| 11288-8 | Arrival time documented Clock time | |
| 11459-5 | Transport mode EMS Sys | |
| 11319-1 | Ambulance transport unit EMS Sys | |
| 11318-3 | Ambulance transport agency EMS Sys | |
| 11293-8 | Referral Source Class | |
| 46239-0 | Chief complaint+Reason for visit | |
| 11371-2 | Initial visit for chief complaint | |
| 11283-9 | Acuity assess 1st enctr | |
| 11454-6 | Responsiveness assessment 1st enctr | |
| 56813-9 | Individuals accompanying patient to ED | |
| 56814-7 | Prehospital care | |
| 56815-4 | Time placed into treatment area | |
| 56816-2 | Patient location | |
| 11324-1 | GCS eye 1st enctr | |
| 11326-6 | GCS verbal 1st enctr | |
| 11325-8 | GCS motor 1st enctr | |
| 11378-7 | BP sys 1st enctr | |
| 11377-9 | BP dias 1st enctr | |
| 11328-2 | Heart rate 1st enctr | |
| 11291-2 | Resp rate 1st enctr | |
| 11289-6 | Bdy temp 1st enctr | |
| 11449-6 | Pregnancy status Reported | |
| 55257-0 | Date last C tetani immunization | |