Service Call Records

Module Overview

Module Purpose

The Service Call Records module is designed for electronic documentation of emergency medical service (EMS) calls to patients. It enables comprehensive documentation of the entire call process from receiving the dispatch, through arrival at the scene, patient treatment, to handover at the medical facility.

Key Features

• Recording complete call data (times, crew, vehicle)
• Recording patient personal and identification data
• Documenting patient health status at the beginning and at handover
• Measuring and recording vital signs (BP, HR, SpO2, GCS, NACA, etc.)
• Maintaining medical documentation (history, status praesens, diagnosis, therapy)
• Uploading graphical documentation (ECG, pulse graphs)
• Exporting records to Excel and printing capability
• Managing deleted records

Target Audience

The module is intended for:

• Paramedics (RZP - Emergency Medical Response)
• Emergency service physicians (RLP - Mobile Emergency Unit)
• Mid-level and lower-level medical personnel
• Emergency vehicle drivers
• Emergency service managers
• Administrative staff handling call billing

Settings and Configuration

Module Settings

The module can be configured through settings available in Settings → Service Call Records. In settings you can define:

• Preset text for Status praesens (St.P.) - template text that is automatically filled into the Status praesens field when creating a new record. You can customize this text according to your emergency service standards.

User Rights

Access to the module is controlled through the rights_vyjezdy_zaznam permission, which can have the following values:

Level	Name	Permission
0	No Access	User has no access to the module
1	Read	View existing records only, cannot create or edit
2	Read, Add New	View records and create new call records
3	Read, Add, Edit	View, create, and edit existing records
4	Read, Add, Edit, Delete	Full rights including deleting records and access to deleted records

Note: Rights are assigned by the system administrator in the Users module.

User Interface

Main Module Screen

When opening the module, a clear table with all call records is displayed. The table contains these columns:

• ID - unique record identification number
• Date - call date
• Vehicle - vehicle designation and crew type (RZP/RLP/RV)
• Physician Number - physician's service number
• SZP Number - mid-level medical personnel service number
• Driver Number - driver's service number
• Patient - Name/ID - patient identification data
• ZP - patient's health insurance company code
• Diagnosis - established diagnoses
• Incident Location - address or description of incident location
• Actions - icons for record actions (view, edit, delete)

Control Elements

"Add Record" Button

The green button in the upper right corner of the screen allows creating a new call record. The button is active only for users with permission level 2 and higher.

"Deleted" Button

The red button allows displaying a list of all deleted records. Accessible only to users with permission level 4 (full rights).

Export and Print

Above the table there are buttons for:

• Excel - exports the table to a Microsoft Excel file (.xlsx)
• Print - prepares the table for printing

Search and Filtering

In the upper right corner of the table is a search field that enables quick searching in records by any column. Just start typing and results are automatically filtered.

Action Icons for Each Record

• Eye Icon - displays record detail in read-only mode (all users with access)
• Pencil Icon - opens record for editing (users with permission 2 and higher)
• Cross Icon - deletes record (only users with permission 4)

Basic Operations

Creating a New Call Record

To create a new record, proceed as follows:

1. Click the green Add Record button
2. A dialog window opens with a form divided into four main sections
3. Fill in all required fields marked with an asterisk (*)
4. Click the Save button at the bottom of the form

SECTION 1: Basic Data

In this section, fill in basic information about the call:

Field	Description	Required
Date	Call date (automatically pre-filled with today's date)	Yes
Crew	Crew type: RZP (Emergency Medical Response) or RLP/RV (Mobile Emergency Unit/Rendez-vous)	Yes
Times (all required)
- Dispatch	Time of receiving dispatch	Yes
- Departure	Time of departure from base	Yes
- On Scene	Time of arrival at incident location (automatically copied to "Treatment Start Time")	Yes
- Leave Scene	Time of departure from incident location	Yes
- Handover	Time of patient handover (automatically copied to "Handover Time")	Yes
- End	Time of call completion	Yes
Physician Number	Physician's service number (if physician was present on call)	No
SZP Number	Mid-level medical personnel service number	No
Driver Number	Vehicle driver's service number	No
Vehicle	Vehicle designation (e.g., RZP-01, RLP-03)	No
Vehicle km	Vehicle odometer reading	No
Dispatch Number	Dispatch number from dispatch center	No
Dispatch Content	Brief description of dispatch from dispatch center	No

SECTION 2: Patient

Fill in patient identification and demographic data:

