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Bureau ofEmergency Medical Services& Trauma SystemsNew York State Supplementto theNational EMS Information System (NEMSIS)Version 3.4.0 Data Dictionarywww.NEMSIS.orgSupplement Current as of: November 21, 2017
INTRODUCTIONThis document is supplemental to the NEMSIS1 Data Dictionary – NHTSA v3.4.0 EMS Data Standard.2 Its purpose is:1. to provide the New York State (NYS) specific information necessary for electronic Prehospital Care Report (e-PCR)software vendors to deploy the NEMSIS Version 3 (v3) standard in NYS; and2. to assist EMS Providers in understanding how to document EMS events using the NEMSIS v3 standard.This NYS/NEMSIS v3 Supplement does not replace the NEMSIS v3 Data Dictionary2 but rather addresses the data needs ofthe NYS EMS System within the established NEMSIS v3 schema.This supplement is companion to any NYS Bureau of Emergency Medical Services and Trauma Systems (BEMSATS) PolicyStatement regarding paper or electronic PCRs and patient care documentation. As EMS is evidence-based medicine, dataand documentation needs will change over time. NEMSIS may add or modify data elements – and NYS (or any of its EMSRegions) may customize data elements – to capture new information or assist EMS Providers in documenting specificconditions or situations (i.e., naloxone, blood administration, stroke care, Community Paramedicine, etc.). As such, usersshould anticipate periodic revisions to this supplement and related BEMSATS policy statements, and be mindful of the“Supplement Current as of . . .” date found both on the front cover and at the bottom of each page of this supplement.NYS collects only specific data from an e-PCR, not the entire e-PCR. This supplement includes only the data elementsrequired to be transmitted to NYS (and NEMSIS). It does not address additional data elements that may be required byan EMS Agency, Regional Emergency Medical Services Council/Regional Emergency Medical Advisory Committee(REMSCO/REMAC), or Physician Medical Director for quality improvement, medical oversight, and/or medicolegaldocumentation purposes. It should not be assumed that an e-PCR containing only the data elements listed in thissupplement will represent a complete PCR, meet generally accepted patient care documentation standards, or be legallydefensible. When determining what data elements to collect in a local e-PCR system, EMS Agencies must include all thedata elements listed in this supplement and carefully consider (in consultation with the REMSCO/REMAC and PhysicianMedical Director) what additional data elements should be collected.Any e-PCR system deployed in NYS must remain compliant with the latest NEMSIS standards and compatible with the NYSe-PCR system. It is intended that this supplement will provide both the direction needed for software vendors to developNEMSIS v3 e-PCR systems for use in NYS, and clarification to EMS Providers in documenting patient care within the NEMSISv3 format. Should further clarification be needed, please contact:New York State – Department of HealthBureau of Emergency Medical Services and Trauma Systems875 Central Ave., Albany, NY 12206(518) 402 – 09961.2.National Emergency Medical Services Information System (www.nemsis.org)https://nemsis.org/media/nemsis SISDataDictionary.pdfNYS Supplement to the NEMSIS v. 3.4.0 Data DictionarySupplement Current as of November 21, 2017Page 2 of 93
