NFIRS 5.0 Element: ‘Provider Impression / Assessment’
When more than one choice is applicable to the patient, choose the single most significant clinical assessment that drove the choice of treatment. Check or mark the None/No Patient or Refused Treatment box when there is no patient upon arrival or if the patient refused treatment.
|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.|
PROVIDER IMPRESSION/ASSESSMENT CODES
|10||Abdominal pain. Includes an acute or painful abdomen and cramps. Excludes abdominal trauma (38).|
|11||Airway obstruction. Includes choking, swelling of the neck, croup, epiglottis, and a foreign body in the air
|12||Allergic reaction. Includes reaction to drugs, plants, and insects. Reactions include hives, urticaria, and wheezing.
Excludes stings and venomous bites (35).
|13||Altered level of consciousness. Includes patients who appear to be substance abusers or under the influence of
drugs or alcohol.
|14||Behavioral: mental status, psychiatric disorder. Includes all situations in which a behavioral or psychiatric
problem is considered the major problem for the EMS provider.
|17||Cardiac dysrhythmia. Includes any rhythm disturbance that was noted on the physical examination or with a
cardiac monitor when the rhythm was the major clinical reason for care rendered by the EMS responder.
|18||Chest pain. Includes patients with chest pain related to heart disease, upset stomach, or muscle pain in the
|19||Diabetic symptom, related to history of diabetes. Includes hypoglycemia, ketoacidosis, and other complications
|20||Do not resuscitate. Use when there is a legal requirement to prevent emergency medical personnel from initiating
|23||Hemorrhaging/Bleeding. Includes vaginal bleeding, GI bleeding, and epistaxis. When pregnancy is involved,
only use bleeding if this is the major concern to the EMS responder.
|25||Hypothermia. Usually relates to environmental hypothermia, such as following submersion in cold water,
avalanches, or other environmental exposures.
|26||Hypovolemia. Includes patients with clinical shock, usually felt to be hypovolemic.|
|27||Inhalation injury, toxic gases. Includes smoke inhalation. Excludes overdose and poisoning (29).|
|28||Obvious death. Patients who were dead upon arrival and no therapy was undertaken.|
|29||Overdose/Poisoning. Includes taking inappropriate drugs, overdosing, and poisoning from chemicals.
Excludes inhalation of toxic gases (27).
|30||Pregnancy/OB. Includes all aspects of obstetric care rendered in the pre-hospital setting.|
|31||Respiratory arrest. Includes incidents where the patient stops breathing and requires ventilatory support on at
least a temporary basis.
|32||Respiratory distress. Includes patients who have only spontaneous breathing.|
|33||Seizure. Includes major and minor seizures.|
|34||Apparent sexual assault or rape.|
|35||Sting/Bite. Includes poisonous snakes, insects, bees, wasps, ants, etc. If an allergic reaction occurs, use code
|36||Stroke, cerebrovascular accidents (CVA), or transient ischemic attack (TIA).|
|38||Trauma. Excludes abdominal pain (10).|
|00||Provider impression/assessment, other.|
|NN||None/No patient or refused treatment.|
Transactions containing ‘Provider Impression / Assessment’
The value of this element is captured by the following transaction :
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Last Updated on May 6, 2023