Transcription
NEMSISData DictionaryNHTSA v3.3.4Build 160713 Critical Patch 2EMS Data StandardVersion Date: July 13, 2016Funded byNational Highway Traffic Safety Administration (NHTSA)Office of Emergency Medical Serviceswww.NEMSIS.org
NEMSIS Data Dictionary Version 3.3.4NEMSIS Overview and SummaryThe NEMSIS data dictionary was developed through a collaborative effort with the EMS industryincluding: web-based reviews, public comment periods, focus groups, industry dialogue, topicfocused projects, and consensus. The National EMS Information System Version 3 represents amajor revision from version 2 released in 2005. Adopting a broad perspective, the initiative to moveto a 3rd version of the NEMSIS data dictionary was fueled by the need to improve data quality,enhance our ability to assess EMS performance, augment the flexibility of the standard for stateadoption and, to move the NEMSIS standard into the Health Level 7 (HL7) organization forapproval as an American National Standards Institute (ANSI) standard.NEMSIS Version 3 Element Configuration from v2.2.1NEMSIS Version 3 Element ConfigurationTotal Elements including the Custom Elements: 578Excluding the Demographic and EMS (ePCR) Custom Elements: 556NEMSIS Version 3.3.4 Data Dictionary Content**Note: The numbers to the right of the content listed below represent the location for each element on the Sample Page of the DataDictionary (page vi).Data Element Number (#1)The NEMSIS Version 3 element numbering system has been revised to improve theinformation that can be derived from just the data element number. An example of adata element number is dAgency.01.The data element number begins with either a "d" representing the demographic(agency) section or an "e" representing the EMS PCR section.A one word descriptor for each section is now included in the data elementPublished: 07/13/2016www.NEMSIS.orgPage i
number.A period separates the section (e.g. dAgency) from the data element number (e.g.01).Data Element Name (#3)The name for the data element.National and State Element Indicator (#2, #5, #6)National Yes, is an indication that the data element is required to be collected:at the local EMS agency level and submitted to the stateState Yes, is an indication that the data element is recommended to be collected atthe "State" level.Data Element Definition (#4)The definition for the data element.Version 2 Number (#7)The NEMSIS Version 2.2.1 Data Element Number.If the Data Element is new to Version 3.3.4, the Version 2 Number will be blank.Data Structure InformationRecurrence (#12)Indication that the data element can have more than one value.Represented by two characters separated by a colon. The configurationincludes:0:1 element is not required and can occur only once0:M element is not required and can repeat multiple times1:1 element is required and can occur only once1:M element is required and can repeat multiple timesUsage (#8)Indication of when the data element is expected to be collected.Mandatory Must be completed and does not allow for NOT valuesRequired Must be completed and allows NOT valuesRecommended Does not need to be completed and allows NOT valuesOptional Does not need to be completed and does not allow for NOTvaluesNOT Value Characteristics (#10)Indication that the data element can have NOT values.NOT Values are used (where permitted) to document that a data element was notapplicable to the EMS response / request for service, was not or could not becompleted.NOT Values are documented as "an attribute" of an element. It allows thedocumentation of NOT value when a "real" value is not documented. (Pleasereference the NEMSIS White Paper describing the use of NOT Values, PertinentNegatives, and Nill.)NOT Values Accepted (#14)Indication of which of the following three NOT values is acceptable.Not all data elements accept NOT values.NOT Values have been condensed in Version 3.Not Applicable The data element is not applicable or pertinent to the EMSevent.Not Recorded If a data element was unintentionally left blank the EMSPublished: 07/13/2016www.NEMSIS.orgPage ii
