Emergency Health Services

Ambulance Call Report (ACR) Codes



ACR Codes
Code Group Code Descriptor
Station Codes
(Station #) 00  
01
02
etc.
Status Codes
00 At Base
77 Mobile
88 Standby Location
99 Maintenance
Dispatch Priority Code
1 Deferrable
2 Scheduled
3 Prompt
4 Urgent
8 Standby
9 Out of Service / Administration
Return Priority Codes
1 Deferrable
2 Scheduled
3 Prompt
4 Urgent
6 Transport of Deceased Patient
Return Priority Codes – No Transport
  8 Standby
9 Out of Service / Administration
71 No Patient Found
72 Patient Refused
73 Patient Deceased
74 Patient in Police Custody
75 Transported by Other Ambulance
Special Transport Codes
  01 Pt. Meets Trauma Criteria
02 No Trauma Bypass – Pt. Condition
03 No Trauma Bypass Hospital Refusal
04 Pt. Meets Stroke Criteria
05 No Stroke Bypass – Pt. Condition
06 No Stroke Bypass Hospital Refusal
07 Pt. Meets STEMI Criteria
08 No STEM I Bypass – Pt. Condition
09 No STEM I Bypass – Hospital Refusal
10 Palliative Care Patient Transported to Hospice / Hospital
30 Specialized Team Transfer with Patient
31 Specialized Team Transfer without Patient
Pick-up Codes
  A Airport / Heliport
B Apartment / Condo. Building
C Construction Site
D Medical Office / Clinic
E Nursing Outpost
F Factory / Industrial Site / Railway / Dockyard
G Hotel
H Hospital (Acute and Non-Acute)
I Indoor Shopping Mall
J Jail / Prison
K Single Store / Strip Mall
L School / College / University
M Mining Site / Quarry
N Long-Term Care Home
O Office Building
P Sports Facility / Arena
Q Farm
R House / Town House
S Street / Highway / Road
T Fairground / Park
U Retirement Home
V Golf Course
W Water / Boat
X Restaurant / Bar
Y Casino
Z Other (Describe in Remarks)
Problem Codes
VSA 01 Cardiac / Medical
02 Traumatic
Airway 11 Obstruction (Partial/Complete)
Breathing 21 Dyspnea
24 Respiratory Arrest
Circulation 31 Hemorrhage
33 Hypotension
34 Suspected Sepsis
Neurological 40 Traumatic Brain Injury
41 Stroke / TIA
42 Temp. Loss of Consciousness
43 Altered Level of Consciousness
44 Headache
45 Behaviour / Psychiatric
45.01 Excited Delirium
46 Active Seizure
47 Paralysis / Spinal Trauma
48 Confusion / Disorientation
49 Unconscious
50 Post-ictal
Cardiac 51 Ischemic
53 Palpitations
54 Pulmonary Edema
55 Post Arrest
56 Cardiogenic Shock
57 STEMI
58 Hyperkalemia
Non-Traumatic 60 Non Ischemic Chest Pain
61 Abdominal / Pelvic / Perineal / Rectal Pain
62 Back Pain
Gastrointestinal 63 Nausea / Vomiting / Diarrhea
Musculoskeletal/Trauma 66 Musculoskeletal
67 Trauma / Injury
Obstetrical/Gynecological 71 Obstetrical Emergency
72 Gynecological Emergency
73 Newborn / Neonatal
Endocrine/Toxicological 81 Drug / Alcohol Overdose
81.1 Suspected Opioid Overdose
82 Poisoning / Toxic Exposure
83 Diabetic Emergency
84 Allergic Reaction
85 Anaphylaxis
86 Adrenal Crisis
General and Minor 87 Novel Medications
88 Home Medical Technology
89 Lift Assist
90 Inter-facility Transfer
91 Environmental Emergency
92 Weakness / Dizziness / Unwell
93 Treatment / Diagnosis & Return
94 Convalescent / Invalid / Return Home
95 Infectious Disease
96 Organ Retrieval / Transfer