GENERAL RULESNYS CLARIFICATIONS ON HOW TO USE THE NEMSIS VALUESA concern with the prior NEMSIS Version 2 standard was the use of data values (particularly “Not” values) that were notrelevant to the NYS EMS System, created confusion for EMS Providers when trying to document certain situations, orcreated difficulties for software vendors trying to transmit data to NYS. For example, with Possible Injury it makes senseto report “Yes” or “No” if there is a patient; but, what if there is no patient, or the situation is medical in nature, or possibleinjury cannot be ascertained? What does the EMS Provider record in these situations, and what does the software vendortransmit to NYS?NEMSIS v2 Data DictionaryThis supplement provides the minimum list of NEMSIS v3 data elements that must be collected and transmitted to NYS,as well as clarifications as to what NEMSIS or other values EMS Providers should document in certain situations, and howe-PCR software vendors must transmit that documentation to NYS.(See illustration on next page as an example of how clarifications are presented in this supplement.)NYS Supplement to the NEMSIS v. 3.4.0 Data DictionarySupplement Current as of November 21, 2017Page 3 of 93
ILLUSTRATION OFNEMSIS v3 DATA DICTIONARY with NYS SUPPLEMENTAL INFORMATION CLARIFICATIONSNEMSIS v3 DATA DICTIONARYNYS SUPPLEMENTAL INFORMATIONNYS Supplement to the NEMSIS v. 3.4.0 Data DictionarySupplement Current as of November 21, 2017Page 4 of 93
“DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS”Where indicated, the NEMSIS values shown are NOT to be transmitted to NYS (unless otherwise specified). If transmitted,the data file will be rejected.EXAMPLE“NOT” VALUESUnless otherwise specified, NYS will use “NOT” values in accordance with the whitepaper NEMSIS V3 Guidance for the useof NOT Values. See the white paper for further guidance and clarifying examples.https://nemsis.org/media/nemsis v3/master/UsageGuides/NEMSIS v3 NOT Values Use Guidance.pdfNot ApplicableIf the data element (question) is not pertinent to the situation, the value (answer) “Not Applicable” is to bemanually selected by the EMS Provider or auto-populated by the e-PCR software.Not RecordedIf the data element (question) is pertinent to the situation but was not answered (left blank) by the EMS Provider,the value (answer) “Not Recorded” is to be auto‐populate by the e-PCR software.NOTE “Not Recorded” is to be used only in the software background and not available to the EMS Provider.NYS Supplement to the NEMSIS v. 3.4.0 Data DictionarySupplement Current as of November 21, 2017Page 5 of 93
Not ReportingIf the data element (question) is not being used by NYS or the EMS Agency, the e-PCR software is to auto‐populatethe value (answer) "Not Reporting".NOTE “Not Reporting” is to be used only in the software background and not available to the EMS Provider.NOTE Unless otherwise specified, all data elements listed in this supplement are required in NYS.“Always Report . . .”Where indicated, the NEMSIS/NISE value provided is the only value that will be accepted by NYS for that data element.If any other value is transmitted to NYS – even if allowed by NEMSIS – the data file will be rejected.“NO NYS SPECIFIC SUPPLEMENTAL INFORMATION”Where indicated, the data element is required in NYS, but no NYS supplemental clarifying information is necessary. Unlessotherwise specified, the NEMSIS v3 Data Dictionary for that data element is to be followed, as is.DATA TRANSMISSION TO NYSAutomated Web Service. NYS will only accept data transmitted through the automated web service provided. Manualuploading of data to the NYS e-PCR system will not be allowed.“d” (Demographic) Data. “d” element data is to be transmitted to NYS – as soon as practical – whenever there is a changein the local e-PCR system to any “d” data element listed in this supplement.