Ambulance Data Set (ADS) FHIR Bundle Implementation Guide (plus EPR)

All CodeSystems

CodeSystem 'ADS Bundle Type'

This code system https://fhir.nhs.uk/R4/CodeSystem/ADS-BundleType defines the following codes:

Code	Display
mvp	ADS FHIR Bundle - MVP items
bundle-1	ADS FHIR Bundle - Stage 2 Bundle 1 items
bundle-2	ADS FHIR Bundle - Stage 2 Bundle 2 items
epr	ADS FHIR Bundle - EPR items

CodeSystem 'ADSResponseCategoryType'

This code system https://fhir.nhs.uk/R4/CodeSystem/ADS-ResponseCategoryType defines the following codes:

Code	Display
initial	Initial Response Category
reporting	Reporting Response Category

CodeSystem 'ADS Triage Category'

This code system https://fhir.nhs.uk/R4/CodeSystem/ADS-TriageCategory defines the following codes:

Code	Display
01	AMPDS Triage Disposition
02	Pathways Triage Disposition
03	SG Code (Symptom Group)
04	SD Code (Symptom Discriminator)

CodeSystem 'Ambulance AMPDS Triage Disposition'

The Ambulance AMPDS Triage Disposition CodeSystem identifies the acuity and condition after telephone triage by an ambulance service which uses the AMPDS triage system. It is populated with codes accessible to authorised Ambulance Services through the NHS Futures Clinical Coding webpage.

CodeSystem 'Ambulance Call Origin'

This code system https://fhir.nhs.uk/R4/CodeSystem/Ambulance-CallOrigin defines the following codes:

Code	Display
01	999
02	NHS 111
03	Healthcare Professional
04	Police Force
05	Telecare Provider/Service
06	Other Ambulance Service
07	Custodial Service
08	Coastguard Service
09	Military Service
10	Fire Service
11	Operational running call
12	Event running call
13	Mountain Rescue
14	Water Rescue
15	British Transport Police
98	Other Agency (not listed)

CodeSystem 'Ambulance Cat 1 Early Prediction Flag'

This code system https://fhir.nhs.uk/R4/CodeSystem/Ambulance-Cat1EarlyPredictionFlag defines the following codes:

Code	Display
01	Cat 1 early predicted
02	Cat 1 not early predicted

CodeSystem 'Ambulance Chief Complaint'

This code system https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ChiefComplaint defines the following codes:

Code	Display
01	Abdominal Pain
02	Accident caused by electric current
03	Accident involving land transport vehicle
04	Acute Allergic Reaction
05	Animal Bite Wound
06	Assault
07	Back Problem
08	Bleeding
09	Burn Injury
10	Cardiac Arrest
11	Cardiac Problem
12	Chest Pain
13	Choking (finding)
14	Collapse
15	Coughing Up Blood
16	Death Verification
17	Dental Problem
18	Diabetes
19	Drowning
20	Ear Problem
21	Entrapment Event
22	Epistaxis
23	Exposure to communicable disease
24	Exposure to Extreme Temperature
25	Exposure to potentially hazardous chemical
26	Eye Problem
27	Facial Pain
28	Fall
29	Foreign Body
30	Headache
31	Influenza like illness
32	Inter facility transport
33	Limb ischaemia
34	Medical Problem
35	Mental Health Problems
36	No Info available 111
37	No Info available 999
38	Open Wound
39	Patient Alarm
40	Penetrating wound
41	Poisoning from any source
42	Postoperative / medical device with complication
43	Pregnancy related
44	Problem of lower limb
45	Problem of upper limb
46	Problems relating to breast
47	Problems relating to vagina
48	Referred by establishment
49	Safeguarding Issues
50	Seizure
51	Short of Breath
52	Social Problem
53	Special Patient Note
54	Stroke and TIA
55	Transport accidents
56	Transportation by Ambulance
57	Transportation to a Direct Admission Unit
58	Traumatic Injury
59	Vomiting
60	Wound with Complications

CodeSystem 'Ambulance Clinical Skill Level'

This code system https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ClinicalSkillLevel defines the following codes:

Code	Display	Definition
01	Non-registered clinician – non-EMT	Emergency Care Assistant, Non-Emergency Transport, Patient Transport Services, Community First Responder
02	Non-registered clinician - EMT	Student Paramedic, Emergency Medical Technician
03	Registered Clinician	Nurse, Paramedic, Allied Health Professional
04	Registered Clinician working at Clinical Speciality and/or Supervisory Level	Specialist Practitioner, Clinical Team Leader, Critical Care Practitioner
05	Registered Clinician working at Advanced Practice Level	Doctor, Consultant Practitioner, Advanced Practitioner

CodeSystem 'Ambulance Pathways Triage Disposition'

The Ambulance Pathways Triage Disposition CodeSystem identifies the acuity and condition after telephone triage by an ambulance service which uses the Pathways triage system. It is populated with codes accessible to authorised Ambulance Services through the NHS Futures Clinical Coding webpage.

CodeSystem 'Ambulance Receiving Location CAD'

This code system https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ReceivingLocationCAD defines the following codes:

Code	Display
ED	Emergency Department (A and E)
MAU	Medical Assessment Unit
SAU	Surgical Assessment Unit
EAU	Emergency Assessment Unit
FEAU	Frail Elderly Assessment Unit
ACC	Ambulatory Care Centre
AMU	Acute Medical Unit
CCU	Coronary Care Unit
ADD	Admissions Unit
MAT	Maternity
PED	Paediatric Emergency Department (A and E)
AEC	Ambulatory Emergency Care
HASU	Hyper Acute Stroke Unit
ICU	Intensive Care Unit
PICU	Paediatric Intensive Care Unit
PPCI	Primary Percutaneous Coronary Intervention Unit
MTC	Major Trauma Centre
MHU	Mental Health Unit
MORT	Mortuary
GEN	Hospital - Other Department/Ward
DIR	Direct Admission
SPED	Specialist ED or Unit (A and E)
WIC	Walk in Centre
UCC	Urgent Care Centre
MIU	Minor Injuries Unit
UTC	Urgent Treatment Centre
UNK	Unknown Destination
OTH	Other Destination

CodeSystem 'Ambulance Responding Organisation Type'

This code system https://fhir.nhs.uk/R4/CodeSystem/Ambulance-RespondingOrganisationType defines the following codes:

Code	Display
01	NHS Ambulance Service
02	Non-Ambulance Service Provider

CodeSystem 'Ambulance Response Category'

This code system https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ResponseCategory defines the following codes:

Code	Display
C1	Category 1
C2	Category 2
C3	Category 3
C4	Category 4
C5	Category 5
HCP1	HCP Level 1
HCP2	HCP Level 2
HCP3	HCP Level 3
HCP4	HCP Level 4
IFT1	IFT Level 1
IFT2	IFT Level 2
IFT3	IFT Level 3
IFT4	IFT Level 4
RN	Routine
OTH	Other

CodeSystem 'Ambulance Response Type'

This code system https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ResponseType defines the following codes:

Code	Display
01	DCA: Double Crewed Ambulance (Emergency)
02	RRV: Rapid Response Vehicle
03	NAM: Double Crewed Ambulance (Non-Emergency Urgent Tier)
04	HEL: Helicopter
05	CFR: Community First Responder
06	DFB: Defibrillator
07	PED: Pedal Cycle
08	MOT: Motorbike
09	OFF: Officer
10	PTS: Patient Transport Service
11	TAX: Taxi / dial-a-ride
12	MIV: Major Incident Vehicle
13	HAZ: HART (Hazardous Area Response Team) Vehicle
14	BAS: Basics Doctor
15	ECP: Emergency Care Practitioner
16	OAMB: Other Ambulance (can convey)
17	OVEH: Other Vehicle (non-conveying)
18	FIR: Fire Co-Responder
19	FAL: Falls Team
20	MHC: Mental Health Car
97	NRT: Not Applicable (No response required)
98	OTH: Other co-responding team
99	UNK: Unknown (Response type not known)

CodeSystem 'Ambulance SD Code (Symptom Discriminator)'

The Ambulance SD Code (Symptom Discriminator) CodeSystem identifies the SD Code (Symptom Discriminator) of the condition following telephone triage by an ambulance service. It is populated with codes accessible to authorised Ambulance Services through the NHS Futures Clinical Coding webpage.