software should auto-populate it with "Not Recorded".Not Reporting The data element is not collected by the EMS agency orstate. This NOT value does not apply to National elements where "Usage Required".Pertinent Negative Values (PN) (#9, #14)A list of Pertinent Negative Values which can be associated with a data element.Not all data elements accept Pertinent Negative Values.Pertinent Negative Values are documented as "an attribute" of an element. Itallows the documentation of pertinent negative value in addition to thedocumentation of a "real" value. (Please reference the NEMSIS White Paperdescribing the use of NOT Values, Pertinent Negatives, and Nill.)Example of use:Example #1 - Aspirin Administration:If the medication Aspirin is part of the agency protocol for Chest Painbut was not administered by the responding crew, the reason whyshould be documented. This is done through the use of PertinentNegative Values. If the patient took the Aspirin prior to the EMS arrivalon scene, the value "Medication Already Taken" should bedocumented in addition to "Aspirin".Example #2 - Gunshot Wound Entry & Exit AssessmentIf the patient was injured by a gunshot the assessment shoulddocument not only the entry but the exit of the bullet. In the abdominalassessment if "Gunshot Wound-Entry" was documented in the RightUpper Quadrant the EMS professional should be looking for an exitwound. If upon assessment of the back/spine no "GunshotWound-Exit" was identified then both "Gunshot Wound-Exit" and thepertinent negative value of "Exam Finding Not Present" should bedocumented.Is Nillable (#11)Indication that the element can accept a "blank" value.If the element is left "blank" the software must submit an appropriate value of oneof the two attributes: Pertinent Negative or NOT Values.Associated Performance Measure Initiatives (#13)Indication that the data element has value in describing, defining, or measuring EMSfrom a performance perspective. Performance Measures can be associated with EMSservice delivery, patient care, or both. The following service delivery or time dependentillness/injury performance measure topics have been included in NEMSIS Version 3:Airway - Airway ManagementCardiac Arrest - Out of Hospital Cardiac ArrestPediatric - Acute Pediatric CareResponse - EMS Response TimeSTEMI - ST Elevation Myocardial Infarction (STEMI)Stroke - Acute Stroke CareTrauma - Acute Injury/Trauma CareAttributes (#14)An attribute provides extra information within an element. For information related to thefirst three attributes please see the NEMSIS document 'How to Utilize NEMSIS V3"NOT values/pertinent negatives/nillable"'. The following are possible attributes:PN (Pertinent Negative)Published: 07/13/2016www.NEMSIS.orgPage iii
8801001 - Contraindication Noted8801003 - Denied By Order8801005 - Exam Finding Not Present8801007 - Medication Allergy8801009 - Medication Already Taken8801013 - No Known Drug Allergies8801015 - None Reported8801017 - Not Performed by EMS8801019 - Refused8801021 - Unresponsive8801023 - Unable to CompleteNV (Not Value)7701001 - Not Applicable7701003 - Not Recorded7701005 - Not ReportingNillable xsi:nil "true"Code Type9924001 - ICD109924003 - RxNormCorrelationIDDate Type StringminLength 0maxLength 255DistanceUnit9921001 - Kilometers9921003 - MilesEmailAddressType9904001 - Personal9904003 - WorknemsisCodeDate Type StringnemsisElementDate Type StringnemsisValueDescriptionDate Type StringPhoneNumberType9913001 - Fax9913003 - Home9913005 - Mobile9913007 - Pager9913009 - WorkPublished: 07/13/2016www.NEMSIS.orgPage iv