“e” (Event) Data. “e” element data is to be transmitted to NYS as close to real-time as possible. Although some e-PCRsystems may not be capable of immediate transmission, transmission only monthly, weekly, or daily is unacceptable.Ideally, when the EMS Provider “closes” the e-PCR, the system should automatically begin transmitting data to NYS.Data Checks / Quality Reviews / Resubmissions. NYS collects only specific data from an e-PCR, not the entire e-PCR.Local e-PCR systems should employ automated data validation/error checking to detect incomplete/inaccurate NYSrequired data and prompt the EMS Provider for correction before the data is transmitted to NYS. All data is to betransmitted to NYS as described above and is NOT to be held for quality review prior to transmission. However, shouldNYS required data later be corrected, the corrected data (entire record) should be re-transmitted.NYS Supplement to the NEMSIS v. 3.4.0 Data DictionarySupplement Current as of November 21, 2017Page 6 of 93
NYS Element / Value CustomizationsBelow is a complete list of all NYS element/value customizations[NEMSIS Implemented State Enhancement (NISE) Codes]with corresponding mappings to NEMSIS v3 values.dAgency.11 – Level of CareNISE Value Maps To it9917.125 – NYS EMT-Critical Care (EMT-CC)9917007 – 2009 ParamedicdConfiguration.02 – State Certification/Licensure LevelsNISE Value it9911.134 – NYS EMT-Critical Care (EMT-CC)Maps To 9911007 – 2009 ParamedicdConfiguration.06 – EMS Certification Levels Permitted to Perform Each ProcedureNISE Value it9925.134 – NYS EMT-Critical Care (EMT-CC)Maps To 9911007 – 2009 ParamedicdConfiguration.08 – EMS Certification Levels Permitted to Administer Each MedicationNISE Value it9911.134 – NYS EMT-Critical Care (EMT-CC)Maps To 9911007 – 2009 ParamedicdPersonnel.24 – EMS Personnel’s State EMS Certification/Licensure LevelNISE Value it9925.134 – NYS EMT-Critical Care (EMT-CC)Maps To 9925007 – 2009 ParamediceResponse.15 – Level of Care of This UnitNISE Value it.2215.100 – NYS EMT-Critical Care (EMT-CC) [ALS-Critical Care]Maps To 2215013 – ALS-Paramedic.NOTE it 2215.100 - - - The extra “ ” is correct.eCrew.02 – Crew Member LevelNISE Value it9925.134 – NYS EMT-Critical Care (EMT-CC)Maps To 9925007 – 2009 ParamediceScene.08 – Triage Classification for MCI PatientNISE Value it2708.105 – ORANGE (NYC Only) – The patient is experiencing a medical emergency thatis of higher importance than any traumatic injury the patient may have.Maps To 2708003 – YELLOW – DelayedNYS Supplement to the NEMSIS v. 3.4.0 Data DictionarySupplement Current as of November 21, 2017Page 7 of 93
eHistory.05 – Advance DirectivesNISE Value it3105.103 – NYS MOLST (DNR) – The standard NYS Medical Orders for Life-SustainingTreatment (MOLST) form (DOH-5003) indicating DNR Order: Do NotAttempt Resuscitation (Allow Natural Death).Maps To 3105009 – Other Healthcare Advance Directive FormNISE Value Maps To NISE Value Maps To NISE Value Maps To it3105.107 – NYS MOLST (DNI) – The standard NYS Medical Orders for Life-SustainingTreatment (MOLST) form (DOH-5003) indicating Do Not Intubate (DNI).3105009 – Other Healthcare Advance Directive Formit3105.106 – NYS MOLST (No IV Fluids) – The standard NYS Medical Orders for LifeSustaining Treatment (MOLST) form (DOH-5003) indicating No IV Fluids.3105009 – Other Healthcare Advance Directive Formit3105.112 – NYS MOLST (Limited Interventions or Comfort Measures ONLY) – Thestandard NYS Medical Orders for Life-Sustaining Treatment (MOLST)form (DOH-5003) indicating Limited Medical Interventions or ComfortMeasures Only.3105009 – Other Healthcare Advance Directive FormeExam.15 – Extremity Assessment Findings LocationNISE Value it3515.001 – Patella-LeftMaps To 3515053 – Knee-LeftNISE ValueMaps To it3515.002 – Patella-Right3515055 – Knee-RighteMedications.10 – Role/Type of Person Administering MedicationNISE Value it9905.179 – NYS Certified EMT-Critical Care (EMT-CC)Maps To 9905007 – 2009 ParamediceProcedures.10 – Role/Type of Person Performing the ProcedureNISE Value it9905.179 – NYS Certified EMT-Critical Care (EMT-CC)Maps To 9905007 – 2009 ParamedicNYS Supplement to the NEMSIS v. 3.4.0 Data DictionarySupplement Current as of November 21, 2017Page 8 of 93