CodeSystem 'Ambulance SG Code (Symptom Group)'

The Ambulance SG Code (Symptom Group) CodeSystem identifies the SG Code (Symptom Group) of the condition following telephone triage by an ambulance service. It is populated with codes accessible to authorised Ambulance Services through the NHS Futures Clinical Coding webpage.

CodeSystem 'Ambulance Stop Codes'

This code system https://fhir.nhs.uk/R4/CodeSystem/Ambulance-StopCodes defines the following codes:

Code	Display
01	Duplicate
02	Information
03	Passed to another ambulance Service
04	Hoax
05	Cancelled by Caller - Delay
06	Cancelled by Caller - Recovered
07	Cancelled by Caller -Other
08	Cancelled by other Emergency Service
09	No Send - Demand Management
10	Abandon
11	Police Transported S136
12	Police Transported Other
13	Self Care
14	Refer to GP
15	Refer to A and E
16	Refer to MIU/WIC
17	Refer to HCP
18	Refer to Specific service
19	Refer to 111/OOH

CodeSystem 'Ambulance Treatment Type'

This code system https://fhir.nhs.uk/R4/CodeSystem/Ambulance-TreatmentType defines the following codes:

Code	Display
01	Hear and Treat
02	See and Treat
03	See and Convey
04	Other Scenario (duplicate call, information only call, no treatment required)

This code system https://fhir.nhs.uk/CodeSystem/Ambulance-HandoverDelayDetail defines the following codes:

Code	Display
01	Patient handed over within agreed handover period
02	No capacity in the department
03	No cubicle / isolation capacity
04	Clinical condition of the patient requires continued support from ambulance staff
05	Crew diverted to other department
06	Patient taken straight into resuscitation
07	Other major incident
08	Complex clinical handover and/or care need (e.g. concurrent safeguarding need/bariatric bed required)
09	Unknown

This code system https://fhir.nhs.uk/CodeSystem/Ambulance-ReceivingLocationEPR defines the following codes:

Code	Display
01	Emergency department
02	Same day emergency care
03	Frailty service
04	Rapid access hot clinics
05	Urgent treatment centre
06	Primary care service (in hours)
07	Primary care service (out of hours / hub)
08	Medical assessment unit
09	Surgical assessment unit
10	Maternity unit (>20/40)
11	Gynaecology (inc. <20/40)
12	Mental health assessment unit / place of safety
13	Paediatric assessment unit
14	Oncology assessment unit
15	Renal assessment unit
16	Direct Ward Admission
17	Major Trauma Service
18	Cardiac angioplasty service
19	Acute stroke service
20	Intensive care unit
21	Intensive care unit (paediatric)
22	Burns service
23	Spinal injury service
24	Liver transplant unit
25	ECMO Unit
26	Hyperbaric medicine service
27	Infectious diseases unit
28	Mental health facility
29	Hospice
30	Intermediate care facility
31	Alcohol dependency assessment / treatment unit
32	Bariatric living space
33	Respiratory Service
34	Sexual Assault Referral Centre
35	Community residential mental health service
36	Homeless shelter
37	Refused transport
38	Home
39	Residential care facility without 24 hour nursing care (e.g. residential home)
40	Residential care facility with 24 hour nursing care (e.g. nursing home)
41	Police custody
42	Custodial services e.g. prison / detention centre
43	Helipad
44	Event medical facility
45	Hospital Mortuary
46	City or Regional Mortuary
47	Incident Mortuary

This code system https://fhir.nhs.uk/CodeSystem/Ambulance-PreAlertStatus defines the following codes:

Code	Display
01	Pre-Alert activated
02	Pre-alert not required

This code system https://fhir.nhs.uk/CodeSystem/Ambulance-ExistingTreatmentPlans defines the following codes:

Code	Display
01	No Treatment Plan in Place - SOP applied
02	EOL
03	DNACPR
04	Advanced Care Plan / Directive
05	Rare condition
06	Mental Health
07	Learning disability
08	Social Care
09	Long term condition
10	Hospital at home
11	Direct ward / specialist unit access
12	Emergency Treatment Plan
13	Other Treatment / Care Plan