Field	Description	Required
Male/Female	Patient gender	Yes
Surname	Patient's surname	Yes
First Name	Patient's first name	Yes
Date of Birth	Patient's date of birth	Yes
Personal ID Number	Patient's personal ID number (for Czech citizens)	No
Passport Number	Passport number (for foreigners or when personal ID number is not available)	No
Residence	Patient's permanent residence address	Yes
Insurance Code	Patient's health insurance company selection from list (e.g., 111 - VZP, 201 - VoZP)	Yes
Incident Location	Exact address or description of location where incident occurred	Yes
Billing	Notes regarding call billing	No

SECTION 3: Medical Data

This section is the most extensive and contains detailed medical documentation. It is divided into several parts:

A) Vital Signs Measurement Table

The table contains three columns:

1. Measurement Name - type of measured parameter
2. Treatment Start - value and measurement time upon arrival at scene
3. Handover - value and measurement time upon patient handover

Measured Parameters:

Parameter	Description	Value Range
Time	Measurement time (automatically pre-filled from On Scene and Handover times)	HH:MM
NACA	NACA score (National Advisory Committee for Aeronautics) - severity classification	I-VII (I=minor injury, VII=death)
GCS	Glasgow Coma Scale - consciousness assessment scale	3-15 points (3=deep unconsciousness, 15=full consciousness)
BP Systolic	Systolic blood pressure	mmHg (e.g., 120)
BP Diastolic	Diastolic blood pressure	mmHg (e.g., 80)
HR	Heart Rate - cardiac frequency (pulse rate)	0-500 beats/min
SpO2 in %	Oxygen saturation in blood (pulse oximetry)	0-100%
RR Frequency	Respiratory Rate - breathing frequency	0-100 breaths/min
Glycemia	Blood glucose level	0-300 mmol/l
Pain VAS	Visual Analogue Scale - visual analogue pain scale	0-10 (0=no pain, 10=maximum pain)
Nausea	Presence of nausea or vomiting	Yes/No
Position	Patient position (e.g., lying on back, on side, sitting)	Text
Temperature	Body temperature	°C (e.g., 36.6)
Pupil - R	Right pupil size	mm or description (isocoric, anisocoric)
Pupil - L	Left pupil size	mm or description
Photoreaction - R	Right pupil reaction to light	+/- (present/absent)
Photoreaction - L	Left pupil reaction to light	+/- (present/absent)
Heart Rhythm	Type of heart rhythm (sinus, atrial fibrillation, asystole, etc.)	Text
Pacing mA	Cardiac pacing value in milliamperes (if used)	Number
Defibrillation Count	Number of defibrillations performed	Number
Airway Secured	Was airway secured?	Yes/No
UPV TV ml	Artificial Pulmonary Ventilation - Tidal Volume (breath volume)	ml
IP mm H2O	Inspiratory pressure during ventilation	mm H2O
FIO2	Fraction of Inspired Oxygen - oxygen fraction in inspired mixture	0-1 or 0-100%
PETCO2	End-Tidal CO2 - end-tidal CO2 concentration (capnography)	mmHg or kPa
MEES	Mainz Emergency Evaluation Score	Number

B) Additional Medical Data

Field	Description	Required
Death	Time of patient death (if death occurred)	No
Apgar Score	Newborn assessment (three fields: 0 minutes, 1 minute, 2 minutes after birth)	No
Influence	Influence of alcohol or other substances	No
Replacements	Administered fluid replacements (infusions, transfusions)	No
Burns % Deep	Percentage of body surface with deep burns	No
Burns % Superficial	Percentage of body surface with superficial burns	No
Blood Loss in ml	Estimated blood loss in milliliters	No
Diagnosis	Selection of diagnoses from ICD-10 database. You can select multiple diagnoses. For search, enter at least 2 characters of code or diagnosis name.	Yes

C) History and Examination (text fields)

This section contains structured medical documentation:

Field	Abbreviation	Description
AA	Allergic History	Information about patient allergies to medications, foods, or other substances
FA	Pharmacological History	List of medications the patient regularly takes
OA	Personal History	Previous illnesses, surgeries, injuries of patient
NO	Present Illness	Description of current complaints, injury mechanism, or course of illness
St.P.	Status Praesens	Current status - complete physical examination of patient. Field is pre-filled with template examination structure (head, neck, chest, abdomen, extremities, etc.). You can modify the text according to actual findings.
Th	Therapy	Description of treatment performed: medications administered (name, dose, route), resuscitation performed, IV access secured, airway secured, etc.
Dg.	Diagnosis (text)	Text description of diagnosis. This field is automatically filled based on selected diagnoses in the "Diagnosis" field above.

