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date_gregorian=2023-02-15 date_hijri=1444-07-24 document_type=form entity=language:ar entity=document_number:1444/7/24 :Date/ entity=format:application/pdf language=en taxonomy_l1=economy_finance taxonomy_l2=insurance taxonomy_l3=health_insurance validity=valid validity_confidence=0.6

882 :Ref / الرقم 1444/7/24 :Date/التاريخ 15/02/2023 شمان مجلس الضمان الصحي Council of Health Insurance Circular To Qualified health insurance companies and The Saudi Red Crescent Authority (SRCA) Proceeding from the competence of the Council of Health Insurance (CHI) to prepare the financial compensation for the ambulatory medical services provided by the Saudi Red Crescent Authority (SRCA), based on the text of Paragraph (a) of Article Eleven (11) of the Cooperative Health Insurance Law. And with reference to Circular issued by the Council No. (534) dated 11/20/2019 regarding applying the regulatory guide for the mechanism of work between the SRCA and insurance companies In confirmation of what was clarified in the workshops which held by CHI with SRCA and insurance companies, regarding organizing the mechanism of work procedures and collection of fees for ground ambulatory services provided to the insureds. The General Secretariat of the CHI would like to inform you of updating the financial compensation, the coding system for ambulance services in accordance with the Saudi Billing System (SBS), and in line with the Medical Priority Dispatch System (MPDS), and the medical priority dispatch system. Accordingly, SRCA and insurance companies must comply with the (attached) lists and work to update their systems and activate the use of services based on them, starting from 1/2/2023 AD. For more information, please contact: info@chi.gov.sa. This circular shall be communicated to whomever is required to take note and act accordingly. لكافه شركات التامين الصحي المؤهله وهينه الهلال الاحمر السعودي انطلاقا من اختصاص مجلس الضمان الصحي في اعداد قايمه المقال المالي لخدمات الطبعه ال素عافيه المقدمه من هييه الهلال الاحمر السعودي وذلك بناء علي نص الفقره (ا) من الماده الحاديه عشره من نظام الضمان الصحي التعاوني. واشاره الي التعميم الصادر من المجلس رقم (534) وتاريخ 20/11/2019 بشان تطبيق الدليل التنظيمي لاليه العمل ما بين هييه الهلال الاحمر السعودي وشركات التامين. و تاكيدا علي ما تم توضيحيه في ورش العمل المنعقده من قبل المجلس مع هييه الهلال الاحمر وشركات التامين، حيال تنظيم اجراءات اليه العمل وتحصيل المقابل المالي للدخدمات الاسعافيه الارضيه المقدمه للمؤمن لمم. تود الامانه العامه للمجلس الافاده بتحديث قايمه المقابل المالي ونظام الترميز لخدمات النقل الاسعافي بما يتوافق مع نظام الفوتره السعودي (SBS) وتماشيا مع Medical Priority Dispatch) نظام اولويه الفrzر الطي للخدمات الاسعافيه System MPDS (السلام المصر السعودي وشركات التامين الالتزام بالقوايم المرفقه) والعمل علي تحديث انظمتهم وتفعيل استخدام الخدمات بناء عليها، وذلك ابتداء من تاريخ 1/2/1 m.2023 . info@chi.gov.sa ولزید من المعلومات يرجي التواصل عبر البريد الالكتروني يبلغ هذا التعميم لم يلزم للاحاطه والعمل بموجه. © المملكه العربيه السعوديه، الرياض 11614 Saudi Arabia, Riyadh 11614 94764 P.O.Box 94764 © 920001177 www.cchi.gov.sa شمان مجلس الفضمان الصحي Council of Health Insurance المرفق رقم 1: قايمه المقال المالي للخدمات الاسعافيه Appendix (1): EMS prices list <table><tr><td>SN</td><td>Code</td><td>Service</td><td>Description</td><td>Guidelines</td><td>Suggested Price (SAR)</td></tr><tr><td>1</td><td>850000000</td><td>BLS Ambulance response and treatment without transport</td><td>Basic Life Support Ambulance response and the team has physically attended and treated the patient without transport.</td><td>On-site medical service without transportation - Basic Life Support</td><td>400</td></tr><tr><td>2</td><td>850000100</td><td>Basic Life Support transport up to 50 km</td><td>Patient transport that was carried out by a BLS team up to 50 km distance excluding medications.</td><td>Code includes ambulance transport for 50 km, team fees, routine service and disposable supplies but excludes any medications given, BLS used for low priority cases.</td><td>600</td></tr><tr><td>3</td><td>851000000</td><td>Basic Life Support Ambulance extra distance charge per 10 km exceeding first 50 km. (Add-on code)</td><td>Basic Life Support Ambulance extra distance charge per 10 km exceeding first 50 km. (Add-on code)</td><td>This is an add-on code for 85000-01-00 for each additional 10 km distance more than the first 50 km</td><td>35 per 10 km</td></tr><tr><td>4</td><td>851100000</td><td>Basic Life Support - Standby; per hour</td><td>BLS team deployed to a dynamic post, on standby; calculated by hour</td><td>Attendance of the BLS ambulance for any event, in a state of readiness; calculation for code per each hourDirect contracting with non insurance</td><td>300</td></tr><tr><td>5</td><td>851200000</td><td>Basic Life Support transport declination</td><td>A patient transport request that was declined by the patient after SRCA dispatch has deployed a BLS team and the team has physically attended to the patient</td><td>Not for insurance reimbursement</td><td>0</td></tr><tr><td>6</td><td>851300000</td><td>Basic Life Support cancelation</td><td>A patient transport request that was canceled after SRCA dispatch has</td><td>Not for insurance reimbursement</td><td>0</td></tr></table> المملكه العربيه السعوديه، الرياض 11614 Saudi Arabia, Riyadh 11614 94764 P.O.Box 94764 920001177 www.cchi.gov.sa شمان مجلس الفضمان الصحي Council of Health Insurance <table><tr><td></td><td></td><td></td><td>deployed a BLS team and before the team has physically attended to the patient</td><td></td><td></td></tr><tr><td>7</td><td>852000000</td><td>ALS Ambulance response and treatment without transport</td><td>Advanced Life SupportAmbulance response and the team has physically attended and treated the patient without transport.</td><td>On-site medical service without transportation - Advanced Life Support</td><td>700</td></tr><tr><td>8</td><td>852000100</td><td>Advanced Life Support transport up to 50 km</td><td>Patient transport that was carried out by a ALS team, up to 50 km distance, in cases of mid to high priority and possibly life threatening situations, excluding medications.</td><td>Code includes ambulance transport up to 50 km, team fees, routine services and disposable supplies but excludes any medications given, ALS used for high-priority cases</td><td>1000</td></tr><tr><td>9</td><td>853000000</td><td>ALS Ambulance extra distance charge, after 50 km up to 300 km (add-on code)</td><td>Advance Life Support Ambulance extra distance charge per 10 km exceeding first 50 km up to 300 km (add-on code)</td><td>This code is an add-on code for 85200-01-00 for each additional 10 km distance more than the first 50 km</td><td>70 per 10 km</td></tr><tr><td>10</td><td>853100000</td><td>Advanced Life Support - Standby per hour</td><td>ALS team deployed to a dynamic post, on standby; calculated by hour.