This code system https://fhir.nhs.uk/CodeSystem/Ambulance-ClinicalTriageTool defines the following codes:

Code	Display
01	Manchester Triage System - Face-to-Face
02	Manchester Triage System - via Telephone / Remote Triage
03	Paramedic Pathfinder - Medical
04	Paramedic Pathfinder - Trauma
05	Major Trauma Pathfinder / Pathway / Triage Tool
06	Mass Casualty Triage Sieve / NASMeD Triage Sieve (Primary Triage)
07	SMART Triage Sort (Secondary Triage)
08	Toxic Triage Sieve
09	Paediatric Triage Tape Tool
10	Modified Triage Sieve (NARU)
11	Silver Trauma Triage Tool
12	NaRT - Nursing & Residential Triage Tool
13	Odyssey Triage System
14	Low Acuity & Triage / ECN (AMPDS)
15	NHS Pathways

This code system https://fhir.nhs.uk/CodeSystem/Ambulance-ScreeningTool defines the following codes:

Code	Display
4ATD	4AT (Rapid clinical test for delerium)
APGA	APGAR score
ASTH	Asthma classification
AVPU	AVPU
BABS	Burns-assessment of burned surface area in percent
CCST	Canadian C-Spine Test
CAPA	Capacity Assessment
DEST	Dementia screening test
FALL	Falls score
FEVC	Fever in children
GCSC	Glasgow Coma Score
MSAS	Modified Single Alcohol Screening Question
MRCD	MRC dyspnoea scale
OTTA	Ottawa Ankle Test
OTTK	Ottawa Knee Test
PDAS	Paediatric dehydration and shock
PATQ	Patient Health Questionnaire (PHQ-9)
PRES	Pressure sore grading
FAST	Stroke Screening Tool / FAST
SUIC	Suicide risk assessment
TIAS	TIA Score
TUAG	Timed up and Go Test
TRAU	Trauma Screening tool
WELL	Wells score (PE& DVT)
WEST	Westley croup score

This code system https://fhir.nhs.uk/CodeSystem/Ambulance-MentalHealthLegalClass defines the following codes:

Code	Display
01	Informal
02	Formally detained under Mental Health Act Section 135
03	Formally detained under Mental Health Act Section 136
04	Formally detained under Mental Health Act Section 2
05	Formally detained under Mental Health Act Section 3
06	Formally detained under Mental Health Act Section 4
07	Formally detained under Mental Health Act Section 5(2)
08	Formally detained under Mental Health Act Section 5(4)
09	Formally detained under Mental Health Act Section 35
10	Formally detained under Mental Health Act Section 36
12	Formally detained under Mental Health Act Section 37 with section 41 restrictions
13	Formally detained under Mental Health Act Section 37
14	Formally detained under Mental Health Act Section 38
15	Formally detained under Mental Health Act Section 44
16	Formally detained under Mental Health Act Section 46
17	Formally detained under Mental Health Act Section 47 with section 49 restrictions
18	Formally detained under Mental Health Act Section 47
19	Formally detained under Mental Health Act Section 48 with section 49 restrictions
20	Formally detained under Mental Health Act Section 48
31	Formally detained under Criminal Procedure(Insanity) Act 1964 as amended by the Criminal Procedures (Insanity and Unfitness to Plead) Act 1991
32	Formally detained under other acts
35	Subject to guardianship under Mental Health Act Section 7
36	Subject to guardianship under Mental Health Act Section 37
37	Formally detained under Mental Health Act Section 45A (Limited direction in force)
38	Formally detained under Mental Health Act Section 45A (Limitation direction ended)
98	Not Applicable
99	Not Known

This code system https://fhir.nhs.uk/CodeSystem/Ambulance-PregnancyStatus defines the following codes:

Code	Display
01	Pregnant
02	Not Pregnant
03	Possible pregnancy
04	Not asked/collected

This code system https://fhir.nhs.uk/CodeSystem/Ambulance-GenderIdentity defines the following codes:

Code	Display
01	Male (including trans man)
02	Female (including trans woman)
03	Non-binary
04	Other (not listed)
X	Not Known (not recorded)
Z	Not Stated (person asked but declined to provide a response)