| 15509-3 | Ambulance transport, Rationale for scheduled transport |
| 15510-1 | Ambulance transport, Distance transported Length |
| 15511-9 | Ambulance transport, Origination site information Set |
| 15512-7 | Ambulance transport, Destination site information Set |
| 15513-5 | Ambulance transport, Reason for scheduled trip Set |
| 15514-3 | Ambulance transport, Ordering practitioner identifier type |
| 15515-0 | Ambulance transport, Medical reason for transport |
| 15516-8 | Ambulance transport, Justification for extra attendants |
| 15517-6 | Ambulance transport, Transport direction |
| 18580-1 | Ambulance transport, Origination site |
| 18581-9 | Ambulance transport, Origination site Address |
| 18582-7 | Ambulance transport, Destination site Name |
| 18583-5 | Ambulance transport, Destination site Address |
| 18588-4 | Ambulance transport, Purpose of stretcher (narrative) |
| 18593-4 | Ambulance transport, Discharged from origin institution (qualitative) |
| 18812-8 | Ambulance transport, Ordering practitioner Identifier |
| 18813-6 | Ambulance transport, Ordering practitioner name |
| 18814-4 | Ambulance transport, Reason for scheduled trip |
| 18815-1 | Ambulance transport, Reason for scheduled trip additional service information (narrative) |
| 51995-9 | Ambulance transport, Rationale for type of transport (narrative) |
| 51996-7 | Ambulance transport, Distance and time transported information Set |
| 51997-5 | Ambulance transport, Distance transported - loaded indicator (qualitative) |
| 51998-3 | Ambulance transport, Rationale for excess or additional mileage |
| 51999-1 | Ambulance transport, Time ambulance arrived at scene Date and time |
| 52000-7 | Ambulance transport, Origination site latitude |
| 52001-5 | Ambulance transport, Origination site longitude |
| 52002-3 | Ambulance transport, Destination site latitude coordinate |
| 52003-1 | Ambulance transport, Destination site longitude coordinate |
| 52004-9 | Ambulance transport, Rationale for wait time Set |
| 52005-6 | Ambulance transport, Rationale for wait time |
| 52006-4 | Ambulance transport, Rationale for wait time (narrative) |
| 52007-2 | Ambulance transport, Number of patients |
| 52008-0 | Ambulance transport, Reason for multiple patients (narrative) |
| 52009-8 | Ambulance transport, Other patients information Set |
| 52010-6 | Ambulance transport, Other patient name |
| 52011-4 | Ambulance transport, Other patient identifier |
| 52012-2 | Ambulance transport, Receiving individual accepting responsibility for patient Set |
| 52013-0 | Ambulance transport, Receiving individual accepting responsibility for patient |
| 52014-8 | Ambulance transport, Receiving individual accepting responsibility for patient Identifier |
| 52015-5 | Ambulance transport, Ordering practitioner or agency Set |
| 52016-3 | Ambulance transport, Physician certification for transport information Set |
| 52017-1 | Ambulance transport, Physician certification for transport statement (narrative) |
| 52018-9 | Ambulance transport, Physician certification for transport indicator (qualitative) |
| 52019-7 | Ambulance transport, Description of services performed to support level of service (narrative) |
| 52020-5 | Ambulance transport, Medical reason for unscheduled trip |
| 52021-3 | Ambulance transport, Justification for extra attendants (narrative) |
| 52022-1 | Ambulance transport, Type of extra attendant(s) |
| 52023-9 | Ambulance transport, Origination site name and address |
| 52024-7 | Ambulance transport, Rationale for choice of destination |
| 52026-2 | Ambulance transport, Destination site name and address |
| 52074-2 | Ambulance transport, Extra attendants information Set |