D) File Upload

Field	Description
Pulse - Scanned/Photographed	Upload file with pulse graph, ECG curve, or other graphical documentation (supported formats: JPG, PNG, PDF, maximum size 60 MB)

SECTION 4: Signatures

The last section is for record confirmation:

Field	Description
Neg. Reversal	Check if patient signed negative reversal (refusal of treatment or transport)
Dept	Department to which patient was handed over (e.g., ARO, ICU, internal medicine department)

Editing Existing Record

To edit an existing record, proceed as follows:

1. In the main table, find the record you want to edit
2. Click the pencil icon in the Actions column or directly on the record ID
3. The edit form opens with pre-filled values
4. Make necessary changes
5. Click the Save button

Note: You need permission level 3 or higher to edit records.

Viewing Record Detail

To view a record without the ability to edit:

1. In the main table, click the eye icon next to the desired record
2. The record displays in read-only mode
3. To close the detail, click the cross in the upper right corner of the dialog

This function is available to all users with access to the module (permission 1 and higher).

Deleting a Record

To delete a record:

1. In the main table, find the record you want to delete
2. Click the cross icon in the Actions column
3. The system displays a confirmation dialog "Delete? Really forever?"
4. Click Yes to confirm deletion
5. The record will be marked as deleted and moved to the deleted records folder

Important Notice:

• Permission level 4 (full rights) is required to delete records
• Deleted records are not permanently removed, they are only hidden from the main view
• Deleted records can be displayed by clicking the Deleted button

Advanced Functions

Exporting Data to Excel

The module allows exporting the record table to Microsoft Excel format:

1. In the main module screen, find the Excel button above the table
2. Click the button
3. The system creates an .xlsx file containing all displayed records
4. The file automatically downloads to the Downloads folder

Tip: Before exporting, you can use search or filtering to export only the desired records.

Printing Records

To print the record list:

1. Click the Print button above the table
2. The system prepares the table in printable format
3. The browser print preview appears
4. Select printer and set print parameters
5. Confirm printing

Automatic Diagnosis Completion

The module contains an intelligent automatic text diagnosis completion function:

1. In the edit form in the Medical Data section, select one or more diagnoses in the Diagnosis field
2. To search for a diagnosis, enter at least 2 characters of ICD-10 code or diagnosis name (e.g., "S72" or "fracture")
3. Select the desired diagnosis from the list
4. You can select multiple diagnoses (primary and secondary)
5. The system automatically fills the text description of all selected diagnoses into the Dg. field (Diagnosis text)

Example: If you select the diagnosis "S72.0 - Fracture of neck of femur", the system automatically fills into the Dg. field the text: "S72.0 - Fracture of neck of femur"

Status Praesens Pre-fill

To speed up documentation writing, the St.P. (Status Praesens) field is automatically pre-filled with a template physical examination structure:

• The template contains standard formulations for examination of head, neck, chest, abdomen, spine, extremities
• Pre-filling is performed only when creating a new record
• You can freely modify the text according to actual findings in the patient
• The system administrator can modify the default template text in Module Settings

Standard Status Praesens structure includes:

• Overall patient condition (consciousness status, breathing, nutrition, hydration)
• Head (shape, mobility, discharge from openings, eyes, facial expression)
• Neck (carotids, lymph nodes, thyroid, mobility)
• Chest (shape, stability, breathing, auscultation, percussion)
• Spine (mobility, tenderness)
• Abdomen (shape, palpation, peristalsis, sensitivity)
• Pelvis (stability)
• Lower extremities (mobility, circulation, sensitivity, pulsation)
• Upper extremities (mobility, circulation, sensitivity)

Uploading Graphical Documentation

The module allows uploading scanned or photographed pulse graphs, ECG recordings, or other graphical documentation:

1. In the edit form in the Medical Data section, find the Pulse - Scanned/Photographed field
2. Click the Browse or Select File button
3. Select file from computer or mobile device
4. Supported formats: JPG, PNG, PDF
5. Maximum file size: 60 MB
6. After saving the record, the file will be attached to the record
7. In subsequent record edits, the uploaded file name is displayed

Tip: For records with already uploaded files, the file name is displayed. You can upload a new file to replace the original.

