ePCR & Medical Direction

NEMSIS v3.5/v3.6 data model, incident linkage, demographics, insurance with OCR, DL/ID OCR, chief complaint, PMH/meds/allergies (RxNorm/SNOMED), assessment, vitals with monitor auto-import, procedures with CPT/HCPCS, meds administered (writes to CS ledger), airway/cardiac/stroke/trauma/OB/peds/behavioral health flows (42 CFR Part 2), refusal, DNR/POLST/MOLST, destination, narrative with templates/TTS, attachments incl. bodycam clips, times, mileage, crew signatures, patient/guardian signature (HIPAA/consent/ABN), receiving facility handoff, MCI mode, mutual aid, offline CRDT sync

TTS dictation

AI narrative drafting

AI field completion

Chart-quality linter (pre-lock)

AI PHI redactor

Adapter, Halo (first-class), Axon Body 3/4, Motorola V300/VB400, Getac, Reveal/Digital Ally, Wolfcom, auto-fill from audio/video, HIPAA-compliant clip attachment, retention with legal hold

Protocol library, contextual surfacing, peds dose calc, infusion calc, sepsis/stroke/STEMI/trauma banners, MD push-notify, online medical control log

Chart locking, QA queue, reviewer checklists, crew feedback, trends, peer review, CQI dashboard, AI pre-screen

MD role with chart oversight

Directive/protocol versioning

CS variance review

Credential-to-protocol tie-in

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

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

MD CME tracking

MD case conference scheduling

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

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

Online medical control recording + playback

MD availability / on-call rotation for online medical control

Pharmaceutical inventory protocol authorization

Scope-of-practice grid per provider level

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

MonitorDeviceAdapter abstraction

Stryker LIFEPAK 15/35, HeartSine PAD, Zoll X Series/Propaq MD, Zoll AED Plus/3, Philips MRx/Tempus, Physio-Control CODE-STAT, Masimo, Nonin, Welch Allyn, iSTAT, Accu-Chek/Roche, Propaq/Connex, FDA eMDR, Draeger/Mindray, LUCAS/AutoPulse, Hamilton-T1/Zoll 731, video laryngoscopy, 12-lead STEMI transmission, BLE pairing

Event timeline alignment, time-sync, case-file attachment, OOS flagging to Fleet, PM schedule generation

NEMSIS v3.5/v3.6 XML export

Per-state ePCR repository adapter (SC DHEC first)

NFIRS medical supplement export

Data-quality scoring

Bulk historical export

State data-dictionary overrides

Hospital outcome data linkage (where partnerships exist)

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

AHA Mission: Lifeline / Get With The Guidelines reporting

State trauma registry submission (SC first)

State stroke registry submission

CARES OHCA registry

STEMI registry submission

Community benchmarking (anonymized peer comparison)

Outcomes dashboard with crew/unit/system drill-down

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

ESO, ImageTrend, Zoll emsCharts, FirstDue, Logis, paper PCR OCR intake