</td><td>Attendance of the ALS ambulance for any event, in a state of readiness, calculation for code per each hourDirect contracting with non insurance</td><td>500</td></tr><tr><td>11</td><td>853200000</td><td>Advanced Life Support transport declination</td><td>A patient transport request that was declined by the patient after EMS dispatch has deployed an ALS team and the team has physically attended to the patient</td><td>Not for insurance reimbursement</td><td>0</td></tr><tr><td>12</td><td>853300000</td><td>Advanced Life Support cancelation</td><td>Defined as a patient transport request that was canceled after EMS dispatch has deployed an</td><td>Not for insurance reimbursement</td><td>0</td></tr></table> السلامه العربيه السعوديه، الرياض 11614 Saudi Arabia, Riyadh 11614 94764 P.O.Box 94764 920001177 www.cchi.gov.sa شمان مجلس alpstan المحيي Council of Health Insurance <table><tr><td></td><td></td><td></td><td>ALS team and before the team has physically attended to the patient</td><td></td><td></td></tr><tr><td>13</td><td>854000000</td><td>Advanced Life Support service by specialized team (add-on code)</td><td>The deployment of a specialized team for highly specialized patient care service that may or may not include transport.</td><td>This code is used to report the attendance of a specialized team in addition to the ALS ambulance. Must be reported with ALS codes.(** list codes here** ) Examples of this service include hazardous material response, tactical event response, urban search and rescue response, wilderness response and others.</td><td>1000</td></tr><tr><td>14</td><td>855000000</td><td>Aeromedical transport (Medivac)</td><td>Patient transport that was carried out by an aeromedical services team.</td><td>For All Medivac transport - Extra insurance benefit</td><td>50,000 to 100,000</td></tr></table> © 11614 المملكه العربيه السعوديه، الرياض Saudi Arabia, Riyadh 11614 94764 P.O.Box 94764 920001177 www.cchi.gov.sa شمان مجلس الفيمان الصحي Council of Health Insurance المرافق رقم (2): نظام اولويه الفrz الاسعافي Appendix (2): Medical Priority Dispatch System <table><tr><td>Complaint</td><td>Code</td><td>Level</td><td>Subset</td><td>Determinant Descriptors</td><td>Codes</td><td>Call Type</td><td>Mode</td></tr><tr><td>Abdominal Pains/Problems</td><td>1</td><td>D</td><td>1</td><td>Not alert</td><td>01D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>0</td><td>Override</td><td>01D00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>0</td><td>Override</td><td>01C00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>1</td><td>SUSPECTED alerting aneurysm (tearing/ripping pain) ≥ 50</td><td>01C01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>2</td><td>Known aortic aneurysm</td><td>01C02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>3</td><td>Fainting or near fainting ≥ 50</td><td>01C03</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>4</td><td>Females with fainting or near fainting 12-50</td><td>01C04</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>5</td><td>Males with pain above navel ≥ 35</td><td>01C05</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>6</td><td>Females with pain above naval ≥ 45</td><td>01C06</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>1</td><td>Abdominal pain</td><td>01A01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td>Allergies (Reactions) / Envenomations (Stings,Bites)</td><td>2</td><td>E</td><td>0</td><td>Override INEFFECTIVE BREATHING *(to be selected from Case Entry only)</td><td>02E00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td>2</td><td>E</td><td>1</td><td>Override</td><td>02E01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>0</td><td>Overrides</td><td>02D00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>Not alert</td><td>02D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>2</td><td>DIFFICULTY SPEAKING BETWEEN BREATHS</td><td>02D02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>3</td><td>Swarming ATTACK (bee, wasp, hornet)</td><td>02D03</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>4</td><td>Snakebite</td><td>02D04</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>0</td><td>Override</td><td>02C00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>1</td><td>Difficulty breathing or swallowing</td><td>02C01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>2</td><td>History of severe allergic reaction</td><td>02C02</td><td>Pri 2, Med Emer</td><td></td></tr></table> المملكه العربيه السعوديه، الرياض 11614 Saudi Arabia, Riyadh 11614 94764 P.O.Box 94764 920001177 www.cchi.gov.sa شمان مجلس الشمان الصحي Council of Health Insurance <table><tr><td></td><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>02B00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>B</td><td>1</td><td>Unknown status/Other codes not applicable</td><td>02B01</td><td>Pri 2, Med Emer</td><td>Quiet</td></tr><tr><td></td><td></td><td></td><td>A</td><td>1</td><td>No difficulty breathing or swallowing (rash, hives, or itching may be present)</td><td>02A01</td><td>Med Transfer</td><td></td></tr><tr><td></td><td></td><td></td><td>A</td><td>2</td><td>Spider bite</td><td>02A02</td><td>Med Transfer</td><td></td></tr><tr><td>Animal Bites/Attacks</td><td>3</td><td>D</td><td>0</td><td>0</td><td>Override</td><td>03D00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>D</td><td>1</td><td>Unconscious or Arrest</td><td>03D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>D</td><td>2</td><td>Not alert</td><td>03D02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>D</td><td>3</td><td>Chest or Neck injury (with difficulty breathing)</td><td>03D03</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>D</td><td>4</td><td>DANGEROUS body area</td><td>03D04</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>D</td><td>5</td><td>Large animal</td><td>03D05</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>D</td><td>6</td><td>EXOTIC animal</td><td>03D06</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>D</td><td>7</td><td>ATTACK or multiple animals</td><td>03D07</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>03B00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>B</td><td>1</td><td>POSSIBLY DANGEROUS body area</td><td>03B01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>B</td><td>2</td><td>SERIOUS hemorrhage</td><td>03B02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>B</td><td>3</td><td>Unknown