Working with Deleted Records

Users with permission level 4 can manage deleted records:

1. Click the red Deleted button in the main module screen
2. A list of all deleted records is displayed
3. For deleted records you can:

• View deleted record detail
• Restore record back to active records
• Permanently remove record (if the system allows)

Description of Medical Data and Medical Abbreviations

Explanation of Vital Signs

NACA Score (National Advisory Committee for Aeronautics)

Classification system for assessing severity of patient condition used in pre-hospital emergency care:

• NACA I - Minor injury or illness without need for medical intervention
• NACA II - Medium injury requiring outpatient treatment
• NACA III - Moderately severe injuries requiring hospitalization
• NACA IV - Severe injuries possibly life-threatening
• NACA V - Critical condition with acute life threat
• NACA VI - Resuscitated patient
• NACA VII - Patient death

GCS - Glasgow Coma Scale

Scale for assessing level of patient consciousness. Evaluates three areas:

• Eye Opening (1-4 points)
• Verbal Response (1-5 points)
• Motor Response (1-6 points)

Total score: 3-15 points

• 3 points = deep unconsciousness, coma
• 8 and less = severe consciousness disorder
• 9-12 = moderate consciousness disorder
• 13-14 = mild consciousness disorder
• 15 points = full consciousness, patient is conscious

BP - Blood Pressure

• BP Systolic - Upper blood pressure value, corresponds to heart contraction (normal value: 100-140 mmHg)
• BP Diastolic - Lower blood pressure value, corresponds to heart relaxation (normal value: 60-90 mmHg)

Example: BP 120/80 means systolic pressure 120 mmHg and diastolic pressure 80 mmHg

HR - Heart Rate

Number of heartbeats per minute. Normal values:

• Adults: 60-100 beats/min
• Children: 80-120 beats/min
• Infants: 100-160 beats/min

Terminology:

• Tachycardia - accelerated cardiac action (above 100/min in adults)
• Bradycardia - slowed cardiac action (below 60/min)

SpO2 - Oxygen Saturation

Percentage saturation of hemoglobin with oxygen in arterial blood measured by pulse oximeter.

• Normal values: 95-100%
• Mild hypoxemia: 90-94%
• Moderate hypoxemia: 85-89%
• Severe hypoxemia: below 85%

RR Frequency - Respiratory Rate

Number of breaths per minute. Normal values:

• Adults: 12-20 breaths/min
• Children: 20-30 breaths/min
• Infants: 30-60 breaths/min

Terminology:

• Tachypnea - accelerated breathing
• Bradypnea - slowed breathing
• Eupnea - normal breathing
• Dyspnea - shortness of breath, difficult breathing

Glycemia

Blood glucose level measured by glucometer.

• Normal fasting values: 3.9-5.6 mmol/l
• Hyperglycemia: above 7 mmol/l
• Hypoglycemia: below 3.3 mmol/l

VAS - Visual Analogue Scale (Pain Scale)

Scale for subjective assessment of pain intensity by patient.

• 0 - No pain
• 1-3 - Mild pain
• 4-6 - Moderate pain
• 7-9 - Severe pain
• 10 - Maximum possible pain

Apgar Score

Scale for assessing newborn condition immediately after birth. Assessed at 0, 1, and 2 minutes after delivery. 5 assessed parameters:

• Heart rate
• Breathing
• Muscle tone
• Reflex irritability
• Skin color

Each parameter: 0-2 points. Total: 0-10 points

• 7-10 points = good condition
• 4-6 points = moderately severe condition
• 0-3 points = critical condition

Advanced Medical Parameters

UPV TV ml - Artificial Pulmonary Ventilation, Tidal Volume

Tidal volume - volume of air inhaled or exhaled during one breath during artificial pulmonary ventilation. Usually 6-8 ml/kg body weight.

IP mm H2O - Inspiratory Pressure

Pressure exerted during inspiratory phase of artificial pulmonary ventilation, measured in millimeters of water column.

FIO2 - Fraction of Inspired Oxygen

Fraction of oxygen in inspired mixture. Expressed as decimal number (0.21-1.0) or percentage (21%-100%).

• 0.21 (21%) = atmospheric air
• 1.0 (100%) = pure oxygen

PETCO2 - End-Tidal CO2

End-tidal carbon dioxide concentration - measuring CO2 at end of exhalation (capnography). Normal values: 35-45 mmHg or 4.7-6.0 kPa.

MEES - Mainz Emergency Evaluation Score

Scoring system for evaluating quality of pre-hospital emergency care.

