Ambulance Call Report codes
Learn about the Ambulance Call Report (ACR) codes that are used by emergency services to describe the priority and response assigned to calls for service.
Overview
For emergency service staff (such as paramedics) its important to know as much information as possible before attending a call or to provide a hospital as much information and possible when transporting or bring in a patient. ACR codes are an efficient and fast way for staff to relay this information.
Note: Italicized codes are considered "optional"
Change requests
An official request to add, update or remove ACR codes can be submitted to the ministry by means of the ACR Code Request Form.
For a copy of the most recent ACR Code Request Form, please contact Certification and Patient Care Standards via paramedicstandards@ontario.ca.
ACR Codes
ACR Codes - Change Log
| Date | Change | Code Group | Code | Descriptor |
|---|---|---|---|---|
| November 15, 2024 | Added | Procedures | 020.04 | Point-of-Care Risk Assessment |
| September 18, 2024 | Added | Medications | 732 | Tranexamic Acid |
| Added | Research | 932.7 | Study Enrollment – Methoxyflurane | |
| Added | Procedures | 362 | Subcutaneous Cannulation Successful | |
| Added | Procedures | 363 | Subcutaneous Cannulation Unsuccessful | |
| Added | Procedures | 364 | Subcutaneous Cannulation Discontinued (Intentional) | |
| Added | Procedures | 365 | Subcutaneous Cannulation Discontinued (Unintentional) | |
| Added | Procedures | 141.1 | Manual Ventilation Feedback Device | |
| June 4, 2024 | Added | Status | 22 | Receiving Facility |
| Added | Return Priority | 78 | Discharge | |
| Added | Procedures | 100.03 | Post-Op Dressing | |
| Added | Procedures | 100.04 | Povidone Iodine Dressing | |
| Added | Procedures | 100.05 | Tissue Adhesive | |
| Added | Procedures | 100.06 | Reinforced Skin Closure | |
| Added | Procedures | 100.07 | Fixation Sheet | |
| Added | Procedures | 100.08 | Non-Adherent Dressing | |
| Added | Airway/Breathing Procedures | 386 | Peak Flow Meter Testing | |
| Added | Miscellaneous Procedures | 387 | Patient Education | |
| Added | Miscellaneous Procedures | 405.04 | Consult – Patient’s Healthcare Provider | |
| Added | Miscellaneous Procedures | 407.07 | Discharge Screening | |
| Added | Miscellaneous Procedures | 420.07 | Medication Wastage – Lorazepam | |
| Added | Miscellaneous Procedures | 422.06 | Alternate Destination – Not Available | |
| Added | Miscellaneous Procedures | 424 | Referral | |
| Added | Miscellaneous Procedures | 424.01 | Referral Consent - Obtained | |
| Added | Miscellaneous Procedures | 424.02 | Referral Consent - Declined | |
| Added | Miscellaneous Procedures | 424.03 | Referral Healthcare Provider/Facility - Accepted | |
| Added | Miscellaneous Procedures | 424.04 | Referral Healthcare Provider/Facility - Declined | |
| Added | Miscellaneous Procedures | 424.05 | Referral Healthcare Provider/Facility - Failed | |
| Added | Miscellaneous Procedures | 425.01 | Discharge Consent – Obtained | |
| Added | Miscellaneous Procedures | 425.02 | Discharge Consent - Declined | |
| Added | Medications | 503.01 | Amoxicillin | |
| Added | Medications | 503.02 | Cefuroxime | |
| Added | Medications | 503.03 | Trimethoprim/Sulfamethoxazole | |
| Added | Medications | 503.04 | Moxifloxacin | |
| Added | Medications | 503.05 | Nitrofurantoin | |
| Added | Medications | 503.06 | Ceftriaxone | |
| Added | Medications | 503.07 | Cefazolin | |