status/Other codes not applicable</td><td>03B03</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>A</td><td>1</td><td>NOT DANGEROUS body area</td><td>03A01</td><td>Pri 2, Med Emer</td><td>Quiet</td></tr><tr><td></td><td></td><td></td><td>A</td><td>2</td><td>NON-RECENT (≥ 6 hours) injuries (without priority symptoms)</td><td>03A02</td><td>Med Transfer</td><td></td></tr><tr><td></td><td></td><td></td><td>A</td><td>3</td><td>SUPERFICIAL bites</td><td>03A03</td><td>Med Transfer</td><td></td></tr><tr><td>Assault/Sexual Assault</td><td>4</td><td>D</td><td>0</td><td>0</td><td>Override</td><td>04D00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>D</td><td>1</td><td>Unconscious or Arrest</td><td>04D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>D</td><td>2</td><td>Not alert</td><td>04D02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>D</td><td>3</td><td>Chest or Neck injury (with difficulty breathing)</td><td>04D03</td><td>Pri 1, Med Emer</td><td></td></tr></table> © 11614 Saudi Arabia, Riyadh 11614 94764 P.O.Box 94764 920001177 www.cchi.gov.sa شمان مجلس الفيمان الصحي Council of Health Insurance <table><tr><td></td><td></td><td>D</td><td>4</td><td>Multiple victims</td><td>04D04</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>04B00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>1</td><td>POSSIBLY DANGEROUS body area</td><td>04B01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>2</td><td>SERIOUS hemorrhage</td><td>04B02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>3</td><td>Unknown status/Other codes not applicable</td><td>04B03</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>1</td><td>NOT DANGEROUS body area</td><td>04A01</td><td>Med Transfer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>2</td><td>NON-RECENT (≥ 6 hours) injuries (without priority symptoms)</td><td>04A02</td><td>Med Transfer</td><td></td></tr><tr><td>Back Pain (Non-Traumatic or Non-Recent Trauma)</td><td>5</td><td>D</td><td>0</td><td>Override</td><td>05D00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>Not alert</td><td>05D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>0</td><td>Override</td><td>05C00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>1</td><td>SUSPECTED aortic aneurysm (tearing/ripping pain) ≥ 50</td><td>05C01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>2</td><td>Known aortic aneurysm</td><td>05C02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>3</td><td>Fainting or near fainting ≥ 50</td><td>05C03</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>1</td><td>NON-TRAUMATIC back pain</td><td>05A01</td><td>Med Transfer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>2</td><td>NON-RECENT (≥ 6 hours) injuries (without priority symptoms)</td><td>05A02</td><td>Med Transfer</td><td></td></tr><tr><td>Breathing Problems</td><td>6</td><td>E</td><td>1</td><td>Override INEFFECTIVE BREATHING *(to be selected from Case Entry only)</td><td>06E00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>E</td><td>1</td><td>Override</td><td>06E01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>0</td><td>Not alert</td><td>06D00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>DIFFICULTY SPEAKING BETWEEN BREATHS</td><td>06D02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>2</td><td>CHANGING COLOR</td><td>06D03</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>3</td><td>Chammy</td><td>06D04</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>4</td><td>Abnormal breathing</td><td>06C01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>1</td><td></td><td></td><td></td><td></td></tr></table> © 11614 Saudi Arabia, Riyadh 11614 94764 P.O.Box 94764 920001177 www.cchi.gov.sa شمان مجلس الشمان الصحي Council of Health Insurance <table><tr><td>Burns (Scalds) / Explosion (Blast)</td><td>7</td><td>D</td><td>0</td><td>Override</td><td>07D00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>Multiple victims</td><td>07D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>2</td><td>Unconscious or Arrest</td><td>07D02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>3</td><td>Not alert</td><td>07D03</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>4</td><td>DIFFICULTY SPEAKING BETWEEN BREATHS</td><td>07D04</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>0</td><td>Override</td><td>07D04</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>1</td><td>Building fire with persons reported inside</td><td>07C00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>2</td><td>Difficulty breathing</td><td>07C01</td><td>Building Fire</td><td></td></tr><tr><td></td><td></td><td>C</td><td>3</td><td>Burns ≥ 18% body area</td><td>07C02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>4</td><td>SIGNIFICANT FACIAL burns</td><td>07C04</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>07B00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>1</td><td>Blast injuries (without priority symptoms)</td><td>07B01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>2</td><td>Unknown status/Other codes not applicable</td><td>07B02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>1</td><td>Burns ≤ 18% body area</td><td>07A01</td><td>Pri 2, Med Emer</td><td>Quiet</td></tr><tr><td></td><td></td><td>A</td><td>2</td><td>Fire alarm (unknown situation)</td><td>07A02</td><td>Business Alarm</td><td></td></tr><tr><td></td><td></td><td>A</td><td>3</td><td>Sunburn or MINOR burns (≤ hand size)</td><td>07A03</td><td>Med Transfer</td><td></td></tr><tr><td>Carbon Monoxide/Inhalation/Hazmat/CBRN</td><td>8</td><td>D</td><td>0</td><td>Override</td><td>08D00</td><td>CO w/ Symptoms</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>Unconscious or Arrest</td><td>08D01</td><td>CO w/ Symptoms</td><td></td></tr><tr><td></td><td></td><td>D</td><td>2</td><td>Not alert</td><td>08D02</td><td>CO w/ Symptoms</td><td></td></tr><tr><td></td><td></td><td>D</td><td>3</td><td>DIFFICULTY SPEAKING BETWEEN BREATHS</td><td>08D03</td><td>CO w/ Symptoms</td><td></td></tr><tr><td></td><td></td><td>D</td><td>4</td><td>Multiple victims</td><td>08D04</td><td>Haz-Mat</td><td></td></tr></table> © 11614 المملكه العربيه السعوديه، الرياض Saudi Arabia, Riyadh 11614 94764 P.O.Box 94764 920001177 www.cchi.gov.sa شمان مجلس الشمان الصحي Council of Health Insurance <table><tr><td></td><td></td><td>D</td><td>5</td><td>Unknown status/Other codes not applicable</td><td>08D05</td><td>CO w/ Symptoms</td><td></td></tr><tr><td></td><td></td><td>C</td><td>0</td><td>Override</td><td>08C00</td><td>CO w/ Symptoms</td><td></td></tr><tr><td></td><td></td><td>C</td><td>1</td><td>Alert with difficulty breathing</td><td>08C01</td><td>CO