Dictionary of Medical Abbreviations Used in Module

Abbreviation	Full Name	Meaning
RZP	Emergency Medical Response	EMS crew without physician (typically paramedic + driver)
RLP	Mobile Emergency Unit	EMS crew with physician (physician + paramedic + driver)
RV	Rendez-vous	System where physician arrives to RZP at scene in separate vehicle
SZP	Mid-level Medical Personnel	Emergency paramedic with secondary education
NZP	Lower-level Medical Personnel	Medical assistant with vocational certificate
ZP	Health Insurance Company	Patient's health insurance company (VZP, VoZP, ČPZP, etc.)
AA	Allergic History	Information about patient allergies
FA	Pharmacological History	List of medications patient regularly takes
OA	Personal History	Previous illnesses, surgeries, and injuries of patient
NO	Present Illness	Description of current patient complaints
St.P.	Status Praesens	Current status - physical examination result
Th	Therapy	Treatment performed
Dg.	Diagnosis	Established diagnosis
BP	Blood Pressure	Blood pressure
Kp	Skin Surface	Patient skin condition
ARO	Anesthesiology-Resuscitation Department	Intensive care department
ICU	Intensive Care Unit	Department for patients in critical condition
UPV	Artificial Pulmonary Ventilation	Mechanical breathing support

Typical Workflows

Scenario 1: Record of Call to Injury

This workflow describes creating a record of a call to a patient with traumatic injury:

1. Create Record
   • Click the Add Record button
2. Fill in Basic Data
   • Date: (today's date - automatically pre-filled)
   • Crew: RZP or RLP (depending on call type)
   • Times:
     • Dispatch: 14:23
     • Departure: 14:25
     • On Scene: 14:32 (arrival at injury site)
     • Leave Scene: 14:55 (departure with patient)
     • Handover: 15:10 (handover at hospital)
     • End: 15:25 (call completion)
   • Fill in crew member numbers (physician, SZP, driver)
   • Enter vehicle designation and odometer reading
   • Dispatch number and dispatch content from dispatch center (e.g., "Fall from ladder, painful UE")
3. Patient Data
   • Gender: Male
   • Surname, First Name: Jan Novák
   • Date of Birth: 15.3.1975
   • Personal ID Number: 750315/1234
   • Residence: Hlavní 123, Prague 5
   • Health Insurance: 111 - VZP
   • Incident Location: Family house construction, Polní 456, Prague 9
4. Vital Signs - Treatment Start (14:32)
   • NACA: III (moderate injury)
   • GCS: 15 (fully conscious)
   • BP: 140/90 mmHg
   • HR: 92 beats/min
   • SpO2: 98%
   • RR frequency: 18/min
   • Pain VAS: 8 (severe pain)
5. History
   • AA: Denies
   • FA: No regular medications
   • OA: No significant illnesses
   • NO: "Patient reports fall from ladder from height of approximately 3 meters while working on construction. Landed on left UE, which he tried to stop fall with. Immediate pain in left wrist with swelling and limited mobility. Did not lose consciousness, did not vomit."
6. Status Praesens
   • Modify pre-filled text according to actual examination
   • Pay special attention to description of affected extremity:
     • "LUE: Significant swelling in distal forearm and wrist area, hematoma, deformity in area of radial styloid. Spontaneous pain ++. Palpation very painful. Limited mobility due to pain. Distal sensation intact, active finger movements possible, capillary refill normal, radial artery pulsation palpable."
7. Diagnosis
   • Start typing "S52" (fracture of forearm)
   • Select from list: "S52.5 - Fracture of lower end of radius"
   • Can add secondary diagnosis: "S60.2 - Contusion of other parts of wrist and hand"
8. Therapy
   • Th: "Analgesia: Ketonal 100mg i.m. LUE immobilization with splinting (plaster splint from elbow to metacarpals). Cold application. Transport to FN Motol - Trauma Center."
9. Vital Signs at Handover (15:10)
   • GCS: 15
   • BP: 130/85 mmHg
   • HR: 78 beats/min
   • SpO2: 99%
   • Pain VAS: 4 (after analgesics)
10. Signatures
    • Neg. Reversal: unchecked (patient agreed to treatment and transport)
    • Dept: Trauma Center - emergency admission
11. Save Record
    • Click the Save button
    • Record is saved and displayed in main table

Scenario 2: Record of Call to Internal Medicine Patient

This workflow describes creating a record of a call to a patient with internal illness:

1. Create Record and Basic Data
   • Date: automatically pre-filled
   • Crew: RLP (Mobile Emergency Unit - internal conditions often require physician)
   • Fill in call times (dispatch, departure, on scene, leave scene, handover, end)
   • Enter crew numbers and vehicle designation
   • Dispatch content: "Chest pain, shortness of breath"
2. Patient Data
   • Gender: Male
   • Name: Karel Dvořák
   • Date of Birth: 12.5.1955
   • Personal ID Number: 550512/4567
   • Residence: Zahradní 78, Brno
   • Insurance: 111 - VZP
   • Incident Location: Zahradní 78, Brno (patient's home)
3. History (very important for internal patients)
   • AA: "Denies"
   • FA: "Acard 100mg once daily, Prestarium 5mg once daily, Atorvastatin 20mg once evening"
   • OA: "Arterial hypertension - 10 years on medication, hyperlipidemia, IHD s.p. STEMI in 2018 with PCI LAD, Type 2 DM - on OAD"
   • NO: "Patient reports suddenly occurring pressure chest pain approximately 30 minutes ago at rest while watching TV. Characterizes pain as constriction behind breastbone with radiation to left UE. Associated shortness of breath, sweating, nausea. Lasted 20 minutes, then subsided to 0-1. At time of EMS arrival without acute complaints, mild residual shortness of breath."
4. Vital Signs - Treatment Start
   • Time: 08:45
   • NACA: IV (severe illness with possible life threat)
   • GCS: 15 (patient fully conscious)
   • BP: 165/95 mmHg (elevated pressure)
   • HR: 88 beats/min (slightly accelerated action)
   • SpO2: 94% (slightly decreased saturation)
   • RR frequency: 22/min (slightly accelerated breathing)
   • Glycemia: 8.5 mmol/l (slightly elevated)
   • Pain VAS: 1 (after anginal pain subsided)
   • Heart Rhythm: "Sinus rhythm, irregular extrasystoles"
5. Status Praesens (focused on cardiovascular system)
   • Modify pre-filled text
   • Pay special attention to heart and lung examination:
     • "Skin compensated, lucid, calm during examination, slightly dyspneic on exertion. No cyanosis."
     • "Chest: Breathing vesicular clear, basally bilaterally moist crackles. Percussion clear."
     • "Cardiac action regular with occasional extrasystoles, sounds clear, not increased, no murmur."
     • "Abdomen: Soft, non-tender on palpation, liver not palpable, peristalsis +."
     • "LLE: No significant edema, peripheral artery pulsation well palpable."
6. Therapy
   • Th: "O2 6l/min mask. Aspirin 500mg p.o. Isket 5mg s.l. (2 doses). Anopyrin 300mg p.o. Heparin 5000IU i.v. Peripheral venous catheter established. Vital sign monitoring, continuous ECG monitoring. Transport to FN Brno - KKC urgently for investigation for suspected ACS."
7. Diagnosis
   • Search "I20" (Angina pectoris)
   • Select: "I20.0 - Unstable angina pectoris"
   • Secondary diagnosis: "I10 - Essential (primary) hypertension"
   • Additional secondary: "E11 - Type 2 diabetes mellitus"
8. Upload ECG
   • In the "Pulse - Scanned/Photographed" field upload photo or scan of ECG recording
   • ECG is key documentation for cardiac patients
9. Vital Signs at Handover
   • Time: 09:20
   • NACA: III (improvement in condition after therapy)
   • GCS: 15
   • BP: 145/88 mmHg (pressure drop)
   • HR: 75 beats/min (frequency normalization)
   • SpO2: 97% (saturation improvement on O2)
   • RR frequency: 18/min (breathing normalization)
   • Pain VAS: 0 (no pain)
   • Heart Rhythm: "Sinus, regular"
10. Signatures and Completion
    • Neg. Reversal: unchecked (patient agreed to transport)
    • Dept: "KKC - Cardiology Clinic, catheterization lab"
    • Save record with Save button

Scenario 3: Quick Edit of Existing Record

Procedure for quickly adding or correcting data in already saved record:

1. In main table find desired record using search (enter e.g. patient name or date)
2. Click pencil icon or directly on record ID
3. Form opens with pre-filled data
4. Make necessary changes (e.g., add missing physician number, correct typo in diagnosis)
5. Click Save
6. Changes immediately appear in main table

Troubleshooting

Cannot Select Diagnosis from Database

Symptom: After clicking in Diagnosis field no results appear, or empty list displays.

Solution:

1. Make sure you entered at least 2 characters of code or diagnosis name
2. System starts searching after entering second character
3. Try entering more specific code (e.g., instead of "S" enter "S72" for femur fractures)
4. If you know exact ICD-10 code, enter whole code (e.g., "S72.0")
5. You can also search by diagnosis name (e.g., "fracture")
6. If problem persists, contact system administrator - diagnosis database might be empty

Missing Pre-filled Text in Status Praesens (St.P.) Field

Symptom: After opening new record, St.P. field is empty instead of pre-filled template text.