Table of Contents (dState & eState Groups)dState.01 – State Required ElementeState.01 – State Required ElementsNEMSIS DD Page 8NEMSIS DD Page 193This Table of Contents shall serve as NEMSIS data elements dState.01 and eState.01.All data elements listed in this Table and supplement are required by NYS, unless otherwise specified.NOTE For the NEMSIS required timestamp, report the “Supplement Current as of . . .“ date found both onthe front cover and at the bottom of each page of this 17.18.19.20.21.22.dAgency GroupdAgency.01 – EMS Agency Unique State IDdAgency.02 – EMS Agency NumberdAgency.04 – EMS Agency StatedAgency.05 – EMS Agency Service Area StatesdAgency.06 – EMS Agency Service Area County(ies)dAgency.07 – EMS Agency Census TractsdAgency.08 – EMS Agency Service Area ZIP CodesdAgency.09 – Primary Type of ServicedAgency.11 – Level of ServicedAgency.12 – Organization StatusdAgency.13 – Organizational TypedAgency.14 – EMS Agency Organizational Tax StatusdAgency.15 – Statistical Calendar YeardAgency.16 – Total Primary Service Area SizedAgency.17 – Total Service Area PopulationdAgency.18 – 911 EMS Call Center Volume per YeardAgency.19 – EMS Dispatch Volume per YeardAgency.20 – EMS Patient Transport Volume per YeardAgency.21 – EMS Patient Contact Volume per YeardAgency.22 – EMS Billable Calls per YeardAgency.25 – National Provider IdentifierdAgency.26 – Fire Department ID NumberSupplement Page .25.26.dConfiguration GroupdConfiguration.01 – State Associated with the Certification/Licensure LevelsdConfiguration.02 – State Certification/Licensure LevelsdConfiguration.03 – Procedures Permitted by the StatedConfiguration.04 – Medications Permitted by the StateSupplement Page #24242525NYS Supplement to the NEMSIS v. 3.4.0 Data DictionarySupplement Current as of November 21, 2017Page 9 of 93
27.28.29.30.31.32.33.34.35.36.37.dConfiguration.05 – Protocols Permitted by the StatedConfiguration.06 – EMS Certification Levels Permitted to Perform Each ProceduredConfiguration.07 – EMS Agency ProceduresdConfiguration.08 – EMS Certification Levels Permitted to Administer Each MedicationdConfiguration.09 – EMS Agency MedicationsdConfiguration.10 – EMS Agency ProtocolsdConfiguration.11 – EMS Agency Specialty Service CapabilitydConfiguration.12 – Billing StatusdConfiguration.13 – Emergency Medical Dispatch (EMD) Provided to EMS Agency Service AreadConfiguration.15 – Patient Monitoring Capability(ies)dConfiguration.16 – Crew Call Sign38.39.40.41.42.43.44.dPersonnel GroupdPersonnel.01 – EMS Personnel's Last NamedPersonnel.02 – EMS Personnel's First NamedPersonnel.03 – EMS Personnel's Middle Name/InitialdPersonnel.11 – EMS Personnel’s Date of BirthdPersonnel.21 – EMS Personnel's Agency ID NumberdPersonnel.23 – EMS Personnel's State's Licensure ID NumberdPersonnel.24 – EMS Personnel's State EMS Certification Licensure Level2528282828282929292929Supplement Page #30303031313233dFacility Group45.46.dFacility.02 – Facility NamedFacility.03 – Facility Location CodeSupplement Page #343447.48.49.50.eRecord GroupeRecord.01 – Patient Care Report NumbereRecord.02 – Software CreatoreRecord.03 – Software NameeRecord.04 – Software VersionSupplement Page e GroupeResponse.01 – EMS Agency NumbereResponse.03 – Incident NumbereResponse.04 – EMS Response NumbereResponse.05 – Type of Service RequestedeResponse.06 – Standby PurposeeResponse.07 – Primary Role of the UniteResponse.08 – Type of Dispatch DelayeResponse.09 – Type of Response DelayeResponse.10 – Type of Scene DelayeResponse.11 – Type of Transport DelayeResponse.12 – Type of Turn-Around DelaySupplement Page #4444444444444545454545NYS Supplement to the NEMSIS v. 3.4.0 Data DictionarySupplement Current as of November 21, 2017Page 10 of 93
