Professional Documents
Culture Documents
AMedP-5.1
Published by the
NATO STANDARDIZATION AGENCY (NSA)
NATO/OTAN
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NORTH ATLANTIC TREATY ORGANIZATION (NATO)
2 April 2014
I Edition A Version 1
AMedP-5.1
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II Edition A Version 1
AMedP-5.1
RECORD OF RESERVATIONS
Note: The reservations listed on this page include only those that were recorded at time of
promulgation and may not be complete. Refer to the NATO Standardization Document
Database for the complete list of existing reservations.
Note: The reservations listed on this page include only those that were recorded at time of
promulgation and may not be complete. Refer to the NATO Standardization Database for the
complete list of existing reservations.
IV Edition A Version 1
AMedP-5.1
TABLE OF CONTENTS
Page Number
Preface VI
V Edition A Version 1
AMedP-5.1
PREFACE
3. This document does not mandate the use by the nations of any
specific format or coding system for medical information in their own
national systems, but applies only when transferring information between
nations or between nations and NATO commands. It is recognized that
the demands for the use of SNOMED-CT as a reporting format in certain
fields may appear inappropriate, since SNOMED-CT is not in use in all
nations, just as none of the other coding tables (e.g. ICPC, ICD) are in
use by all nations. However, this system is already approved for medical
use in NATO by STANAG 2543, and in light of the existing automated
translator programs which can automatically convert data from other
systems (e.g. ICD-9, ICD-10, etc.) it appears to be the most appropriate
system to be used for information exchange.
VI Edition A Version 1
AMedP-5.1
CHAPTER 1 INTRODUCTION
1.1. AIM
The aim of this agreement is to standardize data elements for medical data exchange
among and between nations and between nations and NATO headquarters.
1.2. GENERAL
2.1. PURPOSE OF THE AGREEMENT. The Patient Data Exchange Format for
Common Core Information provides a standardised data set that will facilitate the
exchange of electronic medical documentation within and between NATO members'
medical facilities, and between national medical force structures and the NATO
Command Structure. Potential applicability for the inclusion of this data set in a
possible future NATO medical information system should be considered in the
development of any such system.
2.3.1. This document does not mandate the use of any specific storage format or
database system within the national medical records systems. The required
information should be provided by whatever system of medical documentation is
mandated by each nation. Specifically, it does not mandate that the nations
adopt SNOMED-CT as a storage coding system for their own national reference
systems as versus ICD-9, ICD-10, or other national coding systems. It does,
however, mandate the use of SNOMED-CT as a data exchange format when that
is the most appropriate format for the data being transmitted. An example of this
use of SNOMED-CT as a data exchange (as versus a data storage) coding might
be that of international air operations. The crew of an airplane may use any
language which they understand for in-cockpit communications (likened to a
strictly national medical records system), but when they communicate outside the
cockpit (e.g. with Air Traffic Control), the communication must be carried out in
English (likened to transferring medical information using SNOMED-CT).
a.
http://www.who.int/classifications/icd/snomedCTToICD10Maps/en/index
.html and
b.
http://www.nlm.nih.gov/research/umls/mapping_projects/snomedct_to_i
cd9cm_reimburse.html
3.1.1.3. This is not in accordance with the format found in AAP-6 (date-
time group) because this proposed format is technically a more logical
form for automated systems. A proposed change to AAP-6 to
recognize this fact will be submitted.
3.1.1.5 It must be noted that this document only defines DTG once.
We do not include separate field codings for such items as DTG for
Tourniquet application or DTG for medication administration or DTG
of Admission or DTG of Death. If such data points are needed in
order to fill out a report, then they will be identified by the body
demanding the report, and should be responded to by using the single
definition of DTG found in para 3.1.1.
3.1.2.1. May not contain any diacritical signs (accent, umlaut, etc.),
3.1.2.2. May not contain any separation signs (slash, dot, dash,
apostrophe, etc.)
3.2.1. Each of the following data formats found in Appendix A below includes
several columns in one line, each of which represents a data element or an
explanation of its content. They are grouped by general topic area, to simplify
reference to the list. Numbers in the left column are not part of the format, and
are placed herein simply to simplify reference to this document.
3.2.1.5 Mask: When filled in, this column gives an example of how the
field should be filled in. A = Alphabetic Character, and 9 =
Numerical Character. Thus, for example, AAA9 signifies that the entry
should be three alphabetical characters followed by one number.
e.g. Jean-Claude
Jones would use
only Jean in this
field.
Blank if unknown or
civilian.
12 Sex Sex of the patient 1 Code 9 0 = Unknown
A-3 Edition A Version 1
AMedP-5.1
If no UTM data is
available, provide
Country, Region or City.