ProcedureGroupCorrelationIDDate Type CorrelationIDStreetAddress2Date Type StringminLength 1maxLength 55TIMESTAMPDate Type DateTimeminValue 1950-01-01T00:00:00-00:00maxValue 2050-01-01T00:00:00-00:00VelocityUnit9921001 - Kilometers9921003 - MilesCode List (#16)A list of values associated with the data element. Not all data elements have predefinedvalue sets.Codes for each value:The codes are based on a 7-digit number, in a 2-2-3 pattern (without dashes).The first set of two numbers represent the data sectionThe second set of two numbers represent the element numberThe last set is a 3-digit number for each value beginning at 001; The codesincrease in increments of two (2).Codes are typically sequential (by two) and alphabetical. Some ordering isprovided in an effort to present information based on workflow.Several values and codes reference external standards such as ICD-10, RxNorm,SNOMED, etc. NEMSIS will assist in providing a recommended list of EMSspecific values and codes from these larger standards for most elements usingthese external standards.Data Element Editorial Comments (#17)Comments are provided to describe additions, changes, clarifications, or provideadditional insight into the data element.Version 3 Changes Implemented (#18)Comments providing insight into specific Version 3 changes such as new or reviseddata elements.Element Deprecated(#19)Elements that are signified as "deprecated" will be removed from a future version of theNEMSIS standard. Their use should now be avoided, but will be supported until they areremoved from the standard.NEMSIS Version 3.3.4 Change SummaryNEMSIS Version 3 includes several new types of information to better describe EMSfrom an industry, workforce, EMS service delivery, and patient care perspective.Examples of new Version 3 content include:Published: 07/13/2016www.NEMSIS.orgPage v
Demographic (Agency) ContentEMS Agencies can list more than one state in which they offer EMS service delivery.EMS Agencies can indicate multiple Agency numbers.Multiple EMS Agency contacts can now be managed within the Demographic Section.EMS Agency Location and GIS information has been enhanced.EMS Professional and Workforce information has been enhanced.EMS (PCR) ContentEMS Crew level information has been enhancedScene location information has been enhanced to improve geo-coding and locationanalysis.Provider Impression (diagnosis), Symptoms, Cause of Injury, Medical/Surgical History,and Incident Location are now based on ICD-10.Procedures are now based on SNOMED.Medications are now stored using the RxNorm standardCardiac Arrest information has been enhanced to add focus on CPR and post arrestcooling.Automated Collision Notification information has been included.The data elements required to document and evaluate the CDC Field Triage Algorithmfor trauma have been included.Vital Sign and patient monitoring information have been enhancedA new section for Laboratory and Diagnostic Imaging results has been added.The Exam section has been reconfigured to improve documentation and ease of use.Much of the medical device information has been mapped into the vital sign section fordirect import via the XML standard.Inclusion of electronic signatures and external electronic documents.An Airway section has been added to better document and evaluate airwaymanagement.Improved Work Related Illness and Injury documentation capability.Disposition information has been enhanced especially associated with SpecialtyCenters and time dependent illness/injury Systems of Care.EMS Response and Transport Modes have been enhanced to better define emergent,non-emergent, scheduled, and non-scheduled variation.EMS Response and Transport Mode Descriptors have been added to allow fordocumentation of Lights and Sirens Use and Intersection Navigation tools.The Payment/Billing section has been greatly expanded to meet current electronicbilling requirements.Outcome information has been expanded to include additional Emergency Departmentand Hospital Outcome information (often obtained through linkage).General ImprovementsVersion 3 content has focused on objective performance measures to better describeand evaluate EMS service delivery and patient care.State level configuration and customized data elements have been enhanced withoutchanging the NEMSIS Version 3 Standard.Published: 07/13/2016www.NEMSIS.orgPage vi