62.63.64.65.66.67.68.69.eResponse.13 – EMS Vehicle (Unit) NumbereResponse.14 – EMS Unit Call SigneResponse.15 – Level of Care of This UniteResponse.19 – Beginning Odometer Reading of Responding VehicleeResponse.20 – On-Scene Odometer Reading of Responding VehicleeResponse.21 – Patient Destination Odometer Reading of Responding VehicleeResponse.23 – Response Mode to SceneeResponse.24 – Additional Response Mode Descriptors70.71.eDispatch GroupeDispatch.01 – Complaint Reported by DispatcheDispatch.02 – EMD PerformedeCrew Group72.73.74.eCrew.01 – Crew Member IDeCrew.02 – Crew Member LeveleCrew.03 – Crew Member Response RoleeTimes Group75.76.77.78.79.80.81.82.83.84.85.eTimes.01 – PSAP Call Date/TimeeTimes.03 – Unit Notified by Dispatch Date/TimeeTimes.05 – Unit En Route Date/TimeeTimes.06 – Unit Arrived on Scene Date/TimeeTimes.07 – Arrived at Patient Date/TimeeTimes.08 – Transfer of EMS Patient Care Date/TimeeTimes.09 – Unit Left Scene Date/TimeeTimes.11 – Patient Arrived at Destination Date/TimeeTimes.12 – Destination Patient Transfer of Care Date/TimeeTimes.13 – Unit Back in Service Date/TimeeTimes.14 – Unit Canceled Date/TimeePatient Group86.87.88.89.90.91.92.93.94.95.96.ePatient.01 – EMS Patient IDePatient.02 – Last NameePatient.03 – First NameePatient.07 – Patient's Home CountyePatient.08 – Patient's Home StateePatient.09 – Patient's Home ZIP CodeePatient.10 – Patient's Country of ResidenceePatient.12 – Social Security NumberePatient.13 – GenderePatient.14 – RaceePatient.15 – AgeNYS Supplement to the NEMSIS v. 3.4.0 Data DictionarySupplement Current as of November 21, 20174545464646464647Supplement Page #4848Supplement Page #495051Supplement Page #5252525252525252525252Supplement Page #5353535454545454545555Page 11 of 93
97.98.ePatient.16 – Age UnitsePatient.17 – Date of Birth5555ePayment Group99. ePayment.01 – Primary Method of Payment100. ePayment.50 – CMS Service LeveleScene GroupSupplement Page 12.eScene.01 – First EMS Unit on SceneeScene.06 – Number of Patients at SceneeScene.07 – Mass Casualty IncidenteScene.08 – Triage Classification for MCI PatienteScene.09 – Incident Location TypeeScene.10 – Incident Facility CodeeScene.11 – Scene GPS LocationeScene.15 – Incident Street AddresseScene.17 – Incident CityeScene.18 – Incident StateeScene.19 – Incident ZIP CodeeScene.21 – Incident CountySupplement Page 19.120.121.122.123.124.125.126.127.eSituation GroupeSituation.01 – Date/Time of Symptom OnseteSituation.02 – Possible InjuryeSituation.03 – Complaint TypeeSituation.04 – ComplainteSituation.05 – Duration of ComplainteSituation.06 – Time Units of Duration of ComplainteSituation.07 – Chief Complaint Anatomic LocationeSituation.08 – Chief Complaint Organ SystemeSituation.09 – Primary SymptomeSituation.10 – Other Associated SymptomseSituation.11 – Provider's Primary ImpressioneSituation.12 – Provider's Secondary ImpressionseSituation.13 – Initial Patient AcuityeSituation.17 – Patient ActivityeSituation.18 – Date/Time Last Known WellSupplement Page #595960606060606060606060606060eInjury Group128.129.130.131.eInjury.01 – Cause of InjuryeInjury.02 – Mechanism of InjuryeInjury.03 – Trauma Center CriteriaeInjury.04 – Vehicular, Pedestrian, or Other Injury Risk FactorNYS Supplement to the NEMSIS v. 3.4.0 Data DictionarySupplement Current as of November 21, 2017Supplement Page #61616161Page 12 of 93