w/ Symptoms</td><td></td></tr><tr><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>08B00</td><td>CO w/ Symptoms</td><td></td></tr><tr><td></td><td></td><td>B</td><td>1</td><td>Alert without difficulty breathing</td><td>08B01</td><td>CO w/ No Symptoms</td><td></td></tr><tr><td></td><td></td><td>Ω</td><td>1</td><td>Carbon monoxide detector alarm (without priority symptoms)</td><td>08O01</td><td>CO w/ No Symptoms</td><td></td></tr><tr><td>Cardiac or Respiratory Arrest / Death</td><td>9</td><td>E</td><td>0</td><td>Override</td><td>09E00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>E</td><td>1</td><td>Not breathing at all</td><td>09E01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>E</td><td>2</td><td>Breathing uncertain (AGONAL)</td><td>09E02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>E</td><td>3</td><td>Hanging</td><td>09E03</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>E</td><td>4</td><td>Strangulation</td><td>09E04</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>E</td><td>5</td><td>Suffocation</td><td>09E05</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>E</td><td>6</td><td>Underwater</td><td>09E06</td><td>Water Rescue</td><td></td></tr><tr><td></td><td></td><td>D</td><td>0</td><td>Override</td><td>09D00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td></td><td>INEFFECTIVE BREATHING (discovered during Key Questioning only) * (select only when linking from other Chief Complaint Protocols)</td><td>09D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>OBVIOUS or EXPECTED DEATH questionable</td><td>09D02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>2</td><td></td><td>09D02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>09B00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>1</td><td>OBVIOUS DEATH unquestionable (a through i)</td><td>09B01</td><td>NOTIFY PD</td><td></td></tr><tr><td></td><td></td><td>Ω</td><td>1</td><td>EXPECTED DEATH unquestionable (x through z)</td><td>09O01</td><td>NOTIFY PD</td><td></td></tr></table> 11614 Saudi Arabia, Riyadh 11614 94764 P.O.Box 94764 920001177 www.cchi.gov.sa شمان مجلس الفضمان الصحي Council of Health Insurance <table><tr><td>Chest Pain (Non-Traumatic)</td><td>10</td><td>D</td><td>0</td><td>Override</td><td>10D00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>Not alert</td><td>10D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>2</td><td>DIFFICULTY SPEAKING BETWEEN BREATHS</td><td>10D02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>3</td><td>CHANGING COLOR</td><td>10D03</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>4</td><td>Clammy</td><td>10D04</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>0</td><td>Override</td><td>10D00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>1</td><td>Abnormal breathing</td><td>10C01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>2</td><td>Heart attack or angina history</td><td>10C02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>3</td><td>Cocaine</td><td>10C03</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>4</td><td>Breathing normally ≥35</td><td>10C04</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>1</td><td>Breathing normally ≤35</td><td>10A01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td>Choking</td><td>11</td><td>E</td><td>0</td><td>Override COMPLETE obstruction/INEFFECTIVE BREATHING</td><td>11E00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>E</td><td>1</td><td>Override Abnormal breathing (PARTIAL obstruction)</td><td>11E01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>0</td><td>Override Abnormal breathing (PARTIAL obstruction)</td><td>11D00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>Not alert</td><td>11D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>2</td><td>Not ok (king now (can talk or cry, is alert and breathing normally)</td><td>11D02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td>Convulsions/Seizures</td><td>12</td><td>D</td><td>0</td><td>Override</td><td>12D00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>Not breathing (after Key Questioning)</td><td>12D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>2</td><td>CONTINUOUS or MULTIPLE seizures</td><td>12D02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>3</td><td>AGONAL/INEFFECTIVE BREATHING</td><td>12D03</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>4</td><td>Effective breathing not verified ≥ 35</td><td>12D04</td><td>Pri 1, Med Emer</td><td></td></tr></table> © 11614 Saudi Arabia, Riyadh 11614 94764 P.O.Box 94764 920001177 www.cchi.gov.sa شمان مجلس الظمان الصحي Council of Health Insurance <table><tr><td></td><td></td><td>C</td><td>0</td><td>Override</td><td>12C00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>1</td><td>FOCAL seizure (not alert)</td><td>12C01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>2</td><td>Pregnancy</td><td>12C02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>3</td><td>Diabetic</td><td>12C03</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>12B00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>1</td><td>Effective breathing not verified ≤ 35</td><td>12B01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>1</td><td>Not seizing now and breathing effectively (verified)</td><td>12A01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>2</td><td>FOCAL seizure (alert)</td><td>12A02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>3</td><td>Impending seizure (aura)</td><td>12A03</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td>Diabetic Problems</td><td>13</td><td>D</td><td>0</td><td>Override</td><td>13D00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>Unconscious</td><td>13D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>0</td><td>Override</td><td>13C00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>1</td><td>Not alert</td><td>13C01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>2</td><td>Abnormal behavior</td><td>13C02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>3</td><td>Abnormal breathing</td><td>13C03</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>1</td><td>Alert and behaving normally</td><td>13A01</td><td>Pri 2, Med Emer</td><td>Quiet</td></tr><tr><td>Drowning (Near) / Diving / SCUBA Accident</td><td>14</td><td>D</td><td>0</td><td>Override</td><td>14D00</td><td>Water Rescue</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>Unconscious or Arrest</td><td>14D01</td><td>Water Rescue</td><td></td></tr><tr><td></td><td></td><td>D</td><td>2</td><td>Not alert</td><td>14D02</td><td>Water Rescue</td><td></td></tr><tr><td></td><td></td><td>D</td><td>3</td><td>DIVING or suspected neck injury</td><td>14D03</td><td>Water