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Source1

{
  "resourceType": "CodeSystem",
  "id": "mpds",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://fhir-ig.digital.health.nz/ambulance-care-summary/CodeSystem/mpds",
  "version": "0.1.0",
  "name": "MpdsCS",
  "title": "Medical Priority Dispatch System (MPDS) Code System",
  "status": "draft",
  "experimental": true,
  "date": "2026-06-29T21:15:26+00:00",
  "publisher": "Health New Zealand | Te Whatu Ora",
  "contact": [
    {
      "name": "Health New Zealand | Te Whatu Ora",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.tewhatuora.govt.nz"
        }
      ]
    }
  ],
  "description": "Medical Priority Dispatch System determinant codes used to categorise and prioritise EMS incidents (HISO 10052:2026 Appendix A).",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "NZ",
          "display": "New Zealand"
        }
      ]
    }
  ],
  "copyright": "MPDS is a proprietary code system of the International Academies of Emergency Dispatch (IAED). Codes are reproduced here for interoperability reference only.",
  "caseSensitive": true,
  "content": "complete",
  "count": 300,
  "concept": [
    {
      "code": "1D1",
      "display": "Not alert"
    },
    {
      "code": "1C1",
      "display": "Fainting or near fainting >50 yrs"
    },
    {
      "code": "1C2",
      "display": "Females fainting o near fainting 12-50 yrs"
    },
    {
      "code": "1C3",
      "display": "Males with pain above navel >45 yrs"
    },
    {
      "code": "1C4",
      "display": "Females with pain above navel >45 yrs"
    },
    {
      "code": "1A1",
      "display": "Abdominal pain"
    },
    {
      "code": "2E1",
      "display": "Ineffective breathing"
    },
    {
      "code": "2D1",
      "display": "Severe respiratory distress"
    },
    {
      "code": "2D2",
      "display": "Not alert"
    },
    {
      "code": "2D3",
      "display": "Condition worsening"
    },
    {
      "code": "2D4",
      "display": "Swarm attack"
    },
    {
      "code": "2D5",
      "display": "Snakebite"
    },
    {
      "code": "2C1",
      "display": "Difficulty breathing or swallowing"
    },
    {
      "code": "2C2",
      "display": "Special medications or injections used"
    },
    {
      "code": "2B1",
      "display": "Unknown status (3rd party caller)"
    },
    {
      "code": "2A1",
      "display": "No difficulty breathing or swallowing"
    },
    {
      "code": "2A2",
      "display": "Spider bite"
    },
    {
      "code": "3D1",
      "display": "Unconscious or arrest"
    },
    {
      "code": "3D2",
      "display": "Not alert"
    },
    {
      "code": "3D3",
      "display": "Dangerous body area"
    },
    {
      "code": "3D4",
      "display": "Large animal"
    },
    {
      "code": "3D5",
      "display": "Exotic animal"
    },
    {
      "code": "3D6",
      "display": "Attack or multiple attack"
    },
    {
      "code": "3B1",
      "display": "Possibly dangerous body part"
    },
    {
      "code": "3B2",
      "display": "Serious haemorrhage"
    },
    {
      "code": "3B3",
      "display": "Unknown status (3rd party caller)"
    },
    {
      "code": "3A1",
      "display": "Not dangerous body area"
    },
    {
      "code": "3A2",
      "display": "Non-recent injuries >6 hours"
    },
    {
      "code": "3A3",
      "display": "Superficial bites"
    },
    {
      "code": "4D1",
      "display": "Unconscious or arrest"
    },
    {
      "code": "4D2",
      "display": "Not alert"
    },
    {
      "code": "4D3",
      "display": "Abnormal breathing"
    },
    {
      "code": "4D4",
      "display": "Dangerous body area"
    },
    {
      "code": "4D5",
      "display": "Multiple victims"
    },
    {
      "code": "4B1",
      "display": "Possibly dangerous body area"
    },
    {
      "code": "4B2",
      "display": "Serious haemorrhage"
    },
    {
      "code": "4B3",
