| Element ID | Label | Section | Type | Card. | Nat'l | Rules | States |
|---|---|---|---|---|---|---|---|
| ePatient.01 | EMS Patient ID | Patient | String | 0:1 | 0 | 0 / 51 | |
| ePatient.02 | Last Name | Patient | String | 0:1 | 47 |
| 32 / 51 |
| ePatient.03 | First Name | Patient | String | 0:1 | 45 | 31 / 51 |
| ePatient.04 | Middle Initial/Name | Patient | String | 0:1 | 0 | 0 / 51 |
| ePatient.05 | Patient's Home Address | Patient | String | 0:1 | 18 | 16 / 51 |
| ePatient.06 | Patient's Home City | Patient | Integer | 0:1 | 16 | 15 / 51 |
| ePatient.07 | Patient's Home County | Patient | String | 1:1 | 26 | 20 / 51 |
| ePatient.08 | Patient's Home State | Patient | String | 1:1 | 24 | 20 / 51 |
| ePatient.09 | Patient's Home ZIP Code | Patient | String | 1:1 | 30 | 22 / 51 |
| ePatient.10 | Patient's Country of Residence | Patient | String | 0:1 | 6 | 4 / 51 |
| ePatient.11 | Patient Home Census Tract | Patient | String | 0:1 | 0 | 0 / 51 |
| ePatient.12 | Social Security Number | Patient | String | 0:1 | 5 | 4 / 51 |
| ePatient.13 | Gender (DEPRECATED) | Patient | CodedValue | 0:1 | 33 | 23 / 51 |
| ePatient.14 | Race | Patient | CodedValue | 1:M | 32 | 26 / 51 |
| ePatient.15 | Age | Patient | String | 1:1 | 45 | 27 / 51 |
| ePatient.16 | Age Units | Patient | CodedValue | 1:1 | 31 | 22 / 51 |
| ePatient.17 | Date of Birth | Patient | DateTime | 0:1 | 57 | 34 / 51 |
| ePatient.18 | Patient's Phone Number | Patient | String | 0:M | 0 | 0 / 51 |
| ePatient.19 | Patient's Email Address | Patient | String | 0:M | 0 | 0 / 51 |
| ePatient.20 | State Issuing Driver's License | Patient | String | 0:1 | 0 | 0 / 51 |
| ePatient.21 | Driver's License Number | Patient | Integer | 0:1 | 0 | 0 / 51 |
| ePatient.22 | Alternate Home Residence | Patient | CodedValue | 0:1 | 2 | 2 / 51 |
| ePatient.23 | Name Suffix | Patient | String | 0:1 | 0 | 0 / 51 |
| ePatient.24 | Patient's Preferred Language(s) | Patient | CodedValue | 0:M | 0 | 0 / 51 |
| ePatient.25 | Sex | Patient | CodedValue | 1:1 | 23 | 13 / 51 |