Published: 07/13/2016www.NEMSIS.orgPage vii
Table of ContentsDEMDataSet1DEMDataSet Grouping2EMSDataSet3EMSDataSet Grouping4dState6dState GroupingdState.01 - State Required Element78dCustomConfiguration9dCustomConfiguration GroupingdCustomConfiguration.01 - Custom Data Element TitledCustomConfiguration.02 - Custom DefinitiondCustomConfiguration.03 - Custom Data TypedCustomConfiguration.04 - Custom Data Element RecurrencedCustomConfiguration.05 - Custom Data Element UsagedCustomConfiguration.06 - Custom Data Element Potential ValuesdCustomConfiguration.07 - Custom Data Element Potential NOT Values (NV)dCustomConfiguration.08 - Custom Data Element Potential Pertinent Negative Values (PN)101112131415161718dAgency19dAgency GroupingdAgency.01 - EMS Agency Unique State IDdAgency.02 - EMS Agency NumberdAgency.03 - EMS Agency NamedAgency.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.10 - Other Types 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.23 - EMS Agency Time ZonedAgency.24 - EMS Agency Daylight Savings Time 344
dAgency.25 - National Provider IdentifierdAgency.26 - Fire Department ID Number4546dContact47dContact GroupingdContact.01 - Agency Contact TypedContact.02 - Agency Contact Last NamedContact.03 - Agency Contact First NamedContact.04 - Agency Contact Middle Name/InitialdContact.05 - Agency Contact AddressdContact.06 - Agency Contact CitydContact.07 - Agency Contact StatedContact.08 - Agency Contact ZIP CodedContact.09 - Agency Contact CountrydContact.10 - Agency Contact Phone NumberdContact.11 - Agency Contact Email AddressdContact.12 - EMS Agency Contact Web AddressdContact.13 - Agency Medical Director DegreedContact.14 - Agency Medical Director Board Certification TypedContact.15 - Medical Director CompensationdContact.16 - EMS Medical Director Fellowship Trained tion65dConfiguration GroupingdConfiguration.01 - State Associated with the Certification/Licensure LevelsdConfiguration.02 - State Certification/Licensure LevelsdConfiguration.03 - Procedures Permitted by the StatedConfiguration.04 - Medications Permitted by the StatedConfiguration.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.14 - EMD VendordConfiguration.15 - Patient Monitoring Capability(ies)dConfiguration.16 - Crew Call SigndConfiguration.17 - Dispatch Center (CAD) Name or Location GroupingdLocation.01 - EMS Location TypedLocation.02 - EMS Location NamedLocation.03 - EMS Location NumberdLocation.04 - EMS Location GPSdLocation.05 - EMS Location US National Grid CoordinatesdLocation.06 - EMS Location Address88899091929394
dLocation.07 - EMS Location CitydLocation.08 - EMS Location StatedLocation.09 - EMS Station or Location ZIP CodedLocation.10 - EMS Location CountydLocation.11 - EMS Location CountrydLocation.12 - EMS Location Phone Number9596979899100dVehicle101dVehicle GroupingdVehicle.01 - Unit/Vehicle NumberdVehicle.02 - Vehicle Identification NumberdVehicle.03 - EMS Unit Call SigndVehicle.04 - Vehicle TypedVehicle.05 - Crew State Certification/Licensure LevelsdVehicle.06 - Number of Each EMS Personnel Level on Normal 911 Ambulance ResponsedVehicle.07 - Number of Each EMS Personnel Level on Normal 911 Response (Non-Transport) VehicledVehicle.08 - Number of Each EMS Personnel Level on Normal Medical (Non-911) Transport AmbulancedVehicle.09 - Vehicle Initial CostdVehicle.10 - Vehicle Model YeardVehicle.11 - Year Miles/Kilometers Hours AccrueddVehicle.12 - Annual Vehicle HoursdVehicle.13 - Annual Vehicle 13114115dPersonnel116dPersonnel GroupingdPersonnel.01 - EMS Personnel's Last NamedPersonnel.02 - EMS Personnel's First NamedPersonnel.03 - EMS Personnel's Middle Name/InitialdPersonnel.04 - EMS Personnel's Mailing AddressdPersonnel.05 - EMS Personnel's City of ResidencedPersonnel.06 - EMS Personnel's StatedPersonnel.07 - EMS Personnel's ZIP CodedPersonnel.08 - EMS Personnel's CountrydPersonnel.09 - EMS Personnel's Phone NumberdPersonnel.10 - EMS Personnel's Email AddressdPersonnel.11 - EMS Personnel's Date of BirthdPersonnel.12 - EMS Personnel's GenderdPersonnel.13 - EMS Personnel's RacedPersonnel.14 - EMS Personnel's CitizenshipdPersonnel.15 - EMS Personnel's Highest Educational DegreedPersonnel.16 - EMS Personnel's Degree Subject/Field of StudydPersonnel.17 - EMS Personnel's Motor Vehicle License TypedPersonnel.18 - EMS Personnel's Immunization StatusdPersonnel.19 - EMS Personnel's Immunization YeardPersonnel.20 - EMS Personnel's Foreign Language AbilitydPersonnel.21 - EMS Personnel's Agency ID NumberdPersonnel.22 - EMS Personnel's State of LicensuredPersonnel.23 - EMS Personnel's State's Licensure ID NumberdPersonnel.24 - EMS Personnel's State EMS Certification Licensure LeveldPersonnel.25 - EMS Personnel's State EMS Current Certification 33134135136137138140141142143144
dPersonnel.26 - EMS Personnel's Initial State's Licensure Issue DatedPersonnel.27 - EMS Personnel's Current State's Licensure Expiration DatedPersonnel.28 - EMS Personnel's National Registry NumberdPersonnel.29 - EMS Personnel's National Registry Certification LeveldPersonnel.30 - EMS Personnel's Current National Registry Expiration DatedPersonnel.31 - EMS Personnel's Employment StatusdPersonnel.32 - EMS Personnel's Employment Status DatedPersonnel.33 - EMS Personnel's Hire DatedPersonnel.34 - EMS Personnel's Primary EMS Job RoledPersonnel.35 - EMS Personnel's Other Job ResponsibilitiesdPersonnel.36 - EMS Personnel's Total Length of Service in YearsdPersonnel.37 - EMS Personnel's Date Length of Service DocumenteddPersonnel.38 - EMS Professional's Practice LeveldPersonnel.39 - Date of Professional's Certification or Licensure for evice159dDevice GroupingdDevice.01 - Medical Device Serial NumberdDevice.02 - Medical Device Name or IDdDevice.03 - Medical Device TypedDevice.04 - Medical Device ManufacturerdDevice.05 - Medical Device Model NumberdDevice.06 - Medical Device Purchase Date160161162163164165166dFacility167dFacility GroupingdFacility.01 - Type of FacilitydFacility.02 - Facility NamedFacility.03 - Facility Location CodedFacility.04 - Hospital DesignationsdFacility.05 - Facility National Provider IdentifierdFacility.06 - Facility Room, Suite, or ApartmentdFacility.07 - Facility Street AddressdFacility.08 - Facility CitydFacility.09 - Facility StatedFacility.10 - Facility ZIP CodedFacility.11 - Facility CountydFacility.12 - Facility CountrydFacility.13 - Facility GPS LocationdFacility.14 - Facility US National Grid 181182dCustomResults183dCustomResults GroupingdCustomResults.01 - Custom Data Element ResultdCustomResults.02 - Custom Element ID ReferenceddCustomResults.03 - CorrelationID of DemographicReport Element or Group184185186187eState188eState GroupingeState.01 - State Required Element189190
eCustomConfiguration191eCustomConfiguration GroupingeCustomConfiguration.01 - Custom Data Element TitleeCustomConfiguration.02 - Custom DefinitioneCustomConfiguration.03 - Custom Data TypeeCustomConfiguration.04 - Custom Data Element RecurrenceeCustomConfiguration.05 - Custom Data Element UsageeCustomConfiguration.06 - Custom Data Element Potential ValueseCustomConfiguration.07 - Custom Data Element Potential NOT Values (NV)eCustomConfiguration.08 - Custom Data Element Potential Pertinent Negative Values (PN)192193194195196197198199200eRecord201eRecord GroupingeRecord.01 - Patient Care Report NumbereRecord.02 - Software CreatoreRecord.03 - Software NameeRecord.04 - Software Version202203204205206eResponse207eResponse GroupingeResponse.01 - EMS Agency NumbereResponse.02 - EMS Agency NameeResponse.