      "display": "Unknown status (3rd party caller)"
    },
    {
      "code": "4A1",
      "display": "Not dangerous body area"
    },
    {
      "code": "4A2",
      "display": "Non-recent injuries >6 hours"
    },
    {
      "code": "5D1",
      "display": "Not alert"
    },
    {
      "code": "5C1",
      "display": "Fainting or near fainting >50 yrs"
    },
    {
      "code": "5A1",
      "display": "Non-traumatic"
    },
    {
      "code": "5A2",
      "display": "Non-recent injuries >6 hrs"
    },
    {
      "code": "6E1",
      "display": "Ineffective breathing"
    },
    {
      "code": "6D1",
      "display": "Severe respiratory distress"
    },
    {
      "code": "6D2",
      "display": "Not alert"
    },
    {
      "code": "6D3",
      "display": "Clammy"
    },
    {
      "code": "6C1",
      "display": "Abnormal breathing"
    },
    {
      "code": "6C2",
      "display": "Cardiac history"
    },
    {
      "code": "7D1",
      "display": "Unconscious or arrest"
    },
    {
      "code": "7D2",
      "display": "Severe respiratory distress"
    },
    {
      "code": "7D3",
      "display": "Not alert"
    },
    {
      "code": "7D4",
      "display": "Explosion"
    },
    {
      "code": "7D5",
      "display": "Multiple victims"
    },
    {
      "code": "7C1",
      "display": "Building fire with persons inside"
    },
    {
      "code": "7C2",
      "display": "Difficulty breathing"
    },
    {
      "code": "7C3",
      "display": "Burns >18% BSA"
    },
    {
      "code": "7B1",
      "display": "Unknown status (3rd party caller)"
    },
    {
      "code": "7A1",
      "display": "Burns 35 yrs"
    },
    {
      "code": "7A2",
      "display": "Fire alarm unknown situation"
    },
    {
      "code": "7A3",
      "display": "Sunburn or minor burn"
    },
    {
      "code": "8D1",
      "display": "Unconscious or arrest"
    },
    {
      "code": "8D2",
      "display": "Severe respiratory distress"
    },
    {
      "code": "8D3",
      "display": "HAZMAT"
    },
    {
      "code": "8D4",
      "display": "Not alert"
    },
    {
      "code": "8D5",
      "display": "Multiple victims"
    },
    {
      "code": "8D6",
      "display": "Unknown status (3rd party caller)"
    },
    {
      "code": "8C1",
      "display": "Alert with difficulty breathing"
    },
    {
      "code": "8B1",
      "display": "Alert with difficulty breathing"
    },
    {
      "code": "8A1",
      "display": "CO alarm – EMS requested"
    },
    {
      "code": "9E1",
      "display": "Not breathing at all"
    },
    {
      "code": "9E2",
      "display": "Breathing uncertain"
    },
    {
      "code": "9E3",
      "display": "Hanging"
    },
    {
      "code": "9E4",
      "display": "Strangulation"
    },
    {
      "code": "9E5",
      "display": "Suffocation"
    },
    {
      "code": "9E6",
      "display": "Underwater"
    },
    {
      "code": "9D1",
      "display": "Ineffective breathing"
    },
    {
      "code": "9B1",
      "display": "Obvious Death"
    },
    {
      "code": "10D1",
      "display": "Severe respiratory distress"
    },
    {
      "code": "10D2",
      "display": "Not alert"
    },
    {
      "code": "10D3",
      "display": "Clammy"
    },
    {
      "code": "10C1",
      "display": "Abnormal breathing"
    },
    {
      "code": "10C2",
      "display": "Cardiac history"
    },
    {
      "code": "10C3",
      "display": "Cocaine"
    },
    {
      "code": "10C4",
      "display": "Breathing normally >35 yrs"
    },
    {
      "code": "10A1",
      "display": "Breathing normally <35 yrs"
    },
    {
      "code": "11E1",
      "display": "Choking verified/ineffective breathing"
    },
    {
      "code": "11D1",
      "display": "Not alert"
    },
    {
      "code": "11D2",
      "display": "Abnormal breathing"
    },
    {
      "code": "11A1",
      "display": "Not choking now"
    },
    {
      "code": "12D1",
