EMS Incident Data

The purpose of collecting statewide prehospital data is to support EMS providers in providing patients with the best possible care. Montana ARM Subchapter 37.104.506 requires all licensed ground and air transporting EMS agencies to submit a patient care report (PCR) for each patient encountered during an EMS activation. 

As of 9/25/23, Montana has transitioned to the NEMSIS version 3.5 data standard. Visit the tabs below for up to date information on data submission and resources.

Data Submission

EMS and Trauma Systems (EMSTS) currently provides EMS agencies with access to ImageTrend Elite electronic Patient Care Reporting (ePCR) software at no cost. EMS agencies can also submit data using their own NEMSIS v3.5 compliant ePCR system.

NEMSIS 3.5 Transition

  • Agencies using the state's Elite ePCR were transitioned to the new v3.5 run form on 9/25/23. 
  • Agencies using their own instance of ImageTrend should work with ImageTrend and utilize the resources in Help/University to complete the transition by 12/31/23. The state ePCR, validation rules, and facility list are available in the ImageTrend Library.
  • Agencies using other software vendors should work with their vendor to complete the transition by 12/31/23.

Please contact Shari Graham for information on submitting data.

Data Reports

Don't see the data you need? Submit a Data Request

List of Recent Reports:

Login to Montana ImageTrend Elite (new URL)

Elite ePCR Suggestion Box (EMS/CIH)

Please contact Hannah Yang for assistance with using Elite Report Writer

How to...

Install the iOS Elite Utilities App for Driver's License Scanning
Install the Elite Desktop Client for importing EKG monitor data

Elite ePCR Update Log


  • Transitioned to NEMSIS 3.5 run form - 9/25/23

2024 Q1

2024 Q2

  • Validation warnings (gold outline) were added to the following fields to increase reporting accuracy for the Time Sensitive Illness and Injury (TSII) Program:
    • TSII- Stroke 1.5 - Last Known Well Time Documented (eSituation.18)
    • TSII- Severe Trauma 6.1 - GCS documented in vitals
    • TSII- Severe Trauma 6.5 - Oxygen documented as a medication
    • TSII- Severe Trauma 6.7 - Hospital Alert (eDisposition.24)
    • TSII- MVC 7.1 - Location of patient in vehicle (eInjury.06)
    • TSII- MVC 7.2 - Occupant safety equipment (eInjury.07)
    • TSII- MVC addition - Airbag Deployment (eInjury.08)
  • First Agency to Provide Care - Arrived on Scene Date/Time field was added with a validation warning to facilitate the calculation of TSII- OHCA 3.1 - EMS Arrival to First CPR in cases where a QRU arrives on scene first
  • A validation warning has been added to multiple date/time fields to warn users when they may have entered an erroneous date greater than 24 hours after the dispatch date/time.
  • A validation warning has been added to the signature block to warn users when they have forgotten to sign their reports.
  • Patient first and last names were added as required fields.
  • Added the ability to document lab values under the Patient History
  • Added fields to document individual elements of BE-FAST and VAN stroke assessments under the Vitals section and Stroke power tool.
  • Multiple minor bug fixes

Documentation Guides

NEMSIS 3.5 Transition Overview & State Run Form Training

NEMSIS 3.5 - Type of Service Requested

NEMSIS 3.5 - Disposition

Symptoms vs Impressions

Guidance for Documenting Overdose-related EMS Incidents (Video) / (PDF)

TSII Documentation

Facility List

  • coming soon

Validation Rules

  • coming soon

Suggested Lists

  • coming soon


NEMSIS Version 3.4 Data Dictionary

Montana EMS Incident Dataset Data Dictionary
  • coming soon