A data standard, no connectivity, and a report that has to survive both.
EMS runs on a data standard no other specialty has to satisfy. Every patient care report an agency files must validate against NEMSIS, the national EMS data standard, before the state will accept it — and states layer their own required elements on top of the national schema, then change them on their own schedule. That single constraint shapes everything else. A report is written in a moving ambulance, often with no connectivity, by a medic who cannot stop to troubleshoot a sync error, so capture has to work offline and reconcile later without losing or duplicating a record. The finished report then has to feed billing, because medical necessity and signature documentation decide whether a transport is payable, and it has to reconcile with dispatch data the agency frequently does not own. We build ePCR and EMS software around those constraints rather than adapting a clinic EHR that was never designed to leave a building.
NEMSIS conformance, maintained
Reports that validate against the national EMS data standard and your state's own required elements — and keep validating when either one versions.
Offline-first field capture
Documentation written in a moving ambulance with no signal, then reconciled without losing a record or creating a duplicate. Offline is an architecture, not a feature.
CAD, billing and state submission
Incident data in from dispatch, a payable claim out to billing, and a submission the state actually accepts — connected instead of retyped.
- Reports that stop validating when NEMSIS or a state requirement versions mid-year
- Sync conflicts that silently drop or duplicate a report written out of coverage
- Dispatch data retyped by hand because the CAD interface is a nightly file import
- Denied claims caused by documentation gaps the ePCR never flagged at the point of care
- Community paramedicine and mobile integrated health visits forced into a transport-shaped report
Community paramedicine and mobile integrated health don't fit a transport report.
A community paramedicine visit has no transport, often no billable trip, and a care plan that spans weeks — none of which a report designed around a 911 call and a destination hospital models well. Agencies running these programs usually end up documenting them twice: once in the ePCR to satisfy the state, and once in a spreadsheet that holds what the program is actually measured on. We build the second one properly, connected to the first, so the program has real outcome data instead of a parallel record nobody trusts. The same applies to telehealth assessments run from the field.
Building an ePCR, or replacing one that fights your crews?
Tell us your call volume, your state's submission requirements, and what your medics complain about most — we'll scope a build around it.