Rescue</td><td></td></tr><tr><td></td><td></td><td>D</td><td>4</td><td>SCUBA accident</td><td>14D04</td><td>Water Rescue</td><td></td></tr><tr><td></td><td></td><td>C</td><td>0</td><td>Override</td><td>14C00</td><td>Water Rescue</td><td></td></tr><tr><td></td><td></td><td>C</td><td>1</td><td>Alert with abnormal breathing</td><td>14C01</td><td>Water Rescue</td><td></td></tr><tr><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>14B00</td><td>Water Rescue</td><td></td></tr></table> © 11614 Saudi Arabia, Riyadh 11614 94764 P.O.Box 94764 920001177 www.cchi.gov.sa شمان مجلس الشمان الصحي Council of Health Insurance <table><tr><td></td><td></td><td>B</td><td>1</td><td>Alert and breathing normally (injuries or in water)</td><td>14B01</td><td>Water Rescue</td><td></td></tr><tr><td></td><td></td><td>B</td><td>2</td><td>Unknown status/Other codes not applicable</td><td>14B02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>1</td><td>Alert and breathing normally (no injuries and out of water)</td><td>14A01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td>Electrocution/Lightning</td><td>15</td><td>E</td><td>0</td><td>Override</td><td>15E00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>E</td><td>1</td><td>NOT BREATHING/INEFFECTIVE BREATHING</td><td>15E01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>0</td><td>Override</td><td>15D00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>Unconscious</td><td>15D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>2</td><td>Not disconnected from power</td><td>15D02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>3</td><td>Power not off or hazard present</td><td>15D03</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>4</td><td>EXTREME FALL (≥ 30ft/10m)</td><td>15D04</td><td>Rescue</td><td></td></tr><tr><td></td><td></td><td>D</td><td>5</td><td>LONG FALL</td><td>15D05</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>6</td><td>Not alert</td><td>15D06</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>7</td><td>Abnormal breathing</td><td>15D07</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>8</td><td>Unknown status/Other codes not applicable</td><td>15D08</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>1</td><td>Alert and breathing normally</td><td>15C01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td>Eye Problems / Injuries</td><td>16</td><td>D</td><td>0</td><td>Override</td><td>16D00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>Not alert</td><td>16D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>16B00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>1</td><td>SEVERE eye injuries</td><td>16B01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>1</td><td>MODERATE eye injuries</td><td>16A01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>2</td><td>MINOR eye injuries</td><td>16A02</td><td>Pri 2, Med Emer</td><td>Quiet</td></tr><tr><td></td><td></td><td>A</td><td>3</td><td>MEDICAL eye problems</td><td>16A03</td><td>Med Transfer</td><td></td></tr><tr><td>Falls</td><td>17</td><td>D</td><td>0</td><td>Override</td><td>17D00</td><td>Rescue</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>EXTREME FALL (≥ 30ft/10m)</td><td>17D01</td><td>Rescue</td><td></td></tr></table> © 11614 Saudi Arabia, Riyadh 11614 94764 P.O.Box 94764 920001177 www.cchi.gov.sa شمان مجلس الفيمان الصحي Council of Health Insurance <table><tr><td></td><td></td><td>D</td><td>2</td><td>Unconscious or Arrest</td><td>17D02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>3</td><td>Not alert</td><td>17D03</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>4</td><td>Chest or Neck injury (with difficulty breathing)</td><td>17D04</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>5</td><td>LONG FALL</td><td>17D05</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>17B00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>1</td><td>POSSIBLY DANGEROUS body area</td><td>17B01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>2</td><td>SERIOUS hemorrhage</td><td>17B02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>3</td><td>Unknown status/Other codes not applicable</td><td>17B03</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>0</td><td>Override</td><td>17A00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>1</td><td>NOT DANGEROUS body area</td><td>17A01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>2</td><td>NON-RECENT (≥6 hours) injuries (without priority symptoms)</td><td>17A02</td><td>Med Transfer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>3</td><td>PUBLIC ASSIST (no injuries and no priority symptoms)</td><td>17A03</td><td>Assist with Lifting</td><td></td></tr><tr><td>Headache</td><td>18</td><td>C</td><td>0</td><td>Override</td><td>18C00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>1</td><td>Not alert</td><td>18C01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>2</td><td>Abnormal breathing</td><td>18C02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>3</td><td>Speech problems</td><td>18C03</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>4</td><td>Sudden onset of severe pain</td><td>18C04</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>5</td><td>Numbness</td><td>18C05</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>6</td><td>Paralysis</td><td>18C06</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>7</td><td>Change in behavior (≤ 3hrs)</td><td>18C07</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>18B00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>1</td><td>Unknown status/Other codes not applicable</td><td>18B01</td><td>Pri 2, Med Emer</td><td>Quiet</td></tr><tr><td></td><td></td><td>A</td><td>1</td><td>Breathing normally</td><td>18A01</td><td>Med Transfer</td><td></td></tr><tr><td>Heart Problems / A.I.C.D.