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.

Getting Started

Montana EMS, Trauma Systems, & Injury Prevention (EMSTSIP) currently provides EMS agencies with access to ImageTrend Elite electronic Patient Care Reporting (ePCR) system at no cost. EMS agencies can also submit data using their own NEMSIS v3.5 compliant ePCR system. 

  • 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 their own system for data submission, reference Third Party ePCR requirements for Montana for guidance on how to maintain compliance with ARM 37.104.506.

System Resources

Montana performs system resource updates on a quarterly basis. To request changes, please use the ePCR suggestion box. All current NEMSIS implementation tools are available on Montana's NEMSIS page

Please contact Shari Graham for more information on data submission.

Agency-Level Reporting Tools

EMS agencies are encouraged to become familiar with their data and use it regularly to support quality improvement, operational planning, and informed decision-making. The following tools provide agencies with access to their own EMS incident data:

  • Biospatial: All Montana EMS agencies have no-cost access to Biospatial (login here), a web-based analytics platform for exploring and visualizing ePCRs they have submitted to the state. Contact Nick Kallem for access.
  • ePCR System Reporting Tools: Agencies have access to reporting tools within their ePCR systems. Agencies using the state's provided ImageTrend Elite system can access ImageTrend Report Writer for on-demand reporting. Third-party ePCR users should consult their vendor for available reporting options.

State Reports

Montana EMS, Trauma Systems, & Injury Prevention (EMSTSIP) provides the following dashboards and reports for EMS agencies, stakeholders, and the public:

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

Please contact Hannah Yang for more information on data reports.

Login to Montana ImageTrend Elite

Elite ePCR Suggestion Box (EMS/CIH)

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

4/1/2026

  • Added Hospital Discharge Summary grid (added to Hospital Disposition)
    • itOutcome.024 – Hospital Discharge Summary
  • Added 2 Insurance fields to the Insurance grid
    • ePayment.58 -Insurance Group Name
    • ePayment.09 – Insurance Company ID
  • Added Blood Product Administration fields to the Medication grid (with a visibility rules that only show them when documenting a blood product administration):
    • eMedications.906 – Blood Donor Type (ABO)
    • eMedications.907 – Blood Donor Rh Factor
    • eMedications.905 – Blood Product Unit Number
    • itMedications.037 – Medication expiration date
  • Added eMedications.908 – Date/Time Medication stopped to the Medication grid
Time Sensitive Illnesses & Injuries

Additional Documentation Resources