132.133.134.135.136.eInjury.05 – Main Area of the Vehicle Impacted by the CollisioneInjury.06 – Location of Patient in VehicleeInjury.07 – Use of Occupant Safety EquipmenteInjury.08 – Airbag DeploymenteInjury.09 – Height of Fall (feet)eArrest .146.147.148.149.150.151.152.153.eArrest.01 – Cardiac ArresteArrest.02 – Cardiac Arrest EtiologyeArrest.03 – Resuscitation Attempted By EMSeArrest.04 – Arrest Witnessed ByeArrest.05 – CPR Care Provided Prior to EMS ArrivaleArrest.06 – Who Provided CPR Prior to EMS ArrivaleArrest.07 – AED Use Prior to EMS ArrivaleArrest.08 – Who Used AED Prior to EMS ArrivaleArrest.09 – Type of CPR ProvidedeArrest.11 – First Monitored Arrest Rhythm of the PatienteArrest.12 – Any Return of Spontaneous CirculationeArrest.14 – Date/Time of Cardiac ArresteArrest.15 – Date/Time Resuscitation DiscontinuedeArrest.16 – Reason CPR/Resuscitation DiscontinuedeArrest.17 – Cardiac Rhythm on Arrival at DestinationeArrest.18 – End of EMS Cardiac Arrest EventeArrest.19 – Date/Time of Initial CPRSupplement Page .158.159.160.161.eHistory GroupeHistory.01 – Barriers to Patient CareeHistory.05 – Advance DirectiveseHistory.06 – Medication AllergieseHistory.07 – Environmental/Food AllergieseHistory.08 – Medical/Surgical HistoryeHistory.12 – Current MedicationseHistory.17 – Alcohol/Drug Use IndicatorseHistory.18 – PregnancySupplement Page #6565666666666666eNarrative Group162. eNarrative.01 – Patient Care Report Narrative163.164.165.166.eVitals GroupeVitals.01 – Date/Time Vital Signs TakeneVitals.02 – Obtained Prior to this Unit's EMS CareeVitals.03 – Cardiac Rhythm / Electrocardiography (ECG)eVitals.04 – ECG TypeNYS Supplement to the NEMSIS v. 3.4.0 Data DictionarySupplement Current as of November 21, 2017Supplement Page #67Supplement Page #68686868Page 13 of 93
192.193.194.eVitals.05 – Method of ECG InterpretationeVitals.06 – SBP (Systolic Blood Pressure)eVitals.07 – DBP (Diastolic Blood Pressure)eVitals.08 – Method of Blood Pressure MeasurementeVitals.09 – Mean Arterial PressureeVitals.10 – Heart RateeVitals.11 – Method of Heart Rate MeasurementeVitals.12 – Pulse OximetryeVitals.13 – Pulse RhythmeVitals.14 – Respiratory RateeVitals.15 – Respiratory EfforteVitals.16 – End Tidal Carbon Dioxide (ETCO2)eVitals.17 – Carbon Monoxide (CO)eVitals.18 – Blood Glucose LeveleVitals.19 – Glasgow Coma Score-EyeeVitals.20 – Glasgow Coma Score-VerbaleVitals.21 – Glasgow Coma Score-MotoreVitals.22 – Glasgow Coma Score-QualifiereVitals.23 – Total Glasgow Coma ScoreeVitals.24 – TemperatureeVitals.25 – Temperature MethodeVitals.26 – Level of Responsiveness (AVPU)eVitals.27 – Pain Scale ScoreeVitals.28 – Pain Scale TypeeVitals.29 – Stroke Scale ScoreeVitals.30 – Stroke Scale TypeeVitals.31 – Reperfusion ChecklisteVitals.32 – 06.207.eExam GroupeExam.01 – Estimated Body Weight in KilogramseExam.04 – Skin AssessmenteExam.05 – Head AssessmenteExam.06 – Face AssessmenteExam.07 – Neck AssessmenteExam.08 – Chest/Lungs AssessmenteExam.09 – Heart AssessmenteExam.10 – Abdominal Assessment Finding LocationeExam.11 – Abdomen AssessmenteExam.12 – Pelvis/Genitourinary AssessmenteExam.13 – Back and Spine Assessment Finding LocationeExam.14 – Back and Spine AssessmenteExam.15 – Extremity Assessment Finding LocationNYS Supplement to the NEMSIS v. 3.4.0 Data DictionarySupplement Current as of November 21, 7374747474Supplement Page #75767676767676767676767676Page 14 of 93