</td><td>19</td><td>D</td><td>0</td><td>Override</td><td>19D00</td><td>Pri 1, Med Emer</td><td></td></tr></table> © 11614 Saudi Arabia, Riyadh 11614 94764 P.O.Box 94764 920001177 www.cchi.gov.sa شمان مجلس الفيمان الصحي Council of Health Insurance <table><tr><td></td><td></td><td>D</td><td>1</td><td>Not alert</td><td>19D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>2</td><td>DIFFICULTY SPEAKING BETWEEN BREATHS</td><td>19D02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>3</td><td>CHANGING COLOR</td><td>19D03</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>4</td><td>Clammy</td><td>19D04</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>5</td><td>Just resuscitated and/or defibrillated (external)</td><td>19D05</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>0</td><td>Override</td><td>19C00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>1</td><td>Firing of A.I.C.D</td><td>19C01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>2</td><td>Abnormal breathing</td><td>19C02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>3</td><td>Chest pain ≥ 35</td><td>19C03</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>4</td><td>Cardiac history</td><td>19C04</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>5</td><td>Cocaine</td><td>19C05</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>6</td><td>Heart rate ≤ 50 bpm or ≥ 130 bpm (without priority symptoms)</td><td>19C06</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>7</td><td>Unknown status/Other codes not applicable</td><td>19C07</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>19B00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>1</td><td>Heart rate ≥ 50 bpm and ≤ 130 bpm (without priority symptoms)</td><td>19A01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>2</td><td>Chest pain ≤ 35 (without priority symptoms)</td><td>19A02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td>Heat / Cold Exposure</td><td>20</td><td>D</td><td>0</td><td>Override</td><td>20D00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>Not alert</td><td>20D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>2</td><td>Multiple victims (with priority symptoms)</td><td>20D02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>0</td><td>Override</td><td>20C00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>1</td><td>Heart attack or angina history</td><td>20C01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>20B00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>1</td><td>Change in skin color</td><td>20B01</td><td>Pri 2, Med Emer</td><td></td></tr></table> © 11614 Saudi Arabia, Riyadh 11614 94764 P.O.Box 94764 920001177 www.cchi.gov.sa شامان مجلس الفضمان الصحي Council of Health Insurance <table><tr><td></td><td></td><td>B</td><td>2</td><td>Unknown status/Other codes not applicable</td><td>20B02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>1</td><td>Alert</td><td>20A01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td>Hemorrhage / Lacerations</td><td>21</td><td>D</td><td>0</td><td>Override</td><td>21D00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>Unconscious or Arrest</td><td>21D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>2</td><td>Not alert</td><td>21D02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>3</td><td>DANGEROUS hemorrhage</td><td>21D03</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>4</td><td>Abnormal breathing</td><td>21D04</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>0</td><td>Override</td><td>21C00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>1</td><td>Hemorrhage through TUBES</td><td>21C01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>2</td><td>Hemorrhage of dialysis fistula</td><td>21C02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>21B00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>1</td><td>POSSIBLY DANGEROUS hemorrhage</td><td>21B01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>2</td><td>SERIOUS hemorrhage</td><td>21B02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>3</td><td>Bleeding disorder</td><td>21B03</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>4</td><td>Blood thinners</td><td>21B04</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>1</td><td>NOT DANGEROUS hemorrhage</td><td>21A01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>2</td><td>MINOR hemorrhage</td><td>21A02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td>Inaccessible Incident / Other Entrapments (Non-Vehicle)</td><td>22</td><td>D</td><td>0</td><td>Override</td><td>22D00</td><td>Rescue</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>Mechanical/Machinery ENTRAIPMENT</td><td>22D01</td><td>Rescue</td><td></td></tr><tr><td></td><td></td><td>D</td><td>2</td><td>Trench collapse</td><td>22D02</td><td>Rescue</td><td></td></tr><tr><td></td><td></td><td>D</td><td>3</td><td>Structure collapse</td><td>22D03</td><td>Rescue</td><td></td></tr><tr><td></td><td></td><td>D</td><td>4</td><td>Confined space ENTRAIPMENT</td><td>22D04</td><td>Rescue</td><td></td></tr><tr><td></td><td></td><td>D</td><td>5</td><td>Inaccessible terrain situation</td><td>22D05</td><td>Rescue</td><td></td></tr><tr><td></td><td></td><td>D</td><td>6</td><td>Mudslide/Avalanche</td><td>22D06</td><td>Rescue</td><td></td></tr></table> © 11614 Saudi Arabia, Riyadh 11614 94764 P.O.Box 94764 920001177 www.cchi.gov.sa شمان مجلس الشمان الصحي Council of Health Insurance <table><tr><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>22B00</td><td>Rescue</td><td></td></tr><tr><td></td><td></td><td>B</td><td>1</td><td>No longer trapped (unknown injuries)</td><td>22B01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>2</td><td>PERIPHERAL ENTRAPMENT only</td><td>22B02</td><td>Rescue</td><td></td></tr><tr><td></td><td></td><td>B</td><td>3</td><td>Unknown status (investigation)/Other codes not applicable</td><td>22B03</td><td>Rescue</td><td></td></tr><tr><td colspan="2">Overdose / Poisoning (Ingestion)</td><td>A</td><td>1</td><td>No longer trapped (no injuries)</td><td>22A01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td>23</td><td>D</td><td>0</td><td>Override</td><td>23D00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>Unconscious</td><td>23D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>2</td><td>CHANGING COLOR</td><td>23D02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>0</td><td>Override</td><td>23C00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>1</td><td>Not alert</td><td>23C01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>2</td><td>Abnormal breathing</td><td>23C02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>3</td><td>Antidepressants (tricyclic)</td><td>23C03</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>4</td><td>Cocaine, methamphetamine (or derivatives)</td><td>23C04</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>5</td><td>Narcotics (heroin)</td><td>23C05</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>6</td><td>Acid or alkali (Iye)</td><td>23C06</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>7</td><td>Unknown status/Other codes not applicable</td><td>23C07</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>8</td><td>Poison Control request for response</td><td>23C08</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>23B00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>1</td><td>OVERDOSE (without priority symptoms)</td><td>23B01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>Ω</td><td>1</td><td>POISONING (without priority