98 Organ Recipient
99 Other Medical / Trauma (see remarks)
Site/Type Codes
A – Location 10 Head / Face / Ear / Scalp
11 Eye
12 Neck
13 Shoulder
14 Back / Flank
15 Chest
16 Abdomen
17 Pelvis
18 Genitourinary
19 Buttocks / Perineum / Rectum
20 Arm (Upper / Elbow / Forearm / Wrist)
21 Hand / Finger
22 Thigh
23 Leg (Knee / Lower Leg / Ankle)
24 Foot / Toes
25 Hip
B – Type 30 Abrasion
31 Amputation
32 Avulsion
33 Burn
34 Blunt
35 Crush
36 Contusion
37 Penetrating / Perforation
38 Possible Fracture / Dislocation 
39 Laceration
40 Sprain / Strain
41 Paralysis / Paresthesia
42 Other (Detail in Incident Hx)
C – Mechanism 50 Assault
51 Drowning
52 Electrocution
53 Fall (Same Level)
54 Fall from Height / Diving
55 Gunshot
56 Hanging
57 Machinery
58 MVC
59 Motorcycle / Recreational Vehicle
60 Pedal Bicycle
61 Pedestrian Struck
62 Sports
63 Stabbing
64 Fire / Explosion / Thermal
65 Smoke / Chemical Exposure
66 Other (detail in Mechanism of Incident Hx)
Rhythm Codes
  10 Sinus Tachycardia
11 PSVT / SVT / Atrial Tachycardia
12 Atrial Flutter
13 Atrial Fibrillation
14 Ventricular Tachycardia
20 Sinus Bradycardia
21 First Degree Block
22 Second Degree Block
23 Third Degree Block
30 Ventricular Fibrillation
31 Pulseless Ventricular Tachycardia
32 PEA
33 Asystole
40 NSR
42 Paced Rhythm
43 Junctional Rhythm
44 Sinus Dysrhythmia
46 Other (Detail in Procedures)
Procedures
  010 Vital Signs
020 Patient Assessment
025 Blood Sampling – Glucose Determination
100 Dressing
100.01 Hemostatic Dressing
101 Control Bleeding
102 Arterial Tourniquet
105 Immobilization – Head
110 Splint Other
110.01 Pelvic binder device
111 Cervical Collar
112 Spinal Board
113 Spinal Immobilization Extrication Device
114 Traction Splint
115 Adjustable Break Away Stretcher
116 Lifting Chair
116.01 Power Lifting Chair
117 Patient Lifting Device
120 Suction
129 Oxygen – Filtered High Conc. Mask
130 Oxygen – High Conc. Mask
131 Oxygen – Simple Face Mask
132 Oxygen – Nasal Cannula
133 Oxygen – Other
141 Oxygen – BVM
142 Oxygen – Mechanical Ventilator
144 Oxygen – Pocket Mask
150 Extricate Patient
160 OB Delivery
160.01 Delivery of Head
160.02 Delivery of Umbilicus
161 External Uterine Massage
161.01 External Bimanual Compression
162 Placental Delivery
163 Clamp and Cut Umbilical Cord
164 Apgar Score
165 Nuchal Cord
165.01 Removal of Nuchal Cord
166 Shoulder Dystocia
166.01 McRoberts Maneuver
166.02 Apply Suprapubic Pressure
166.03 Gaskin Maneuver
167 Breech Presentation
167.01 Manual Release of Limbs 
167.02 Mauriceau Smellie Veit Manoeuver
168 Prolapsed Cord Management
170 Oro / Nasopharyngeal Airway
180 Restrain Patient-Physical
181 Spit Hood Application
190 Abdo / Chest / Back Thrusts
211 Symptom Assist Medication
(e.g., Assisted Pt. with own meds)
231 Pt. Transported Supine
232 Pt. Transported Semi-Prone
233 Pt. Transported Prone
234 Pt. Transported Semi-Sitting
235 Pt. Transported Sitting
236 Ambulatory
237 Pt. Transported Lateral
238 Pt. Transported in Isolette
239 Infant Restraint Device
240 Knee Chest Position
241 Exaggerated Sims position
