OUT OF HOSPITAL CARDIAC ARREST DATA ELEMENTS V. NEMSIS & NON-NEMSIS DATA ELEMENTS TRANSLATION TABLE
OUT OF HOSPITAL CARDIAC ARREST DATA ELEMENTS
Data Element Name
Data Element Description
Other System
NEMSIS PROGRAM DATA ELEMENTS*
Non-NEMSIS
National
Non-National
NEMSIS Field Name
Case Number
EMS Incident Number
E02_02
Incident Number
Incident Date
Incident Date
E05_01
Incident Onset Date/Time
Estimated Time of Collapse
Hours and minutes (witnessed only)
E05_01
Incident or Onset Date/Time
E11_08
Estimated Time of Arrest Prior to EMS Arrival
E18_01
Date/Time Medication Administered
E18_01
Date/Time Medication Administered
E18_01
Date/Time Medication Administered
Time EMS Dispatched
Yes/No 200 initial compressions by EMS or adequate bystander
compressions
Yes/No 200 post-shock compressions or continuous in a no shock
rhythm
Yes/No Intubation was delayed for three cycles
Yes/No Epinephrine given during the first five minutes after CCR
initiated
Yes/No Epinephrine given during six to ten minutes after CCR
initiated
Yes/No Epinephrine given after ten minutes
Yes/No Whether the EMS agency followed the American Heart
Association’s 2005 guidelines for CPR
HH/MM
Time EMS Arrived Scene
Pre-Compressions Correct?
Post-Compressions Correct?
Intubation Delayed Correct?
Early Epi Cycle 1
Early Epi Cycle 2
Early Epi Cycle 2
Followed AHA 2005
X
X
X
X
X
E05_04
Unit Notified by Dispatch Date/Time
HH/MM Arrival of ALS unit at scene (not at patient side)
E05_06
Unit Arrived on Scene Date/Time
Time EMS Transporting
HH/MM EMS depart scene
E05_09
Unit Left Scene Date/Time
Time EMS at Hospital
HH/MM
HH/MM or HH/MM/SS depending upon monitor capability and
where data was obtained. Time, including seconds, if possible, that
defibrillation was first administered by EMS personnel
E05_10
Patient Arrived at Destination Date/Time
Time EMS Defibrillation #1
Number of EMS Defibrillations
Total times EMS personnel administered defibrillation
Asystole After Shock #1
Yes/No Whether asystole was present after the first shock
PAD AED
Yes/No Whether an AED was being used on arrival of EMS
Number of Layperson AED Shocks
Total times layperson bystander administered defibrillation
Gender
1
Male
2
Female
E19_01
E19_05
Date/Time Procedure Performed Successfully
Number of Procedure Attempts
E21_10
Total Number of Shocks Delivered
E19_08
Response to Procedure
E19_01
Date/Time Procedure Performed Successfully
X
E06_11
Gender
Age
Patient’s Age
E06_14
Age
Age Pediatric
If <18 years, age in months
E06_15
Age Units
If Less Than 10 Years, Patient Weight
Weight for pediatric cardiac arrests
E16_01
Estimated Body Weight
E16_02
Broselow/Luten Color
OUT OF HOSPITAL CARDIAC ARREST DATA ELEMENTS
Data Element Name
Race
Presumed Etiology
Data Element Description
1
White/Caucasian
2
Black/African American
3
Hispanic
4
American Indian/Alaskan Native
5
Asian or Pacific Islander
6
Other
7
Middle Eastern/Arab/Indian
1
Cardiac
2
Trauma
3
Drowning
4
Respiratory
5
Other, Non-Cardio-respiratory
6
Unknown
Other System
NEMSIS PROGRAM DATA ELEMENTS*
Non-NEMSIS
National
Non-National
NEMSIS Field Name
E06_12
Race
E11_02
Cardiac Arrest Etiology
OUT OF HOSPITAL CARDIAC ARREST DATA ELEMENTS
Data Element Name
Data Element Description
Other System
NEMSIS PROGRAM DATA ELEMENTS*
Non-NEMSIS
National
Non-National
NEMSIS Field Name
Location of Cardiac Arrest Incident
Location
1
Single Family Residence
2
Apartment
3
Mobile Home
4
Physician’s Office/Clinic
5
In a Car/Road/Parking Lot
6
Jail
7
Park/Outdoor Recreation
8
Indoor Recreation/Entertainment Venue
9
Gym/Health Club
10
Open Field
11
Public Street/Sidewalk/Bus Stop/Alley
12
Hotel/Motel
13
Church
14
Store/Mall
15
Public Business/Office
16
Restaurant/Bar
17
Retirement Community or Complex
18
School
19
Golf Course
20
Federal/County/State/City Govt. Building
21
Dialysis Center
22
Nursing Home
23
Hospice/Long Term Care Hospital
24
Adult Care Home/Assisted Living Facility
25
Train/Bus
26
Fire Station/EMS Vehicle
Witnessed?
Whether this was a witnessed cardiac arrest, seen or heard
Arrest After EMS
Whether patient went into cardiac arrest AFTER arrival of EMS
E08_07
Incident Location Type
E11_04
E11_01
Arrest Witnessed By
Cardiac Arrest
OUT OF HOSPITAL CARDIAC ARREST DATA ELEMENTS
Data Element Name
CPR/CCC Prior to EMS
Data Element Description
Whether bystander CPR or CCC was being performed on arrival of
first responding unit
1
No
2
Yes, Spouse
3
Yes, Other Family Member
4
Yes, Friend or Neighbor
5
Yes, Stranger
6
Yes, EMS/Paramedic Off Duty
7
Yes, Law Enforcement
8
Yes, Nursing Home/Phys. Ofc. Personnel
9
Yes, Nurse/Physician Off Duty
Quality
10 Yes, Employee of Arrest Location
Was the bystander CPR/CCC being performed in EMS personnel’s
judgment
1
Adequate
Type
CCC or Traditional
Agonal?