symptoms)</td><td>23O01</td><td>Pri 2, Med Emer</td><td>Quiet</td></tr><tr><td>Pregnancy / Childbirth / Miscarriage</td><td>24</td><td>D</td><td>0</td><td>Override</td><td>24D00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>BREECH or CORD</td><td>24D01</td><td>Pri 1, Med Emer</td><td></td></tr></table> © 11614 Samplca de la Sierwia, 2014 Saudi Arabia, Riyadh 11614 94764 P.O.Box 94764 920001177 www.cchi.gov.sa شامن مجلس الفضمان الصحي Council of Health Insurance <table><tr><td></td><td></td><td>D</td><td>2</td><td>Head visible/out</td><td>24D02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>3</td><td>IMMINENT delivery (≥ 5 months/20 weeks)</td><td>24D03</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>4</td><td>3rd TRIMESTER hemorrhage</td><td>24D04</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>5</td><td>HIGH RISK complications</td><td>24D05</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>6</td><td>Baby born (complications with baby)</td><td>24D06</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>7</td><td>Baby born (complications with mother)</td><td>24D07</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>0</td><td>Override</td><td>24C00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>1</td><td>2nd TRIMESTER hemorrhage or MISCARRIAGE</td><td>24C01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>2</td><td>1st TRIMESTER SERIOUS hemorrhage</td><td>24C02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>3</td><td>Baby born (no complications)</td><td>24C03</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>24B00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>1</td><td>Labor (delivery not imminent, ≥ 5 months/20 weeks)</td><td>24B01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>2</td><td>Unknown status/Other codes not applicable</td><td>24B02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>0</td><td>Override</td><td>24A00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>1</td><td>1st TRIMESTER hemorrhage or MISCARRIAGE</td><td>24A01</td><td>Pri 2, Med Emer</td><td>Quiet</td></tr><tr><td></td><td></td><td>Ω</td><td>1</td><td>Waters broken (no contractions or presenting parts)</td><td>24O01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td>Psychiatric / Abnormal Behavior / Suicide Attempt</td><td>25</td><td>D</td><td>0</td><td>Override</td><td>25D00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>Not alert</td><td>25D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>2</td><td>DANGEROUS hemorrhage</td><td>25D02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>25B00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>1</td><td>SERIOUS hemorrhage</td><td>25B01</td><td>Pri 2, Med Emer</td><td></td></tr></table> © 11614 المملكه العربيه السعوديه، الرياض Saudi Arabia, Riyadh 11614 94764 P.O.Box 94764 920001177 www.cchi.gov.sa شمان مجلس الفيمان الصحي Council of Health Insurance <table><tr><td></td><td></td><td></td><td>B</td><td>2</td><td>Non-SERIOUS or MINOR hemorrhage</td><td>25B02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>B</td><td>3</td><td>THREATENING SUICIDE</td><td>25B03</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>B</td><td>4</td><td>Jumper (threatening)</td><td>25B04</td><td>Pri 2, Med Emer</td><td>Quiet</td></tr><tr><td></td><td></td><td></td><td>B</td><td>5</td><td>Near hanging, strangulation, or suffocation (alert)</td><td>25B05</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>B</td><td>6</td><td>Unknown status/Other codes not applicable</td><td>25B06</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>A</td><td>1</td><td>Non-suicidal and alert</td><td>25A01</td><td>Med Transfer</td><td></td></tr><tr><td></td><td></td><td></td><td>A</td><td>2</td><td>Suicidal (not threatening) and alert</td><td>25A02</td><td>NOTIFY PD</td><td></td></tr><tr><td colspan="3">Sick Person (Specific Diagnosis)</td><td>26</td><td>D</td><td>0</td><td>Override</td><td>26D00</td><td>Pri 1, Med Emer</td></tr><tr><td></td><td></td><td></td><td>D</td><td>1</td><td>Not alert</td><td>26D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>C</td><td>0</td><td>Override</td><td>26C00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>C</td><td>1</td><td>ALTERED LEVEL OF CONSCIOUSNESS</td><td>26C01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>C</td><td>2</td><td>Abnormal breathing</td><td>26C02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>C</td><td>3</td><td>Sickle cell crisis/Thalassemia</td><td>26C03</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>26B00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>B</td><td>1</td><td>Unknown status/Other codes not applicable</td><td>26B01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>A</td><td>0</td><td>Override</td><td>26A00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td>A</td><td>1</td><td>No priority symptoms (complaint conditions 2-11 not identified)</td><td>26A01</td><td>Med Transfer</td><td></td></tr><tr><td></td><td></td><td></td><td>A</td><td>2</td><td>NON-PRIORITY Complaints</td><td>26A02-A11</td><td>Med Transfer</td><td></td></tr><tr><td></td><td></td><td></td><td>Ω</td><td>1</td><td>This code is not in use</td><td>26O01</td><td>Med Transfer</td><td></td></tr><tr><td></td><td></td><td></td><td>Ω</td><td>9</td><td>NON-PRIORITY Complaints</td><td>26O09</td><td>Still Alarm / Pub Service</td><td></td></tr><tr><td></td><td></td><td></td><td>Ω</td><td>2</td><td>NON-PRIORITY Complaints</td><td>26O02-O28</td><td>Med Transfer</td><td></td></tr><tr><td>Stab / Gunshot / Penetrating Trauma</td><td></td><td>27</td><td>D</td><td>0</td><td>Override</td><td>27D00</td><td>Pri 1, Med Emer</td><td></td></tr></table> © 11614 Saudi Arabia, Riyadh 11614 94764 P.O.Box 94764 920001177 www.cchi.gov.sa شامان مجلس الشمان الصحي Council of Health Insurance <table><tr><td></td><td></td><td>D</td><td>1</td><td>Unconscious or Arrest</td><td>27D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>2</td><td>Not alert</td><td>27D02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>3</td><td>CENTRAL wounds</td><td>27D03</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>4</td><td>Multiple wounds</td><td>27D04</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>5</td><td>Multiple victims</td><td>27D05</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>26B00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>1</td><td>NON-RECENT (≥ 6 hrs) single CENTRAL wound</td><td>27B01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>2</td><td>Known single PERIPHERAL wound</td><td>27B02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>3</td><td>SERIOUS