208.209.210.211.212.213.eExam.16 – Extremities AssessmenteExam.17 – Eye Assessment Finding LocationeExam.18 – Eye AssessmenteExam.19 – Mental Status AssessmenteExam.20 – Neurological AssessmenteExam.21 – Stroke/CVA Symptoms ResolvedeProtocols Group214. eProtocols.01 – Protocols Used215. eProtocols.02 – Protocol Age Category767676767677Supplement Page Medications GroupeMedications.01 – Date/Time Medication AdministeredeMedications.02 – Medication Administered Prior to this Unit's EMS CareeMedications.03 – Medication GiveneMedications.04 – Medication Administered RouteeMedications.05 – Medication DosageeMedications.06 – Medication Dosage UnitseMedications.07 – Response to MedicationeMedications.08 – Medication ComplicationeMedications.09 – Medication Crew (Healthcare Professionals) IDeMedications.10 – Role/Type of Person Administering MedicationeMedications.11 – Medication AuthorizationSupplement Page .234.235.236.237.eProcedures GroupeProcedures.01 – Date/Time Procedure PerformedeProcedures.02 – Procedure Performed Prior to this Unit's EMS CareeProcedures.03 – ProcedureeProcedures.05 – Number of Procedure AttemptseProcedures.06 – Procedure SuccessfuleProcedures.07 – Procedure ComplicationeProcedures.08 – Response to ProcedureeProcedures.09 – Procedure Crew Members IDeProcedures.10 – Role/Type of Person Performing the ProcedureeProcedures.11 – Procedure AuthorizationeProcedures.13 – Vascular Access LocationSupplement Page #8383838383838383848585238.239.240.241.242.eAirway GroupeAirway.01 – Indications for Invasive AirwayeAirway.02 – Date/Time Airway Device Placement ConfirmationeAirway.03 – Airway Device Being ConfirmedeAirway.04 – Airway Device Placement Confirmed MethodeAirway.06 – Type of Individual Confirming Airway Device PlacementSupplement Page #8686868686NYS Supplement to the NEMSIS v. 3.4.0 Data DictionarySupplement Current as of November 21, 2017Page 15 of 93
243.244.245.246.247.eAirway.07 – Crew Member IDeAirway.08 – Airway Complications EncounteredeAirway.09 – Suspected Reasons for Failed Airway ManagementeAirway.10 – Date/Time Decision to Manage the Patient with an Invasive AirwayeAirway.11 – Date/Time Invasive Airway Placement Attempts 58.259.260.261.262.263.264.265.eDisposition GroupeDisposition.01 – Destination/Transferred To, NameeDisposition.02 – Destination/Transferred To, CodeeDisposition.05 – Destination StateeDisposition.06 – Destination CountyeDisposition.07 – Destination ZIP CodeeDisposition.12 – Incident/Patient DispositioneDisposition.13 – How Patient Was Moved to AmbulanceeDisposiiton.14 – Position of Patient During TransporteDisposition.16 – EMS Transport MethodeDisposition.17 – Transport Mode from SceneeDisposition.18 – Additional Transport Mode DescriptorseDisposition.19 – Final Patient AcuityeDisposition.20 – Reason for Choosing DestinationeDisposition.21 – Type of DestinationeDisposition.22 – Hospital In-Patient DestinationeDisposition.23 – Hospital CapabilityeDisposition.24 – Destination Team Pre-Arrival Alert or ActivationeDisposition.25 – Date/Time of Destination Prearrival Alert or Activation8687878787Supplement Page #888888888888898989898989898989909090eOutcome Group266. eOutcome.01 – Emergency Department Disposition267. eOutcome.02 – Hospital DispositionSupplement Page #9191eOther Group268. eOther.05 – Suspected EMS Work Related Exposure, Injury, or Death269. eOther.08 – Crew Member Completing this ReportSupplement Page #9292NYS Supplement to the NEMSIS v. 3.4.0 Data DictionarySupplement Current as of November 21, 2017Page 16 of 93