Solution:

1. Pre-filled text is displayed only when creating new record, not when editing existing one
2. If field is empty even in new record:
   • Contact system administrator
   • Administrator must set default text in Settings → Service Call Records
   • In module settings in "Preset text for Status praesens" field enter desired template
3. If you have settings permission, you can set text yourself

Failed to Upload Pulse Graph / ECG

Symptom: After selecting file and clicking Save, file does not upload or error message displays.

Possible Causes and Solutions:

1. File is too large
   • Maximum file size is 60 MB
   • Check file size in file properties
   • If file is larger, reduce its size (e.g., using image compression or conversion to PDF)
2. Unsupported file format
   • Supported formats: JPG, JPEG, PNG, PDF
   • Check file extension
   • If you have different format (e.g., TIFF, BMP), convert to supported format
3. Connection problem
   • Verify you have stable internet connection
   • Try uploading again
4. Insufficient permissions
   • You need permission level 2 or higher to upload files
   • Contact administrator to assign rights

Cannot Edit Existing Record

Symptom: Pencil icon is gray (inactive) or after clicking on record, form opens read-only.

Solution:

1. Check your permissions
   • You need permission level 3 or higher to edit records
   • Permission level 1 or 2 does not allow editing existing records
   • Contact system administrator or department manager for rights increase
2. Record was created in different company/organization
   • Each record belongs to specific organization (Company)
   • Cannot edit records of other organizations

Form Cannot Be Saved - Error Message About Required Fields

Symptom: After clicking Save, form does not submit and warning appears about empty required fields.

Solution:

1. Review entire form and check that you filled all required fields marked with asterisk (*)
2. Most commonly missing fields:
   • Date in Basic Data section
   • All times (Dispatch, Departure, On Scene, Leave Scene, Handover, End)
   • Surname and First Name of patient in Patient section
   • Date of Birth of patient
   • Residence of patient
   • Insurance Code
   • Incident Location
   • Diagnosis in Medical Data section (at least one diagnosis must be selected)
3. Browser usually automatically jumps to first unfilled required field and highlights it in red
4. After filling all required fields, try saving form again

Cannot Delete Record

Symptom: Cross icon for deletion is gray or does not appear at all.

Solution:

1. Permission level 4 (full rights) is required to delete records
2. This is highest permission level and is usually assigned only to management staff
3. If you need to delete record and do not have sufficient permissions:
   • Contact department manager or system administrator
   • Justify why record needs to be deleted
   • Manager can either delete record themselves or temporarily increase your permissions

Diagnosis Does Not Auto-Fill into Dg. Field

Symptom: After selecting diagnosis from database, Dg. text field remains empty.

Solution:

1. Auto-fill works via JavaScript - make sure you have JavaScript enabled in browser
2. Try refreshing page (F5) and trying diagnosis selection again
3. If problem persists:
   • You can fill Dg. text field manually
   • Copy code and diagnosis name from Diagnosis field to Dg. field
4. Report problem to system administrator for fix

Record Does Not Appear in Table After Saving

Symptom: After saving new record, save confirmation displays but record does not appear in main table.

Solution:

1. Refresh page using F5 or refresh button in browser
2. Check if you have active filter in table that might hide newly created record
3. Try searching for record by ID, patient name, or call date in search field
4. If record really is not in database:
   • Error might have occurred during save (connection loss, server timeout)
   • Try creating record again
   • If problem repeats, contact system administrator

Abbreviations and Terms - Comprehensive Dictionary

Types of Emergency Service Crews

Abbreviation	Name	Crew Composition
RZP	Emergency Medical Response	SZP (emergency paramedic) + vehicle driver
RLP	Mobile Emergency Unit	Physician + SZP + driver
RV	Rendez-vous	Physician arriving independently to RZP

Medical Personnel

Abbreviation	Name	Qualification
SZP	Mid-level Medical Personnel	Emergency paramedic with secondary education
NZP	Lower-level Medical Personnel	Medical assistant with vocational certificate

History Abbreviations

Abbreviation	Name	Content
AA	Allergic History	Allergies to medications, foods, substances
FA	Pharmacological History	Regularly taken medications
OA	Personal History	Previous illnesses, surgeries, injuries
NO	Present Illness	Current patient complaints

Documentation

Abbreviation	Name	Description
St.P.	Status Praesens	Current status - findings from physical examination
Th	Therapy	Treatment performed
Dg.	Diagnosis	Established diagnosis according to ICD-10