      "display": "Not breathing"
    },
    {
      "code": "12D2",
      "display": "Continuous or multiple seizures"
    },
    {
      "code": "12D3",
      "display": "Irregular breathing"
    },
    {
      "code": "12D4",
      "display": "Breathing regularly not verified >35 yrs"
    },
    {
      "code": "12C1",
      "display": "Pregnancy"
    },
    {
      "code": "12C2",
      "display": "Diabetic"
    },
    {
      "code": "12C3",
      "display": "Cardiac history"
    },
    {
      "code": "12B1",
      "display": "Breathing regularly not verified 6 feet"
    },
    {
      "code": "12A1",
      "display": "Not seizing now & breathing verified"
    },
    {
      "code": "13D1",
      "display": "Unconscious"
    },
    {
      "code": "13C1",
      "display": "Not alert"
    },
    {
      "code": "13C2",
      "display": "Abnormal behaviour"
    },
    {
      "code": "13C3",
      "display": "Abnormal breathing"
    },
    {
      "code": "13A1",
      "display": "Alert"
    },
    {
      "code": "14D1",
      "display": "Unconscious"
    },
    {
      "code": "14D2",
      "display": "Not alert"
    },
    {
      "code": "14D3",
      "display": "Diving or neck injury"
    },
    {
      "code": "14D4",
      "display": "SCUBA accident"
    },
    {
      "code": "14C1",
      "display": "Alert with abnormal breathing"
    },
    {
      "code": "14B1",
      "display": "Alert & breathing normally with injuries"
    },
    {
      "code": "14B2",
      "display": "Unknown status (3rd party caller)"
    },
    {
      "code": "14A1",
      "display": "Alert & breathing normally without injuries"
    },
    {
      "code": "15E1",
      "display": "Not breathing/ineffective breathing"
    },
    {
      "code": "15D1",
      "display": "Unconscious"
    },
    {
      "code": "15D2",
      "display": "Not disconnected from power"
    },
    {
      "code": "15D3",
      "display": "Power not off"
    },
    {
      "code": "15D4",
      "display": "Long fall >6 feet"
    },
    {
      "code": "15D5",
      "display": "Not alert"
    },
    {
      "code": "15D6",
      "display": "Abnormal breathing"
    },
    {
      "code": "15D7",
      "display": "Unknown status (3rd party caller)"
    },
    {
      "code": "15C1",
      "display": "Alert & breathing normally"
    },
    {
      "code": "16D1",
      "display": "Not alert"
    },
    {
      "code": "16B1",
      "display": "Severe eye injuries"
    },
    {
      "code": "16A1",
      "display": "Moderate eye injuries"
    },
    {
      "code": "16A2",
      "display": "Minor eye injuries"
    },
    {
      "code": "16A3",
      "display": "Medical eye problems"
    },
    {
      "code": "17D1",
      "display": "Dangerous body area"
    },
    {
      "code": "17D2",
      "display": "Long fall >6 feet"
    },
    {
      "code": "17D3",
      "display": "Not alert"
    },
    {
      "code": "17D4",
      "display": "Abnormal breathing"
    },
    {
      "code": "17B1",
      "display": "Possibly dangerous body area"
    },
    {
      "code": "17B2",
      "display": "Serious haemorrhage"
    },
    {
      "code": "17B3",
      "display": "Unknown status (3rd party caller)"
    },
    {
      "code": "17A1",
      "display": "Not dangerous body area"
    },
    {
      "code": "17A2",
      "display": "Non-recent injuries >6 hrs"
    },
    {
      "code": "18C1",
      "display": "Not alert"
    },
    {
      "code": "18C2",
      "display": "Abnormal breathing"
    },
    {
      "code": "18C3",
      "display": "Speech problems"
    },
    {
      "code": "18C4",
      "display": "Sudden onset of severe pain"
    },
    {
      "code": "18C5",
      "display": "Numbness or paralysis"
    },
    {
      "code": "18C6",
      "display": "Change in behaviour"
    },
    {
      "code": "18B1",
      "display": "Unknown status (3rd party caller)"
    },
    {
      "code": "18A1",
      "display": "Breathing normally"