Whether the patient exhibited agonal respirations upon EMS arrival
Skin Temp
Cold, Cool, Warm, or Hot
Skin Color
Cyanosis, Pale, Ashen, or Pink
Mottling?
Yes/No, Is mottling present?
Lividity
Yes/No, Is lividity present?
2
Maximum CO2
Other System
Non-NEMSIS
NEMSIS PROGRAM DATA ELEMENTS*
National
Non-National
NEMSIS Field Name
X
Inadequate
Maximum ET CO2 value achieved during resuscitation
X
E14_11
Respiratory Rate
E14_12
Respiratory Effort
E16_04
Skin Assessment
E14_13
Carbon Dioxide
E21_18
Device CO2 or ETCO2
Device CO2, ETCO2, or Invasive Pressure
Monitor Units
E21_19
Patient’s cardiac rhythm first monitored (AED or manual
monitor/defibrillator)
1
Ventricular Fibrillation
Initial Monitored Rhythm
2
PEA
3
Asystole
4
NSR
5
Sinus Tachycardia
6
Sinus Bradycardia
7
Ventricular Tachycardia
8
Other
E11_05
First Monitored Rhythm of the Patient
OUT OF HOSPITAL CARDIAC ARREST DATA ELEMENTS
Data Element Name
Data Element Description
Other System
NEMSIS PROGRAM DATA ELEMENTS*
Non-NEMSIS
National
Non-National
NEMSIS Field Name
Patient’s cardiac rhythm upon arrival at ED
Rhythm on ED Arrival
1
Ventricular Fibrillation
2
PEA
3
Asystole
4
NSR
5
Sinus Tachycardia
6
Sinus Bradycardia
7
Ventricular Tachycardia
Intubated on Arrival ED
8
Other
Number of times intubation was attempted, including a successful
attempt
Yes/No, Whether patient was intubated upon arrival at ED
Ventilation Rate
Number of ventilations per minute documented
# of Intubation Attempts
E11_11
E19_05
Ventilation method used: bag-valve mask (BVM), non-rebreather
mask (NRB), endotracheal tube (ETT), tracheostomy (Trach)
Meds Method
Time Epi #1
HH/MM, Time that epinephrine was initially administered
Lidocaine
Yes/No, Whether lidocaine was administered by the EMS agency
Yes/No, Whether sodium bicarbonate was administered by the EMS
agency
Bicarb
Fluid Bolus
Yes/No, Whether a fluid bolus was administered by the EMS agency
EMS Pacing
Yes/No, Whether cardiac pacing was used by the EMS agency
Number of Procedure Attempts
E19_14
Destination Confirmation of Tube Placement
D09_02
Device Name or ID
D09_03
Device Manufacturer
D09_04
Model Number
E18_04
Medication Administered Routed
E18_01
Date/Time Medication Administered
X
Ventilation Method
Route for administration of medication: intravenous (IV) ,
intraosseous (IO), endotracheal tube (ETT), or PIC line
E18_03
Medication Given
E18_03
Medication Given
Autopulse?
Yes/No, Whether autopulse was used by the EMS agency
Transporting Agency
E18_05
Medication Dosage
E18_06
Medication Dosage Units
E21_05
AED, Pacing, or CO2 Mode
E21_11
Pacing Rate
D09_02
Device Name or ID
D09_03
Device Manufacturer
D09_04
Model Number
D01_01
Coded as per EMS agency
EMS Agency Number
D01_02
E02_01
Destination Hospital
Initial receiving hospital – Coded as attached, list expanded as
hospitals are included
Hypothermia
Whether hypothermia was employed in the hospital
Cardiac Rhythm on Arrival at Destination
X
EMS Agency Name
EMS Agency Number
E20_01
Destination/Transferred to, Name
E20_02
Destination/Transferred to, Code
OUT OF HOSPITAL CARDIAC ARREST DATA ELEMENTS
Data Element Name
Data Element Description
Other System
NEMSIS PROGRAM DATA ELEMENTS*
Non-NEMSIS
National
Non-National
NEMSIS Field Name
Whether patient had a return of any vital signs prior to arrival at ED
Response
1
No
2
Pulse Only
3
Pulse and Spontaneous Respiration
4
6
Pulse and BP Only
Pulse, BP and Spontaneous Respiration, No Improvement in
LOC
Pulse, BP Spontaneous Respiration & Improvement in LOC
1
Cardiac Arrest was Called in Field, No Transport
2
Cardiac Arrest was Called in ED
3
Patient was Admitted, Follow-Up for Outcome Needed
4
Patient was Admitted, Death in Hosp
5
Patient was Discharged from Hosp Alive
5
Initial Outcome
Final Outcome
E11_06?
Patient’s condition upon discharge from hospital
D/C Condition
1
Not Discharged Alive
2
Poor, Severely Disabled
Fair, Home with Significant to Moderate Alteration in
Lifestyle
Good, Home with Moderate to Minimal Alteration in
Lifestyle
Excellent, Home with No Notable Medical Problems or
Alteration in Lifestyle
3
4
5
* = Italicized text indicates identified NEMSIS data element(s) as possible translation(s).
X
Any Return of Spontaneous Circulation
E20_10
E22_01
Incident/Patient Disposition
Emergency Department Disposition
E22_02
Hospital Disposition