组合医嘱 组合类 组套

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=84429-0
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/84429-0