    },
    {
      "code": "19D1",
      "display": "Severe respiratory distress"
    },
    {
      "code": "19D2",
      "display": "Not alert"
    },
    {
      "code": "19D3",
      "display": "Clammy"
    },
    {
      "code": "19C1",
      "display": "Firing of AICD"
    },
    {
      "code": "19C2",
      "display": "Abnormal breathing"
    },
    {
      "code": "19C3",
      "display": "Chest pain >35 yrs"
    },
    {
      "code": "19C4",
      "display": "Cardiac history"
    },
    {
      "code": "19C5",
      "display": "Cocaine"
    },
    {
      "code": "19C6",
      "display": "Heart rate 130"
    },
    {
      "code": "19B1",
      "display": "Unknown status (3rd party caller)"
    },
    {
      "code": "19A1",
      "display": "Heart rate >50 or 5 mths"
    },
    {
      "code": "19A2",
      "display": "Chest pain <35 yrs without symptoms"
    },
    {
      "code": "20D1",
      "display": "Not alert"
    },
    {
      "code": "20C1",
      "display": "Cardiac history"
    },
    {
      "code": "20B1",
      "display": "Change in skin colour"
    },
    {
      "code": "20B2",
      "display": "Unknown status (3rd party caller)"
    },
    {
      "code": "20A1",
      "display": "Alert"
    },
    {
      "code": "21D1",
      "display": "Dangerous haemorrhage"
    },
    {
      "code": "21D2",
      "display": "Not alert"
    },
    {
      "code": "21D3",
      "display": "Abnormal breathing"
    },
    {
      "code": "21C1",
      "display": "Haemorrhage through a tube"
    },
    {
      "code": "21B1",
      "display": "Possibly dangerous haemorrhage"
    },
    {
      "code": "21B2",
      "display": "Serious haemorrhage"
    },
    {
      "code": "21B3",
      "display": "Bleeding disorder or blood thinners"
    },
    {
      "code": "21A1",
      "display": "Non-dangerous haemorrhage"
    },
    {
      "code": "21A2",
      "display": "Minor haemorrhage"
    },
    {
      "code": "22D1",
      "display": "Life status questionable"
    },
    {
      "code": "22D2",
      "display": "Caught in machinery"
    },
    {
      "code": "22D3",
      "display": "Multiple victims"
    },
    {
      "code": "22B1",
      "display": "Unknown status (3rd party caller)"
    },
    {
      "code": "23D1",
      "display": "Unconscious"
    },
    {
      "code": "23D2",
      "display": "Severe respiratory distress"
    },
    {
      "code": "23C1",
      "display": "Violent"
    },
    {
      "code": "23C2",
      "display": "Not alert"
    },
    {
      "code": "23C3",
      "display": "Abnormal breathing"
    },
    {
      "code": "23C4",
      "display": "Antidepressants"
    },
    {
      "code": "23C5",
      "display": "Cocaine"
    },
    {
      "code": "23C6",
      "display": "Narcotics"
    },
    {
      "code": "23C7",
      "display": "Acid or alkali"
    },
    {
      "code": "23C8",
      "display": "Unknown status (3rd party caller)"
    },
    {
      "code": "23C9",
      "display": "Poison Control request for response"
    },
    {
      "code": "23B1",
      "display": "Overdose without symptoms"
    },
    {
      "code": "23O1",
      "display": "Poisoning without priority symptoms"
    },
    {
      "code": "24D1",
      "display": "Breech or code"
    },
    {
      "code": "24D2",
      "display": "Head visible"
    },
    {
      "code": "24D3",
      "display": "Imminent delivery >5 mths"
    },
    {
      "code": "24D4",
      "display": "3rd trimester bleeding"
    },
    {
      "code": "24D5",
      "display": "High risk complications"
    },
    {
      "code": "24D6",
      "display": "Baby born"
    },
    {
      "code": "24C1",
      "display": "2nd trimester haemorrhage or miscarriage"
    },
    {
      "code": "24C2",
      "display": "1st trimester serious haemorrhage"
    },
    {
      "code": "24B1",
      "display": "Labour >5 mths"
    },
    {
      "code": "24B2",