| Added | Medications | 503.08 | Antibiotic - Ointment | |
| Added | Medications | 729 | Electrolyte - Potassium Elixir | |
| Added | Medications | 730 | Lorazepam | |
| Added | Medications | 731 | Immunization | |
| Added | Medications | 731.01 | Tetanus | |
| Removed | Medications | 800-899 | Study Drugs - Details in Procedures | |
| Aug 2, 2023 | Added | Miscellaneous Procedures | 407.04 | Discharge Screening Hypoglycemia |
| Added | Miscellaneous Procedures | 407.05 | Discharge Screening Seizures | |
| Added | Miscellaneous Procedures | 407.06 | Discharge Screening Tachydysrhythmia | |
| July 10, 2023 | Added | Procedures | 020.03 | Clinical Opiate Withdraw Scale (COWS) |
| Added | Medications | 611 | Buprenorphine/Naloxone | |
| May 24, 2023 | Added | Status Codes | 44 | On-Call |
| April 4, 2023 | Added | Return Priority Codes | CTAS 1 | CTAS 1 - Resuscitation |
| Added | Return Priority Codes | CTAS 2 | CTAS 2 - Emergent | |
| Added | Return Priority Codes | CTAS 3 | CTAS 3 - Urgent | |
| Added | Return Priority Codes | CTAS 4 | CTAS 4 - Less Urgent | |
| Added | Return Priority Codes | CTAS 5 | CTAS 5 - Non Urgent | |
| Added | Research - Medications | 850.2 | Study Drug - Epinephrine 1:10,000 | |
| Added | Research - Enrollment | 932.5 | Study Enrollment - EPIDose | |
| January 19, 2023 | Updated | Return Priority Codes - No Transport | 77 | Referred |
| Updated | Return Priority Codes - No Transport | 77.01 | Referred - Palliative Care | |
| Removed | Return Priority Codes - No Transport | 77.02 | Released - COVID-19 | |
| Updated | Return Priority Codes - No Transport | 77.03 | Referred - Mental Health and Addictions | |
| Added | Return Priority Codes - No Transport | 78.01 | Discharged - Hypoglycemia | |
| Added | Return Priority Codes - No Transport | 78.02 | Discharged - Seizure | |
| Added | Return Priority Codes - No Transport | 78.03 | Discharged - Tachydysrhythmia | |
| Added | Return Priority Codes - No Transport | 78.04 | Discharged - COVID-19 | |
| Added | Medications | 537 | Dexamethasone | |
| May 3, 2022 | Added | Procedures - Miscellaneous Procedures | 405.03 | Consult - Mental Health Professional |
| Added | Return Priority Codes - No Transport | 77.03 | Patient Treated and Referred - Mental Health and Addictions | |
| Updated | Return Priority Codes - No Transport | 77 | Patient Treated and Referred/Released | |
| October 22, 2021 | Added | Research - Procedures | 933.56 | Study Procedure - ICD Deactivation |
| Added | Procedures | 100.02 | Occlusive dressing | |
| April 13, 2021 | Added | Procedures | 020.02 | Acute Stroke Protocol Assessment |
| Added | Routes of Administration | IH | Inhaled | |
| April 8, 2021 | Added | Research - Medications | 850.99 | Study Drug - Methoxyflurane |
| February 8, 2021 | Added | Procedures | 020.01 | LAMS Assessment Score |
| August 18, 2020 | Added | Procedures - Miscellaneous Procedures | 423 | Naloxone Kit Distribution |
| May 11, 2020 | Added | Procedures - Airway/Breathing Procedures | 385 | Oro/Nasopharyngeal Swab |
| Procedures - Miscellaneous Procedures | 395 | Aid to Capacity Assessment | ||
| Procedures - Miscellaneous Procedures | 396 | Consent to Care Plan | ||
| Return Priority Codes - No Transport | 77.02 | Patient Treated and Released - COVID-19 | ||
| Changed | Return Priority Codes - No Transport | 77 | Patient Treated and Referred/Released | |
| Procedures - Miscellaneous Procedures | 408.3 | PPE - Contact/Droplet Precautions | ||
| Procedures - Miscellaneous Procedures | 408.4 | PPE - Airborne Precautions | ||
