CR1 Ambulance Certification

To supply information related to the ambulance service rendered to a patient

Position
Element
Name
Type
Requirement
Min
Max
Repeat
CR1-01
Unit or Basis for Measurement Code
Identifier (ID)
Conditional
2
2
-
Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken
P0102: If either CR1-01 or CR1-02 is present, then the other is required
CR1-02
Weight
Decimal number (R)
Conditional
1
10
-
Numeric value of weight.
CR102 is weight of patient at time of transport.
CR1-03
Ambulance Transport Code
Identifier (ID)
Optional
1
1
-
Code indicating the type of ambulance transport
CR1-04
Ambulance Transport Reason Code
Identifier (ID)
Optional
1
1
-
Code indicating the reason for ambulance transport
CR1-05
Unit or Basis for Measurement Code
Identifier (ID)
Conditional
2
2
-
Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken
P0506: If either CR1-05 or CR1-06 is present, then the other is required
CR1-06
Quantity
Decimal number (R)
Conditional
1
15
-
Numeric value of quantity.
CR106 is the distance traveled during transport.
CR1-07
Address Information
String (AN)
Optional
1
35
-
Address information
CR107 is address of origin.
CR1-08
Address Information
String (AN)
Optional
1
35
-
Address information
CR108 is address of destination.
CR1-09
Description
String (AN)
Optional
1
80
-
A free-form description to clarify the related data elements and their content.
CR109 is purpose for round trip ambulance service.
CR1-10
Description
String (AN)
Optional
1
80
-
A free-form description to clarify the related data elements and their content.
CR110 is purpose for usage of a stretcher during ambulance service.

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