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 an electronic patient care report (ePCR) to the state for each patient encountered within 48 hours of the conclusion of EMS incident, and a completed PCR to the receiving facility within 24 hours if the patient is transported.

All data submitted to the state must comply with the NEMSIS version 3.5 data standard. Visit the tabs below for 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. All agencies (regardless of software vendor) are expected to utilize the Montana Facility List, State Dataset, and State Schematron.

  • For agencies using the state's provided ImageTrend Elite system, reports are submitted to the state automatically upon entry.
  • For agencies that elect to use a third party vendor, reference the Third Party ePCR requirements for Montana for guidance on how to maintain compliance with ARM 37.104.506.
Please contact Shari Graham for more information on data submission.

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

2023

  • 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

2024 Q3

  • Added Signature Status (eOther.15) to the Transfer of Care Signature block 
  • ABN form (mirrors CMS-R-131) added as a worksheet to the state form. Also added an additional signature reason (eOther.15) - "Advance Beneficiary Notice" (it4513.114) so that agencies can customize their own signature paragraph specific to ABN. 
  • APGAR has been added under vitals w/ a visibility rule for age < 1 day 
  • CARES validation rule updates  
  • Added to Primary Symptom (eSituation.09) 
    • Resp – Tachypnea (R06.82)  
  • Added to patient current medications (eHistory.12) 
    • Empagliflozen (Jardiance)- 1545653  
    • Medical Marijuana - 2048033  
    • Trulicity - 1551296  
    • Vascepa -1304980  
  • Added to Medications administered (eMedications.03) 
    • 7617 - Octreotide
    • 74169 Piperacillin / tazobactam 
  • Added to Provider impression (eSituation.11)
    • Behavioral- Nonsuicidal self-harm (R45.88)  
  • eProcedures.03 “Airway - iGel Insertion” code was changed from 257369004 to 450611000124100 on 9/24/24 

Documentation Guides

NEMSIS Version 3.5.0 Data Dictionary

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

Montana Facility List

State Dataset

Validation Rules

Suggested Lists

Visit Montana's NEMSIS page for the following lists:

  • Non EMS First Responders (for CARES)
  • eHistory.08
  • eInjury.01
  • eMedications.03
  • eProcedures.03
  • eSituation.09
  • eSituation.11