|
FIELD
|
NEMSIS ELEMENT ID
|
DESCRIPTION
|
PARAMETERS |
NOTES
|
EXAMPLE
|
1
|
State Agency EMS ID (
required)
|
dAgency.01
|
The unique ID assigned to your agency which is associated with all state licensure numbers and information.
|
1-50 characters
|
Available from your state EMS authority. |
11110000
|
2
|
EMS Agency Number (
required)
|
dAgency.02
|
The state-assigned provider number for your agency
|
1-15 characters
|
Available from your state EMS authority.
|
1111
|
3
|
NPI (
required if agency bills for service)
|
dAgency.25
|
NPI = National Provider Identifier issued by CMS (Centers for Medicare and Medicaid Services)
|
2-255 characters
|
Only EMS Agencies that bill for service will have an NPI number. You can enter multiple NPIs by selecting "+" button next to this field.
|
22222 |
4
|
Primary Service Type Code (
required)
|
dAgency.09
|
Primary service provided by your agency
|
Single select from 9 choices
|
Select your primary service/mission.
|
911 Response (Scene) with Transport Capability
|
5
|
Other Service Type Codes
|
dAgency.10
|
Additional services provided by your agency
|
Multi-select from 9 choices
|
Same codes as found in "Primary Service Type Code".
|
Multiple
|
6
|
Specialty Service Capabilities
|
dConfiguration.11
|
Special services provided by the agency and available within the service area |
Multi-select from 18 choices
|
Select speciality(-ies) that your agency has and is able to share outside your primary jurisdiction.
|
Multiple
|
7
|
Level of Service (
required)
|
dAgency.11
|
The minimum level of EMS care provided for every request for service
|
Single select from 12 choices
|
This may be the license level granted by your state EMS authority.
|
Paramedic
|
8
|
Organizational Type Code (required) |
dAgency.13
|
The type of your organization |
Single select from 5 choices
|
The organization from which services are delivered.
|
Fire Department
|
9
|
Tax Status Code
(
required
)
|
dAgency.14
|
Your organization's tax status |
Single select from 3 choices
|
N/A |
Other (e.g., Government)
|
10
|
Billing Status
(
required
)
|
dConfiguration.12
|
Does your agency routinely bills for any services?
|
Yes or No |
Select yes even if you just bill for a small segment of your responses.
|
Yes |
11
|
EMD Provision to Service Area
(
required
)
|
dConfiguration.13
|
Does your agency use Emergency Medical Dispatch (EMD) in your service area?
|
Single select from 3 choice
|
N/A
|
Yes, 100% of the EMS Agency's Service Area
|
12
|
Patient Monitoring Capabilities
|
dConfiguration.15
|
Your agency's patient monitoring capability(-ies)
|
Multi-select from 10 choices
|
Select all that apply to your agency.
|
Multiple
|
13
|
Counties
(
required
)
|
dAgency.06
|
The county(-ies) you provide service
|
Multi-select (choices will vary based on state of agency)
|
Select all counties that your agency serves.
|
One or Multiple
|
14
|
EMD Vendor
|
dConfiguration.14
|
The vendor/company associated with your EMD card set and algorithms
|
2-255 characters
|
Enter the name of the vendor that provides your Emergency Medical Dispatch card set. You can enter multiple EMD Vendors by selecting the "+" button next to this field.
|
APCO
|
15
|
Census Tracts
(
required
)
|
dAgency.07
|
The census tract(s) your agency provides service
|
11-digit number for each census tract
|
In most instances, census tracts will be populated during your First Due account configuration. You can enter multiple Census Tracts by selecting "+" button next to this field. |
Multiple |
16
|
Zip Codes
(
required
)
|
dAgency.08
|
The zip code(s) your agency provides service
|
5-digit number for each zip code
|
In most instances, zip codes will be populated during your First Due account configuration. You can enter multiple Zip Codes by the selecting the "+" button next to this field. |
Multiple
|
17
|
Time Zone
|
dAgency.23
|
The time zone where your agency is located
|
Single select from 9 choices
|
N/A
|
GMT-0700 Mountain Time
|
18
|
Daylight Savings Use
|
dAgency.24
|
Select Yes if your time zone observes Daylight Savings
|
Yes / No
|
The system time will automatically adjust for DST.
|
Yes
|
19
|
Department Website
|
dContact.12
|
Enter link to your agency's website | Text field |
Be sure to enter the complete URL
|
https://www.firstdue.com |