      "display": "Unknown status (3rd party caller)"
    },
    {
      "code": "24A1",
      "display": "1st trimester haemorrhage or miscarriage"
    },
    {
      "code": "25D1",
      "display": "Not alert"
    },
    {
      "code": "25B1",
      "display": "Violent"
    },
    {
      "code": "25B2",
      "display": "Threatening suicide"
    },
    {
      "code": "25B3",
      "display": "Near hanging"
    },
    {
      "code": "25B4",
      "display": "Unknown status (3rd party caller)"
    },
    {
      "code": "25A1",
      "display": "Non-violent & non-suicidal"
    },
    {
      "code": "26D1",
      "display": "Not alert"
    },
    {
      "code": "26C1",
      "display": "Cardiac History"
    },
    {
      "code": "26B1",
      "display": "Unknown status (3rd party caller)"
    },
    {
      "code": "26A1",
      "display": "Non priority symptoms"
    },
    {
      "code": "26A2",
      "display": "Boils"
    },
    {
      "code": "26A3",
      "display": "Bumps"
    },
    {
      "code": "26A4",
      "display": "Cannot sleep"
    },
    {
      "code": "26A5",
      "display": "Cannot urinate"
    },
    {
      "code": "26A6",
      "display": "Catheter problems"
    },
    {
      "code": "26A7",
      "display": "Constipation"
    },
    {
      "code": "26A8",
      "display": "Cramps/spasms"
    },
    {
      "code": "26A9",
      "display": "Cut-off ring request"
    },
    {
      "code": "26A10",
      "display": "Deafness"
    },
    {
      "code": "26A11",
      "display": "Defecation/diarrhoea"
    },
    {
      "code": "26A12",
      "display": "Earache"
    },
    {
      "code": "26A13",
      "display": "Enema"
    },
    {
      "code": "26A14",
      "display": "Gout"
    },
    {
      "code": "26A15",
      "display": "Haemorrhoids/piles"
    },
    {
      "code": "26A16",
      "display": "Hepatitis"
    },
    {
      "code": "26A17",
      "display": "Hiccups"
    },
    {
      "code": "26A18",
      "display": "Hungry"
    },
    {
      "code": "26A19",
      "display": "Nervous"
    },
    {
      "code": "26A20",
      "display": "Object stuck"
    },
    {
      "code": "26A21",
      "display": "Object swallowed"
    },
    {
      "code": "26A22",
      "display": "Penis problems"
    },
    {
      "code": "26A23",
      "display": "Rash/skin disorder"
    },
    {
      "code": "26A24",
      "display": "STD"
    },
    {
      "code": "26A25",
      "display": "Sore throat"
    },
    {
      "code": "26A26",
      "display": "Toothache"
    },
    {
      "code": "26A27",
      "display": "Transport only"
    },
    {
      "code": "26A28",
      "display": "Wound infected"
    },
    {
      "code": "27D1",
      "display": "Unconscious or arrest"
    },
    {
      "code": "27D2",
      "display": "Not alert"
    },
    {
      "code": "27D3",
      "display": "Central wounds"
    },
    {
      "code": "27D4",
      "display": "Multiple wounds"
    },
    {
      "code": "27D5",
      "display": "Multiple victims"
    },
    {
      "code": "27B1",
      "display": "Non-recent injuries >6 hrs / central wounds"
    },
    {
      "code": "27B2",
      "display": "Known single peripheral wound"
    },
    {
      "code": "27B3",
      "display": "Serious haemorrhage"
    },
    {
      "code": "27B4",
      "display": "Unknown status (3rd party caller)"
    },
    {
      "code": "27A1",
      "display": "Non-recent >6 hrs / peripheral wounds"
    },
    {
      "code": "28C1",
      "display": "Not alert"
    },
    {
      "code": "28C2",
      "display": "Abnormal breathing"
    },
    {
      "code": "28C3",
      "display": "Speech or movement problems"
    },
    {
      "code": "28C4",
      "display": "Numbness or tingling"
    },
    {
      "code": "28C5",
      "display": "Stroke history"
    },
    {
      "code": "28C6",
      "display": "Breathing normally >35yrs"
    },
    {
      "code": "28B1",