15 Personal Information on 20 Alphanumeric None
protective whether PPE was Penetrated
equipment used and if it Struck
protected the patient Unknown
Worn
Worn and Penetrated
FIRST
A-4 Edition A Version 1
AMedP-5.1
ENVIRONMENTA
L INFORMATION
AT POINT OF
INJURY/
EVACUATION
18 Air Temperature Free Air 4 Numeric 99.9 -99.9 to +99.9
Temperature in
degrees Celsius
19 Altitude Positive or negative 6 Numeric 9999.9 -9999.9 to +9999.9
number of meters to
A-5 Edition A Version 1
AMedP-5.1
02 = Moderate Rain
(0.5 4.0 mm/hr)
05 = Moderate Snow
(0.5-4.0 cm/hr)
T3 = should wait
Minimal Treatment
Group
(Definitions from
AMEDP-24)
MEDICAL CARE
AND
EVACUATION
REQUIREMENTS
30 Principal Diagnosis Diagnosis made by 10 Code SNOMED-CT Code for
a medical doctor or Diagnosis
tentative diagnosis
made by first
responder
31 Medical Care Medical care 2 Code 99 Code
Requirement requirement of the 01 - Internal Medicine,
unit the patient is to 02 Obstetrics
be transported to. /Gynecology,
03 - Pediatrics,
04 - Psychiatry,
05 - Surgery,
06 Other
A2 = URGENT /
Emergency cases
which should be
evacuated, as soon as
possible and in any
event not later than 2
hours
A3 = PRIORITY /
Patients who require a
specialized treatment
not available locally and
whose clinical condition
is likely to deteriorate
unless evacuated within
4 hours
A4 = ROUTINE /
Patients whose
immediate treatment is
available locally but
whose prognosis would
benefit from aero-
medical evacuation
within 24 hours
A-11 Edition A Version 1
AMedP-5.1
(Defined as in STANAG
2087, E7 SD1)
P2 = Priority 2/
PRIORITY. Patients
who require specialized
treatment not available
locally who are liable to
deteriorate unless
evacuated with the
least possible delay
P3 = Priority 3/
ROUTINE. Patients
whose immediate
treatment is available
locally, but whose
prognosis would benefit
from air evacuation on
routine scheduled
A-12 Edition A Version 1
AMedP-5.1
(Definitions from
STANAG 3204)
35 Transport category 2 Code 99 01 = Lying (Stretcher)
Patient
02 = Sitting Patient
(walking wounded)
03 = Patient to be
isolated
(Definitions from
STANAG 3204)
36 Special conditions Any special Alphanumeric If any of the following
relevant for conditions which are needed specifically,
evacuation might affect carriage specify in free-text:
of the patient on
aircraft, or which diet recommended
may affect require- relevant for
ments for staffing or evacuation (specify)
equipment enroute
treatment
recommended en
route (specify)
requirement for
restraint
requirement for
A-13 Edition A Version 1
AMedP-5.1
spatial
configurations
(specify)
contraindication for
helicopter movement
contraindication for
fixed wing movement
other significant
medical conditions
(As described in
STANAG 3204, Ed 7)
2A = Immobile
Stretcher Patient
4 = Walking Patient
(Definitions from
STANAG 3204, edition
7)
38 Dependency of An indicator as to 2 Code 99 01 High = Patients who
Patients for how much care a require intensive
Strategic Aero - patient may need in support during flight.
medical flight E.g. patients requiring
Evacuation ventilation, monitoring
of CVP or cardiac
status
02 Medium = Patients
who, although not
requiring intensive
support, require regular
and frequent
monitoring, and whose
condition may
A-15 Edition A Version 1
AMedP-5.1
03 Low = Patients
whose condition is not
expected to deteriorate
during flight, but who
require nursing care of,
e.g. simple oxygen
therapy, IV infusion, or
a urinary catheter
04 Minimal = Patients
who do not require
nursing attention in
flight, but who may
need assistance with
mobility or bodily
functions
(Definitions as found in
STANAG 3204)
VEHICLE
EVACUATION
CAPABILITY AND
CAPACITY
39 Unit Title Note this is different 15 Alphanumeric Designation of unit
from line 25, as not reportingname and
all evacuation number of unit.
vehicles are owned
by Medical units or
Medical Treatment
A-16 Edition A Version 1
AMedP-5.1
(Potential values
according to STANAG
2050)
(Values according to
AMED P-13)
47 Site of Site of primary injury 10 Code Enter SNOMED-CT
injury/disease code for location of
primary injury, e.g.:
head/neck
chest
abdomen
back
arm, right/left
leg, right/left
Vital signs
A-19 Edition A Version 1
AMedP-5.1
03 = Minor Deficit,
Glasgow Coma Score
13
If unknown, leave
blank.
81 Blood Rhesus Rhesus factor of 3 Code AAA Pos or Neg (positive or
factor patient Negative)
Outcome
109 Impairment SNOMED-CT code 10 Code SNOMED-CT Code for
for type of Impairment
impairment
110 Handicap SNOMED-CT code 10 Code SNOMED-CT Code for
for type of handicap Handicap
111 Post-traumatic If PTSD is 10 SNOMED code SNOMED-CT code for
stress disorder Diagnosed. PTSD
Statistical numbers
112 Antibiotic Counting totals and 3 Numeric 999 Days of treatment with
treatment days subtotals (per MTF) Antibiotics
Data is needed for
historical/statistical
purposes
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