Cardiac Arrest Procedures 297 Therapeutic Hypothermia
298 Defibrillation – Pads On
299 Automated CPR Device
300 CPR
301 Rhythm Interpretation
302 Cardioversion
303 Valsalva Manoeuver
306 Defibrillation – Manual
307 Defibrillation – Semi-Automated
308 Analyze – SAED
309 External Pacing
313 12-Lead Acquisition
313.1 15-Lead Acquisition
316 Return of Spontaneous Circulation
Airway/Breathing Procedures 317 Return of Spontaneous Respirations
318 Supraglottic / Alternate Airway
319 Supraglottic / Alternate Airway Unsuccessful
320 Needle Thoracostomy
321 Needle Thoracostomy Unsuccessful
322 Needle / Surgical Cricothyroidotomy
323 Needle / Surgical Cricothyroidotomy Unsuccessful
324 Nasotracheal Intubation
325 Nasotracheal Intubation Unsuccessful
326 Orotracheal Intubation
327 Orotracheal Intubation Unsuccessful
328 ETT Suctioning
329 Tracheostomy Tube Suctioning
330 Tracheostomy Tube Reinsertion
330.01 Tracheostomy Tube Reinsertion Unsuccessful
331 Magill Forceps / Foreign Body Removal
332 Magill Forceps / Foreign Body Removal Unsuccessful
333 Extubation – Any Advanced Airway (Intentional)
334 Extubation – Any Advanced Airway (Unintentional)
335 Needle Thoracostomy One-way Valve Monitored
336 Respiratory System Eval. (ETCO2 and SAO2)
337 ETT Confirmation
338 SpO2
339 PEEP
380 Alternative Airway
381 Alternative Airway – Unsuccessful
382 Airway Adjunct / Bougie
383 CPAP
384 CPAP - unsuccessful
IV Procedures 340 IV Monitoring
341 IV Cannulation
342 Lock
345 Normal Saline
349 Other IV Solutions
350 IV Cannulation Unsuccessful
351 Fluid Bolus
353 Blood Sampling
355 IV Discontinued (Intentional)
356 IV Discontinued (Unintentional)
358 lntraosseous Cannulation Successful
359 lntraosseous Cannulation Unsuccessful
360 Blood / Blood Product Administration
361 CVAD Access
Miscellaneous Procedures 366 Termination of Resuscitation Medical
367 Termination of Resuscitation Trauma
368 Withhold Resuscitation Order
370 Other Procedure (Detail in Procedures)
372 Carboxyhemoglobin (SpCO)
375 Emerg. Dialysis Disconnect
376 Electronic Control Device Removal
390 Transfer of Care – Crew to Crew
391 Triage Report
400 Base Hospital Physician Patch
401 Receiving Hospital Notified
401.1 Sepsis Pre-Alert / Notification 
401.2 Trauma Notification
401.3 Stroke Notification
401.4 STEMI Notification
402 BHP Patch Failure (Detail in Results)
403 BHP Patch – No BHP Contact
404 Coroner Notified
405 Consult
405.01 Consult - PCI Centre
405.02 Consult - Stroke Centre
406 Non Dialysis – CVAD Disconnect
407 Health Screening Tool
407.1 Medication Administration Record (MAR) Received
408 Personal Protective Equipment (PPE)
408.1 PPE – Not Required
408.2 PPE – Routine Practice
408.3 PPE – Contact Precautions
408.4 PPE – Airborn / Droplet Precautions
408.5 PPE – Health and Safety: Vest / Helmet
Medications
  498 Acetaminophen
500 Adenosine
502 Amiodarone
503 Antibiotic
504 ASA
505 Atropine
525 Calcium Gluconate
528 Dextrose D10W
529 Dextrose D25W
530 Dextrose D50W
531 Diazepam
533 Dimenhydrinate
534 Diphenhydramine
536 Dopamine
540 Epinephrine 1:1,000
541 Epinephrine 1:10,000
550 Fentanyl
