NFIRS 5.0 Element: ‘Highest Level of Care’

Définition : The highest level of fire department care that the patient received at the scene of the EMS incident.
Purpose : This element determines the personnel and equipment requirements for handling EMS incidents. This information may also aid researchers in evaluating the effect of pre-hospital care on morbidity (or patient outcome).
Entry : Check or mark the box that indicates the highest level of care provided at the scene by the fire department. If no care was provided, check or mark the None box.

Element Specification

 Specification   Value 
Requirement Optional
Element Type Coded Field – The coded field relating to an entry in the code table. Most coded fields allow for Plus+ One codes. For these fields the expected length of the coded entry is depicted as (National length OR Plus+ One length). Only fields with this notation in the expected length column allow for Plus+ One definitions. If the user has not provided information, an empty field should be transmitted.


Here are the NFIRS codes for the ‘Highest Level of Care’ element

1 First responder.
2 EMT-B (Basic).
3 EMT-I (Intermediate).
4 EMT-P (Paramedic).
0 Other health care provider. Includes doctors, nurses, etc.
N No care provided.

Transactions containing ‘Highest Level of Care’

The value of this element is captured by the following transaction :

Need more NFIRS help?

Here are some other useful ressources to learn more about NFIRS.

NFIRS Codes Cheat SheetNFIRS CodingNFIRS ExamplesFDIDsPOCsNFIRS TransactionsNFIRS ModulesNFIRS ElementsNFIRS RulesNFIRS ReferenceNFIRS Compliant ?

You can also read this NFIRS 5.0 Complete Reference Guide, and NFIRS 5.0 Design Documentation in order to have a deeper understanding of NFIRS 5.0. Here are also NFIRS 5.0 Forms ready for you to download and use.

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Last Updated on May 2, 2023