dAgency GroupdAgency.01 – EMS Agency Unique State IDNEMSIS DD Page 22NYS will use dAgency.01 to group together related EMS Agencies.o i.e., All agencies associated with the New York City 911 system.o i.e., All agencies operated by the AMR Corporation.o i.e., Agencies operating more than one service (different NYS EMS Agency Codes).o etc. Report same as dAgency.02 (EMS Agency Number); Unless the EMS Agency is identified by NYS as affiliated with a larger group,Then contact NYS for clarification on what to report for dAgency.01.dAgency.02 – EMS Agency Number NEMSIS DD Page 23Report the EMS Agency Code issued by NYS.NOTE NYS EMS Agency Codes are currently issued as four (4) digits in length. Leading zeros (“0”) may be required. i.e., Agency Code “123” is actually “0123” and must be handled as such.dAgency.04 – EMS Agency StateNEMSIS DD Page 25Always Report “36” for New York State (NYS).NYS Supplement to the NEMSIS v. 3.4.0 Data DictionarySupplement Current as of November 21, 2017Page 17 of 93
dAgency.05 – EMS Agency Service Area StatesdAgency.06 – EMS Agency Service Area County(ies)dAgency.07 – EMS Agency Census TractsdAgency.08 – EMS Agency Service Area ZIP CodesNEMSIS DD Page 26NEMSIS DD Page 27NEMSIS DD Page 28NEMSIS DD Page 29Use the NEMSIS V3 Agency Service Area Builder webtool to assist with these data er/ Report all territory in which the EMS Agency formally provides service:-dAgency.05 Report ALL STATES (Including NYS).-dAgency.06 Report ALL COUNTIES (Inside and Outside NYS).-dAgency.07 Report ALL US CENSUS TRACTS (Inside and Outside NYS).-dAgency.08 Report ALL ZIP CODES (Inside and Outside NYS)DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS7701001 – Not Applicable7701003 – Not RecordedNYS Supplement to the NEMSIS v. 3.4.0 Data DictionarySupplement Current as of November 21, 2017Page 18 of 93
dAgency.09 – Primary Type of ServiceNEMSIS DD Page 30In NYS, type of service is defined under NYS Law.Thereby, these are the only NEMSIS values allowable in ESCRIPTION911 Response (Scene) with Transport Capability911 Response (Scene) without Transport CapabilityAir MedicalALS InterceptNYSDESCRIPTIONAmbulanceBLSFR (Basic Life Support First Response)Air MedicalALSFR (Advanced Life Support First Response)DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS9920011 – Hazmat9920013 – Medical Transport (Convalescent, Interfacility Transfer Hospital and Nursing Home)9920015 – Rescue9920017 – Community Paramedicine9920019 – Critical Care (Ground)NYS Supplement to the NEMSIS v. 3.4.0 Data DictionarySupplement Current as of November 21, 2017Page 19 of 93
dAgency.11 – Level of ServiceNEMSIS DD Page 32In NYS, level of service is defined under NYS Law.Thereby, these are the only NEMSIS/NISE values allowable in 9917.125NEMSISDESCRIPTION2009 Advanced Emergency Medical Technician (AEMT)2009 Emergency Medical Responder (EMR)2009 Emergency Medical Technician (EMT)2009 ParamedicNYSDESCRIPTIONNYS Advanced EMT (AEMT)NYS Certified First Responder (CFR)NYS Emergency Medical Technician (EMT)NYS ParamedicNYS EMT – Critical Care (EMT–CC)DO NOT TRANSMIT THESE NEMSIS VALUES TO NYS9917009 – First Responder9917023 – Community Paramedicine9917011 – EMT-Basic9917025 – Nurse Practitioner9917013 – EMT-Intermediate9917027 – Physician Assistant9917015 – EMT-Paramedic9917029 – Licensed Practical Nurse (LPN)9917019 – Physician9917031 – Registered Nurse9917021 – Critical Care ParamedicdAgency.12 – Organization StatusNEMSIS DD Page 33NO NYS SPECIFIC SUPPLEMENTAL INFORMATIONNYS Supplement to the NEMSIS v. 3.4.0 Data DictionarySup
NYS Supplement to the NEMSIS v. 3.4.0 Data Dictionary Supplement Current as of November 21, 2017 Page 9 of 93 . Table of Contents (dState & eState Groups) dState.01 - State Required Element NEMSIS DD Page 8 eState.01 - State Required Elements NEMSIS DD Page 193 ; This Table of Contents shall serve as NEMSIS data elements dState.01 and .