551 Furosemide
560 Glucagon
561 Glucose – Oral
562 Hydroxocobalamin
565 Haloperidol
593 Lidocaine
602 Ketamine
603 Midazolam
604 Morphine
607 Hydromorphone
610 Naloxone
615 Nitroglycerin
620 Oxytocin
650 Salbutamol
651 Sodium Bicarbonate
682 Xylometazoline
700 Other Drugs – Detail in Procedures
701 Anaesthetic Eye Drops
704 Ibuprofen
706 Ketorolac
708 Obidoxime
710 Pralidoxime Chloride
711 Hydrocortisone
712 Sodium Thiosulfate
713 Glycopyrrolate
728 Ondansetron
800-899 Study Drugs – Details in Procedures
900-999 User Defined
Routes of Administration
  AE Aerosol
BU Buccal
ET Endotracheal
IM Intramuscular
IN Intranasal
IO lntraosseous
IV Intravenous
NB Nebulized
PO Oral
PR Rectal
SC Subcutaneous
SL Sublingual
TO Topical
Paramedic Designation
  1 Student
2 EMA
3 PCP
4 ACP
5 CCP
CTAS Codes
  0 Obviously Dead / TOR
1 Resuscitation
2 Emergent
3 Urgent
4 Less Urgent
5 Non Urgent
Research
Medications 850 Study Drug
850.1 Study Drug – PITSTOP
Enrollment 931 Study Enrollment – C-Spine Study
932 Study Enrollment
932.1 Study Enrollment – FIRST
932.2 Study Enrollment – PITSTOP
932.3 Study Enrollment – DOSE VF
932.4 Study Enrollment - Palliative Care
Procedures 933 Study Procedure
933.1 Study Procedure – FIRST – autoRIC application
933.2 Study Procedure – DOSE VF – Standard Defibrillation Arm
933.3 Study Procedure – DOSE VF – Vector Change Defibrillation Arm
933.4 Study Procedure – DOSE VF – Double Sequential Defibrillation Arm
933.51 Consult on-site patient care orders
933.52 Consult with Palliative Care Physician
933.53 Consult with Palliative Care Nurse
933.54 Patient request to register in Palliative Care
933.55 Time Interval – Time Patient Released
933.62 PITSTOP – IV Aggressive Bolus
933.63 PITSTOP – IV Standard Bolus
Problem Codes 934.01 Palliative Care – Pain
934.02 Palliative Care – Dyspnea
934.03 Palliative Care – Delirium or Agitation
934.04 Palliative Care – Nausea and Vomiting
934.05 Palliative Care – Terminal Congested Breathing
934.06 Palliative Care – Other
Note: Italicized codes are considered "optional"

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ACR Codes - Change Log
Date Change Code Group Code Descriptor
05/09/2019 Added Special Transport Codes 10 Palliative Care Patient Transported to Hospice / Hospital
30 Specialized Team Transfer with Patient
31 Specialized Team Transfer without Patient
Procedures 100.01 Hemostatic Dressing
116.01 Power Lifting Chair
238 Pt. Transported in Isolette
Medications 565 Haloperidol
607 Hydromorphone
713 Glycopyrrolate
728 Ondansetron
Research 932.4 Study Enrollment - Palliative Care
933.51 Consult on-site patient care orders
933.52 Consult with Palliative Care Physician
933.53 Consult with Palliative Care Nurse
933.54 Patient request to register in Palliative Care
933.55 Time Interval – Time Patient Released
933.62 PITSTOP – IV Aggressive Bolus
933.63 PITSTOP – IV Standard Bolus
934.01 Palliative Care – Pain
934.02 Palliative Care – Dyspnea
934.03 Palliative Care – Delirium or Agitation
934.04 Palliative Care – Nausea and Vomiting
934.05 Palliative Care – Terminal Congested Breathing