| February 11, 2020 | Added | Special Transport | 11 | CMHA Middlesex Crisis Centre - 1502CC |
| Miscellaneous Procedures | 422.01 | Alternate Destination Consent - OBTAINED | ||
| Alternate Destination Consent - DECLINED | ||||
| Alternate Destination Patch - ACCEPTED | ||||
| Alternate Destination Patch - DECLINED | ||||
| Alternate Destination Patch - FAILED | ||||
| February 11, 2020 | Changed | Miscellaneous Procedures | 407.02 | COVID-19 Screening POSITIVE |
| 407.03 | COVID-19 Screening NEGATIVE | |||
| January 31, 2020 | Added | Miscellaneous Procedures | 407.02 | 2019-nCoV Screening POSITIVE |
| 407.03 | 2019-nCoV Screening NEGATIVE | |||
| January 27, 2020 | Added | Miscellaneous Procedures | 421.01 | Referral - Trillium Gift of Life Network |
| 420.06 | Medication Wastage - Hydromorphone | |||
| Return Priority Codes - No Transport | 77.01 | Patient Treated and Referred - Palliative Care | ||
| Changed | Return Priority Codes - No Transport | 77 | Patient Treated and Referred | |
| October 29, 2019 | Added | Return Priority Codes - No Transport | 77 | Palliative Care Patient Treated and Released |
| Miscellaneous Procedures | 420.01 | Medication Wastage - Diazepam | ||
| 420.02 | Medication Wastage - Fentanyl | |||
| 420.03 | Medication Wastage - Ketamine | |||
| 420.04 | Medication Wastage - Midazolam | |||
| 420.05 | Medication Wastage - Morphine | |||
| Research - Procedures | 933.64 | Patellar Reduction | ||
| September 5, 2019 | Added | Special Transport | 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 | |||
| March 28, 2019 | Added | Procedures | 110.01 | Pelvic binder device |
| January 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 | ||
| October 19, 2018 | Added | Problem Code - Neurological | 45.01 | Excited Delirium |
| July 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 | |||
| March 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 Apr. 18, 2018 | Tracheostomy Tube Reinsertion | |||
| 330.01 Apr. 18, 2018 | Tracheostomy Tube Reinsertion Unsuccessful | |||
| 602 Apr. 18, 2018 | Ketamine | |||
| March 23, 2018 | Added | Problem Codes | 40 | Traumatic Brain Injury |
| (Neurological) | ||||
| December 15, 2017 | Added | Research | 932.3 Dec. 15, 2017 | Study Enrollment - DOSE VF |
| 933.2 Dec. 15, 2017 | Study Procedure - DOSE VF - Standard Defibrillation Arm | |||
| 933.3 Dec. 15, 2017 | Study Procedure - DOSE VF - Vector Change Defibrillation Arm | |||
| 933.4 Dec. 15, 2017 | Study Procedure - DOSE VF - Double Sequential Defibrillation Arm | |||
| December 7, 2017 | Added | Research | 401.1 | Sepsis Pre-Alert |
| November 9, 2017 | Removed | Miscellaneous Procedures | 405 | Study Procedure (Detail in Procedures) |
| Added | Research | 850 | Study Drug (umbrella) | |
| 850.1 May 23 2017 | Study Drug - PITSTOP | |||
| 931 Feb. 28, 2017 | Study Enrollment - C-Spine Study | |||
| 932 | Study Enrollment (umbrella) | |||
| 932.1 May 23, 2017 | Study Enrollment - FIRST | |||
| 932.2 May 23, 2017 | Study Enrollment - PITSTOP | |||
| 933 | Study Procedure (umbrella) | |||
| 933.1 May 23, 2017 | Study Procedure - FIRST - autoRIC application | |||
| Cardiac Arrest Procedures | 313.1 May 23, 2017 | 15-Lead Acquisition | ||
| Miscellaneous Procedures | 391 May 23, 2017 | Triage Report | ||
| October 2, 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 | |||
| January 4, 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 |
Updated: November 15, 2024
Published: January 03, 2024