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 DelayeResponse.13 - EMS Vehicle (Unit) NumbereResponse.14 - EMS Unit Call SigneResponse.15 - Level of Care of This UniteResponse.16 - Vehicle Dispatch LocationeResponse.17 - Vehicle Dispatch GPS LocationeResponse.18 - Vehicle Dispatch US National Grid LocationeResponse.19 - Beginning Odometer Reading of Responding VehicleeResponse.20 - On-Scene Odometer Reading of Responding VehicleeResponse.21 - Patient Destination Odometer Reading of Responding VehicleeResponse.22 - Ending Odometer Reading of Responding VehicleeResponse.23 - Response Mode to SceneeResponse.24 - Additional Response Mode ispatch GroupingeDispatch.01 - Complaint Reported by DispatcheDispatch.02 - EMD Performed234235237
eDispatch.03 - EMD Card NumbereDispatch.04 - Dispatch Center Name or IDeDispatch.05 - Dispatch Priority (Patient Acuity)238239240eCrew241eCrew GroupingeCrew.01 - Crew Member IDeCrew.02 - Crew Member LeveleCrew.03 - Crew Member Response Role242243244245eTimes246eTimes GroupingeTimes.01 - PSAP Call Date/TimeeTimes.02 - Dispatch Notified Date/TimeeTimes.03 - Unit Notified by Dispatch Date/TimeeTimes.04 - Dispatch Acknowledged 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.10 - Arrival at Destination Landing Area 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/TimeeTimes.15 - Unit Back at Home Location Date/TimeeTimes.16 - EMS Call Completed 0261262263ePatient264ePatient GroupingePatient.01 - EMS Patient IDePatient.02 - Last NameePatient.03 - First NameePatient.04 - Middle Initial/NameePatient.05 - Patient's Home AddressePatient.06 - Patient's Home CityePatient.07 - Patient's Home CountyePatient.08 - Patient's Home StateePatient.09 - Patient's Home ZIP CodeePatient.10 - Patient's Home CountryePatient.11 - Patient Home Census TractePatient.12 - Social Security NumberePatient.13 - GenderePatient.14 - RaceePatient.15 - AgeePatient.16 - Age UnitsePatient.17 - Date of BirthePatient.18 - Patient's Phone NumberePatient.19 - Patient's Email 79280281282283284
ePatient.20 - State Issuing Driver's LicenseePatient.21 - Driver's License Number285286ePayment287ePayment GroupingePayment.01 - Primary Method of PaymentePayment.02 - Physician Certification StatementePayment.03 - Date Physician Certification Statement SignedePayment.04 - Reason for Physician Certification StatementePayment.05 - Healthcare Provider Type Signing Physician Certification StatementePayment.06 - Last Name of Individual Signing Physician Certification StatementePayment.07 - First Name of Individual Signing Physician Certification StatementePayment.08 - Patient Resides in Service AreaePayment.09 - Insurance Company IDePayment.10 - Insurance Company NameePayment.11 - Insurance Company Billing PriorityePayment.12 - Insurance Company AddressePayment.13 - Insurance Company CityePayment.14 - Insurance Company StateePayment.15 - Insurance Company ZIP CodeePayment.16 - Insurance Company CountryePayment.17 - Insurance Group ID/NameePayment.18 - Insurance Policy ID NumberePayment.19 - Last Name of the InsuredePayment.20 - First Name of the InsuredePayment.21 - Middle Initial/Name of the InsuredePayment.22 - Relationship to the InsuredePayment.23 - Closest Relative/Guardian Last NameePayment.24 - Closest Relative/ Guardian First NameePayment.25 - Closest Relative/ Guardian Middle Initial/NameePayment.26 - Closest Relative/ Guardian Street AddressePayment.27 - Closest Relative/ Guardian CityePayment.28 - Closest Relative/ Guardian StateePayment.29 - Closest Relative/ Guardian ZIP CodeePayment.30 - Closest Relative/ Guardian CountryePayment.31 - Closest Relative/ Guardian Phone