Vital Signs - Basic

Abbreviation	Name	Normal Range (adults)
BP	Blood Pressure	110-140 / 70-90 mmHg
HR	Heart Rate	60-100 beats/min
SpO2	Oxygen Saturation	95-100%
RR	Respiratory Rate	12-20 breaths/min
GCS	Glasgow Coma Scale	15 points (full consciousness)
NACA	NACA Score	I-VII (I=mild, VII=death)

Vital Signs - Advanced

Abbreviation	Name	Meaning
UPV	Artificial Pulmonary Ventilation	Mechanical breathing support
TV	Tidal Volume	Tidal volume (ml)
IP	Inspiratory Pressure	Pressure during inhalation (mm H2O)
FIO2	Fraction of Inspired Oxygen	Oxygen concentration in inspired mixture (0.21-1.0)
PETCO2	End-Tidal CO2	CO2 concentration at end of exhalation (capnography)
MEES	Mainz Emergency Evaluation Score	Assessment of pre-hospital care quality

Other Abbreviations

Abbreviation	Name	Meaning
VAS	Visual Analogue Scale	Pain scale 0-10
ARO	Anesthesiology-Resuscitation Department	Intensive care department
ICU	Intensive Care Unit	Department for critical conditions
ACS	Acute Coronary Syndrome	Acute cardiac event (infarct, unstable angina)
CPR	Cardiopulmonary Resuscitation	Patient resuscitation
AED	Automated External Defibrillator	Defibrillation device

Related Documentation

For effective work with Service Call Records module, it may be useful to familiarize yourself with these related modules and system functions of eIntranet:

Users Module

Management of user accounts, access rights, and permissions. Administrators set the rights_vyjezdy_zaznam permission level for individual users here.

Path: Settings → Users

Tasks Module

Planning and management of work tasks. Can be used for planning emergency service crew shifts.

Path: Tasks

ICD-10 Diagnosis Database

System database containing classification of diseases and health problems according to International Classification of Diseases (ICD-10).

Management: Settings → System Codebooks → Diagnoses

Health Insurance Companies Database

List of all health insurance companies with codes and names.

Management: Settings → System Codebooks → Health Insurance Companies

Files Module

Management of all uploaded files including pulse graphs and ECG recordings from calls.

Path: Documents → Files

Export and Report System

Advanced export functions enabling creation of statistical overviews and reports from emergency service calls.

Frequently Asked Questions (FAQ)

Can I create a record from last month?

Yes, in Date field you can enter any date, including past dates. System does not restrict entering historical records.

How many diagnoses can I enter for one patient?

You can select any number of diagnoses. First selected diagnosis is usually primary diagnosis, others are secondary (comorbidities).

Must I fill in all vital signs?

No, only at least one diagnosis is required. Fill in vital signs according to what was actually measured. Leave unfilled fields empty.

What does "Neg. Reversal" mean?

"Negative reversal" means patient signed document refusing treatment or transport to medical facility. By checking this field you document that patient was informed of risks and still refused treatment/transport.

Can I restore a deleted record?

Yes, if you have permission level 4. In list of deleted records ("Deleted" button) you can restore record back to active records.

How long are records kept in system?

Records are kept according to legal regulations for medical documentation, typically 10-40 years depending on documentation type. Technically records are stored permanently in system until administrator manually deletes them.

Can I export record to PDF?

Currently module supports export to Excel for tabular overview. For exporting individual record to PDF contact system administrator - this function may be available through document generation module.

What to do when I don't know ICD-10 diagnosis code?

You don't need to know exact code. Just enter part of diagnosis name (e.g., "fracture", "infarct", "hypertension") and system will search for corresponding diagnoses with their codes.

Can I attach multiple files (multiple ECGs, incident location photos)?

Current version supports uploading one file in "Pulse - Scanned/Photographed" field. To attach multiple files you can use Documents module and link files to call record using record ID.

Do all users see all records?

Yes, all users with module access (permission 1 and higher) see all records within their organization. Permissions only control whether they can create, edit, or delete records.

Contact and Support

In case of technical problems, questions about module functionality, or requests for training, contact:

• eIntranet system administrator in your organization
• eIntranet technical support: Use Helpdesk module in system to create support request
• Emergency service department manager for methodological support regarding medical documentation completion

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Documentation Version: 1.0

Creation Date: 11. 11. 2025

Valid for Module: Service Call Records (vyjezdy_zaznam)

System: eIntranet.net