hemorrhage</td><td>27B03</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>4</td><td>Unknown status/Other codes not applicable</td><td>27B04</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>5</td><td>OBVIOUS DEATH (explosive GSW to head)</td><td>27B05</td><td>NOTIFY PD</td><td></td></tr><tr><td></td><td></td><td>A</td><td>1</td><td>NON-RECENT (≥ 6hrs) PERIPHERAL wounds (without priority symptoms)</td><td>27A01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td>Stroke (CVA)</td><td>28</td><td>C</td><td>0</td><td>Override</td><td>28C00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>1</td><td>Not alert</td><td>28C01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>2</td><td>Abnormal breathing</td><td>28C02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>3</td><td>Speech problems</td><td>28C03</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>4</td><td>Numbness, paralysis, or movement problems</td><td>28C04</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>5</td><td>Vision problems</td><td>28C05</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>6</td><td>Sudden onset of severe headache</td><td>28C06</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>7</td><td>STROKE history</td><td>28C07</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>8</td><td>Breathing normally ≥ 35</td><td>28C08</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>28B00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>1</td><td>Unknown status/Other codes not applicable</td><td>28B01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>1</td><td>Breathing normally ≤ 35</td><td>28A01</td><td>Pri 2, Med Emer</td><td></td></tr></table> © 11614 Saudi Arabia, Riyadh 11614 94764 P.O.Box 94764 920001177 www.cchi.gov.sa شمان مجلس الشمان الصحي Council of Health Insurance <table><tr><td>Traffic / Transportation Incidents</td><td>29</td><td>D</td><td>0</td><td>Override</td><td>29D00</td><td>MVA w/Entrapment</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>MAJOR INCIDENT (a through f)</td><td>29D01</td><td>MVA w/Entrapment</td><td></td></tr><tr><td></td><td></td><td>D</td><td>2</td><td>HIGH MECHANISM (k through s)</td><td>29D02</td><td>MVA w/Entrapment</td><td></td></tr><tr><td></td><td></td><td>D</td><td>3</td><td>HAZMAT</td><td>29D03</td><td>Haz-Mat</td><td></td></tr><tr><td></td><td></td><td>D</td><td>4</td><td>Pinned (trapped) victim</td><td>29D04</td><td>MVA w/Entrapment</td><td></td></tr><tr><td></td><td></td><td>D</td><td>5</td><td>Not alert</td><td>29D05</td><td>MVA w/Irjury</td><td></td></tr><tr><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>29B00</td><td>MVA w/Irjury</td><td></td></tr><tr><td></td><td></td><td>B</td><td>1</td><td>Injuries</td><td>29B01</td><td>MVA w/Irjury</td><td></td></tr><tr><td></td><td></td><td>B</td><td>2</td><td>SERIOUS hemorrhage</td><td>29B02</td><td>MVA w/Irjury</td><td></td></tr><tr><td></td><td></td><td>B</td><td>3</td><td>Other hazards</td><td>29B03</td><td>MVA w/Irjury</td><td></td></tr><tr><td></td><td></td><td>B</td><td>4</td><td>Unknown status/Other codes not applicable</td><td>29B04</td><td>MVA w/Irjury</td><td></td></tr><tr><td></td><td></td><td>A</td><td>0</td><td>Override</td><td>29A00</td><td>MVA w/Irjury</td><td></td></tr><tr><td></td><td></td><td>A</td><td>1</td><td>1st party caller with injury to NOT DANGEROUS body area</td><td>29A01</td><td>MVA w/Irjury</td><td></td></tr><tr><td></td><td></td><td>Ω</td><td>1</td><td>No injuries (confirmed)</td><td>29O01</td><td>NOTIFY PD</td><td></td></tr><tr><td>Traumatic Injuries (Specific)</td><td>30</td><td>D</td><td>0</td><td>Override</td><td>30D00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>Unconscious or Arrest</td><td>30D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>2</td><td>Not alert</td><td>30D02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>3</td><td>Chest or Neck injury (with difficulty breathing)</td><td>30D03</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>0</td><td>Override</td><td>30B00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>1</td><td>POSSIBLY DANGEROUS body area</td><td>30B01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>B</td><td>2</td><td>SERIOUS hemorrhage</td><td>30B02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>1</td><td>NOT DANGEROUS body area</td><td>30A01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>2</td><td>NON-RECENT (≥ 6hrs) injuries (without priority symptoms)</td><td>30A02</td><td>Pri 2, Med Emer</td><td></td></tr></table> © 11614 Saudi Arabia, Riyadh 11614 94764 P.O.Box 94764 920001177 www.cchi.gov.sa شامان مجلس dissان العمان الصحي Council of Health Insurance <table><tr><td></td><td></td><td>Ω</td><td>1</td><td>No injuries (confirmed)</td><td>30001</td><td>Med Transfer</td><td></td></tr><tr><td rowspan="2">Unconscious / Fainting (Near)</td><td rowspan="2">31</td><td>E</td><td>0</td><td>Override</td><td>31E00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td>E</td><td>1</td><td>INEFFECTIVE BREATHING *(to be selected from Case Entry only)</td><td>31E01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>0</td><td>Override</td><td>31D00</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td></td><td></td><td>Unconscious - AGONAL/INEFFECTIVE BREATHING</td><td>31D01</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>1</td><td>Unconscious - Effective breathing</td><td>31D02</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>2</td><td>Not alert</td><td>31D03</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>3</td><td>CHANGING COLOR</td><td>31D04</td><td>Pri 1, Med Emer</td><td></td></tr><tr><td></td><td></td><td>D</td><td>4</td><td>Override</td><td>31C00</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>0</td><td>Overcome</td><td>31C01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>1</td><td>Alert with abnormal breathing</td><td>31C01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>2</td><td>Fainting episode (s) and alert ≥ 35 (with cardiac history)</td><td>31C02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>C</td><td>3</td><td>Females 12-50 with abdominal pain</td><td>31C03</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>1</td><td>Fainting episode (s) and alert ≥ 35 (without cardiac history)</td><td>31A01</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>2</td><td>Fainting episode (s) and alert ≤ 35 (with cardiac history)</td><td>31A02</td><td>Pri 2, Med Emer</td><td></td></tr><tr><td></td><td></td><td>A</td><td>3</td><td>Fainting episode (s) and alert ≤ 35 (without cardiac history)</td><td>31A03</td><td>Pri 2, Med Emer</td><td>Quiet</td></tr><tr><td>Unknown Problem (Man Down)</td><td>32</td><td>D</td><td>0</td>< …(8,497 more chars)