NumberePayment.32 - Closest Relative/ Guardian RelationshipePayment.33 - Patient's EmployerePayment.34 - Patient's Employer's AddressePayment.35 - Patient's Employer's CityePayment.36 - Patient's Employer's StateePayment.37 - Patient's Employer's ZIP CodeePayment.38 - Patient's Employer's CountryePayment.39 - Patient's Employer's Primary Phone NumberePayment.40 - Response UrgencyePayment.41 - Patient Transport AssessmentePayment.42 - Specialty Care Transport Care ProviderePayment.43 - Ambulance Transport CodeePayment.44 - Ambulance Transport Reason CodeePayment.45 - Round Trip Purpose DescriptionePayment.46 - Stretcher Purpose 35
ePayment.47 - Ambulance Conditions IndicatorePayment.48 - Mileage to Closest Hospital FacilityePayment.49 - ALS Assessment Performed and WarrantedePayment.50 - CMS Service LevelePayment.51 - EMS Condition CodeePayment.52 - CMS Transportation IndicatorePayment.53 - Transport Authorization CodeePayment.54 - Prior Authorization Code PayerePayment.55 - Supply Item Used NameePayment.56 - Number of Supply Item(s) Used336337338339340341342343344345eScene346eScene GroupingeScene.01 - First EMS Unit on SceneeScene.02 - Other EMS or Public Safety Agencies at SceneeScene.03 - Other EMS or Public Safety Agency ID NumbereScene.04 - Type of Other Service at SceneeScene.05 - Date/Time Initial Responder Arrived 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.12 - Scene US National Grid CoordinateseScene.13 - Incident Facility or Location NameeScene.14 - Mile Post or Major RoadwayeScene.15 - Incident Street AddresseScene.16 - Incident Apartment, Suite, or RoomeScene.17 - Incident CityeScene.18 - Incident StateeScene.19 - Incident ZIP CodeeScene.20 - Scene Cross Street or DirectionseScene.21 - Incident CountyeScene.22 - Incident CountryeScene.23 - Incident Census 362363364365366367368369370eSituation371eSituation GroupingeSituation.01 - Date/Time of Symptom Onset/Last NormaleSituation.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 Impression372373375376377378379380381382383384
eSituation.12 - Provider's Secondary ImpressionseSituation.13 - Initial Patient AcuityeSituation.14 - Work-Related Illness/InjuryeSituation.15 - Patient's Occupational IndustryeSituation.16 - Patient's OccupationeSituation.17 - Patient Activity385386387388389390eInjury391eInjury GroupingeInjury.01 - Cause of InjuryeInjury.02 - Mechanism of InjuryeInjury.03 - Trauma Center CriteriaeInjury.04 - Vehicular, Pedestrian, or Other Injury Risk FactoreInjury.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)eInjury.10 - OSHA Personal Protective Equipment UsedeInjury.11 - ACN System/Company Providing ACN DataeInjury.12 - ACN Incident IDeInjury.13 - ACN Call Back Phone NumbereInjury.14 - Date/Time of ACN IncidenteInjury.15 - ACN Incident LocationeInjury.16 - ACN Incident Vehicle Body TypeeInjury.17 - ACN Incident Vehicle ManufacturereInjury.18 - ACN Incident Vehicle MakeeInjury.19 - ACN Incident Vehicle ModeleInjury.20 - ACN Incident Vehicle Model YeareInjury.21 - ACN Incident Multiple ImpactseInjury.22 - ACN Incident Delta VelocityeInjury.23 - ACN High Probability of InjuryeInjury.24 - ACN Incident PDOFeInjury.25 - ACN Incident RollovereInjury.26 - ACN Vehicle Seat LocationeInjury.27 - Seat OccupiedeInjury.28 - ACN Incident Seatbelt UseeInjury.29 - ACN Incident Airbag rrest423eArrest GroupingeArrest.01 - Cardiac ArresteArrest.02 - Cardiac Arrest EtiologyeArrest.03 - Resuscitation Attempted By EMSeArrest.04 - Arrest Witnessed ByeArrest.05 - CPR Care Provided Prior to EMS
NEMSIS Version 3.3.4 Data Dictionary Content **Note: The numbers to the right of the content listed below represent the location for each element on the Sample Page of the Data Dictionary (page vi). Data Element Number (#1) The NEMSIS Version 3 element numbering system has been revised to improve the information that can be derived from just .