934.06 Palliative Care – Other
03/28/2019 Added Procedures 110.01 Pelvic binder device
1/21/2019 Added Procedures 117 Patient Lifting Device
Procedures 181 Spit Hood Application
Miscellaneous Procedures 405 Consult
Miscellaneous Procedures 405.01 Consult – PCI Centre
Miscellaneous Procedures 405.02 Consult – Stroke Centre
10/19/2018 Added Problem Code – Neurological 45.01 Excited Delirium
07/24/2018 Changed Miscellaneous Procedures 401.1 Sepsis Pre-Alert 
to
Sepsis Pre-Alert / Notification
Added Miscellaneous Procedures 401.2 Trauma Notification
401.3 Stroke Notification
401.4 STEMI Notification
368 Withhold Resuscitation Order
03/24/2018 Changed Procedures 163 Umbilical Cord Management 
to
Clamp and Cut Umbilical Cord
Added Procedures 160.01 Delivery of Head
160.02 Delivery of Umbilicus
161.01 External Bimanual Compression
165 Nuchal Cord
165.01 Removal of Nuchal Cord
166 Shoulder Dystocia
166.01 McRoberts Maneuver
166.02 Apply Suprapubic Pressure
166.03 Gaskin Maneuver
167 Breech Presentation
167.01 Manual Release of Limbs
167.02 Mauriceau Smellie Veit Manoeuver
168 Prolapsed Cord Management
240 Knee Chest Position
241 Exaggerated Sims position
330 Tracheostomy Tube Reinsertion
330.01 Tracheostomy Tube Reinsertion Unsuccessful
602 Ketamine
03/23/2018 Added Problem Codes  40 Traumatic Brain Injury
(Neurological)
12/15/2017 Added Research 932.3 Study Enrollment - DOSE VF
933.2 Study Procedure - DOSE VF - Standard Defibrillation Arm
933.3 Study Procedure - DOSE VF - Vector Change Defibrillation Arm
933.4 Study Procedure - DOSE VF - Double Sequential Defibrillation Arm
09/11/2017 Removed Miscellaneous Procedures 405 Study Procedure (Detail in Procedures)
Added Research 850 Study Drug (umbrella)
850.1 Study Drug - PITSTOP
931 Study Enrollment - C-Spine Study
932 Study Enrollment (umbrella)
932.1 Study Enrollment - FIRST
932.2 Study Enrollment - PITSTOP
933 Study Procedure (umbrella)
933.1 Study Procedure - FIRST - autoRIC application
Cardiac Arrest Procedures 313.1 15-Lead Acquisition
Miscellaneous Procedures 391 Triage Report
07/12/2017 Added Research 401.1 Sepsis Pre-Alert
02/10/2017 Added Miscellaneous Procedures 407.1 Medication Administration Record (MAR) Received
408 Personal Protective Equipment (PPE)
408.1 PPE - Not Required
408.2 PPE - Routine Practice
408.3 PPE - Contact Precautions
408.4 PPE - Airborn/Droplet Precautions
408.5 PPE - Health and Safety: Vest/Helmet
01/04/2017 Removed  Medications 655 Succinylcholine (Anectine)
660 Thiamine (Vitamin B1)
661 Tpa
680 Vecuronium (Norcuron)
681 Verapamil (Isoptin)
699 Discontinue Medication - explanation required
Routes of Administration GT Naso or Oral Gastric Tube
TQ Transcutaneous
SQ Subcutaneous

For More Information

Emergency Health Services
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Toronto, Ontario
Canada   M2M 4K5

Tel : 1-800-461-6431 (Toll-free in Ontario only)
In Toronto : (416) 327-7900
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TTY 1-800-387-5559.
In Toronto, TTY 416-327-4282
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