      "display": "Unknown status (3rd party caller)"
    },
    {
      "code": "28A1",
      "display": "Breathing normally 6 hrs"
    },
    {
      "code": "29D1A",
      "display": "Major incident (aircraft)"
    },
    {
      "code": "29D1B",
      "display": "Major incident (bus)"
    },
    {
      "code": "29D1D",
      "display": "Major incident (train)"
    },
    {
      "code": "29D1E",
      "display": "Major incident (watercraft)"
    },
    {
      "code": "29D2A",
      "display": "High mechanism (all-terrain)"
    },
    {
      "code": "29D2B",
      "display": "High mechanism (motorcycle)"
    },
    {
      "code": "29D2C",
      "display": "High mechanism (auto-pedestrian)"
    },
    {
      "code": "29D2D",
      "display": "High mechanism (ejection)"
    },
    {
      "code": "29D2E",
      "display": "High mechanism (personal watercraft)"
    },
    {
      "code": "29D2F",
      "display": "High mechanism (rollover)"
    },
    {
      "code": "29D2G",
      "display": "High mechanism (vehicle off bridge/height)"
    },
    {
      "code": "29D3",
      "display": "HAZMAT"
    },
    {
      "code": "29D4",
      "display": "Pinned"
    },
    {
      "code": "29D5",
      "display": "Not alert"
    },
    {
      "code": "29B1",
      "display": "Injuries"
    },
    {
      "code": "29B2",
      "display": "Multiple victims (one unit)"
    },
    {
      "code": "29B3",
      "display": "Multiple victims (additional units)"
    },
    {
      "code": "29B4",
      "display": "Serious haemorrhage"
    },
    {
      "code": "29B5",
      "display": "Unknown status (3rd party caller)"
    },
    {
      "code": "29A1",
      "display": "1st party caller with non-dangerous injury"
    },
    {
      "code": "30D1",
      "display": "Dangerous body area"
    },
    {
      "code": "30D2",
      "display": "Not alert"
    },
    {
      "code": "30D3",
      "display": "Abnormal breathing"
    },
    {
      "code": "30B1",
      "display": "Possibly dangerous body area"
    },
    {
      "code": "30B2",
      "display": "Serious haemorrhage"
    },
    {
      "code": "30A1",
      "display": "Not dangerous body area"
    },
    {
      "code": "30A2",
      "display": "Non-recent injuries (≥6hrs)"
    },
    {
      "code": "31E1",
      "display": "Ineffective breathing"
    },
    {
      "code": "31D1",
      "display": "Unconscious"
    },
    {
      "code": "31D2",
      "display": "Severe respiratory distress"
    },
    {
      "code": "31D3",
      "display": "Not alert"
    },
    {
      "code": "31C1",
      "display": "Alert with abnormal breathing"
    },
    {
      "code": "31C2",
      "display": "Cardiac history"
    },
    {
      "code": "31C3",
      "display": "Multiple fainting episodes"
    },
    {
      "code": "31C4",
      "display": "Single or near fainting episodes & alert"
    },
    {
      "code": "31C5",
      "display": "Female 12-50 yrs without abdominal pain"
    },
    {
      "code": "32D1",
      "display": "Life status questionable"
    },
    {
      "code": "32B1",
      "display": "Standing, moving, sitting, or talking"
    },
    {
      "code": "32B2",
      "display": "Medical alert notification"
    },
    {
      "code": "32B3",
      "display": "Unknown status (3rd party caller)"
    },
    {
      "code": "33D1",
      "display": "Suspected cardiac or respiratory arrest"
    },
    {
      "code": "33C1",
      "display": "Not alert (acute change)"
    },
    {
      "code": "33C2",
      "display": "Abnormal breathing"
    },
    {
      "code": "33C3",
      "display": "Significant haemorrhage or shock"
    },
    {
      "code": "33C4",
      "display": "Possible acute heart problems or MI"
    },
    {
      "code": "33C5",
      "display": "Acute severe pain"
    },
    {
      "code": "33C6",
      "display": "Emergency response requested"
    },
    {
      "code": "33A1",
      "display": "No priority symptoms"
    }
  ]
}