Module

ePCR & Medical Direction

NEMSIS-compliant, offline-first, AI-assisted — with the medical director built in, not bolted on.

TowerHQ's electronic patient care report is mobile-first and offline-first. Crews chart without waiting for connectivity; CRDT sync reconciles on reconnect. Monitor telemetry (LIFEPAK, Zoll, Philips, Propaq) imports automatically. AI drafts narratives, completes fields, and flags gaps — always advisory, always human-signed. Medical direction is inside the product: protocol versioning, online medical control log, CS variance review, scope-of-practice grid.

Interactive prototype

Click around — these are real HTML, not screenshots

ePCR mobile chart (tablet) — locked vitals, OPQRST, monitor auto-import, AI chart-quality drawer, lock & sign

Design prototypes rendered in isolated frames — interaction patterns only, not yet a live product surface.

What's inside

NEMSIS v3.5 / v3.6 data model, per-state repository adapters
Offline-first mobile charting with CRDT sync
Monitor auto-import (LIFEPAK 15/35, Zoll X/AED, Philips MRx, Propaq)
AI narrative drafting, chart-quality linter, PHI redactor — advisory-only
Medical director oversight: protocol versioning, CS variance review, CME tracking
Online medical control recording + playback
Bodycam integration with HIPAA-compliant clip attachment (Halo first-class)
Outcomes linkage + state trauma/stroke/STEMI registry submission

Feature catalog for this module

37 numbered features · ranges F1000–F1075, F1080–F1099, F1110–F1114, F1120–F1129, F1170–F1185, F1190–F1195

F1035

TTS dictation

F1036

AI narrative drafting

F1037

AI field completion

F1038

Chart-quality linter (pre-lock)

F1039

AI PHI redactor

F1060

MD role with chart oversight

F1061

Directive/protocol versioning

F1062

CS variance review

F1063

Credential-to-protocol tie-in

F1065

MD offline review queue (chart-level, separate from QA)

F1066

Protocol change management (propose → review → approve → publish → crew ack with read receipts)

F1067

MD CME tracking

F1068

MD case conference scheduling

F1069

Inter-facility transfer orders (physician orders for non-emergent transports)

F1070

Standing orders management (scope of practice per level, per protocol, per MD approval)

F1071

Online medical control recording + playback

F1072

MD availability / on-call rotation for online medical control

F1073

Pharmaceutical inventory protocol authorization

F1074

Scope-of-practice grid per provider level

F1075

MD performance dashboards (QA pass rate, CS variance, protocol compliance)

F1080

MonitorDeviceAdapter abstraction

F1170

NEMSIS v3.5/v3.6 XML export

F1171

Per-state ePCR repository adapter (SC DHEC first)

F1172

NFIRS medical supplement export (transitional — for fire-EMS combo runs the NERIS EMS-Lite module per F322/F323 is the primary path; NFIRS supplement runs in parallel during transition)

F1173

Data-quality scoring

F1174

Bulk historical export

F1175

State data-dictionary overrides

F1176

Hospital outcome data linkage (where partnerships exist)

F1177

NEMSIS performance measures (cardiac arrest ROSC, stroke scene time, trauma on-scene time, peds appropriate transport)

F1178

AHA Mission: Lifeline / Get With The Guidelines reporting

F1179

State trauma registry submission (SC first)

F1180

State stroke registry submission

F1181

CARES OHCA registry

F1182

STEMI registry submission

F1183

Community benchmarking (anonymized peer comparison)

F1184

Outcomes dashboard with crew/unit/system drill-down

F1185

Closed-loop feedback (crew sees outcomes of prior patients where available)

→ View every feature across all modules

Want this module in your operation?

Registration opens soon for the 2027 pilot — design partners shape priority.

Check back later to register interest

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