System collaboration is appreciated and welcomed. Actions taken/completed as a result of meeting discussions are documented in the quarterly changelogs here on FreshDesk.



12/20/18 ePCR Workgroup Meeting at REMSA


Action Items: 

  • Add helper text for homeless patients to Record tab
  • Add CARES validation rule that requires reason why resuscitation was discontinued

Other Discussions:

  • Lisa created a Time to 12-lead report, available in Report Writer shared folder
  • Russian spammers targeted our local HelpDesk, creating over 37,000 tickets in about an hour. Steps were taken to immediately stop creation of new tickets and prevent spam tickets again. Please don't publish the PCR support email on public sites. Two-factor authentication ("I'm not a robot") needed now to create a ticket to avoid same situation.
  • Maintenance on the ImageTrend data server will take place from 7pm-9pm on 12/26/18 (monthly maintenance)
  • Medical record numbers added to PCR print view to assist with fluidity between hospitals and EMS
  • 1/8/19 will see next Elite version update
    • Fix coming in this release for the transferring issue where attachments fail to transfer and generate error for 2nd agency
  • CQI Unified PCR print view Scope of Work from ImageTrend nearly completed, with development to be done in Q 1 2019.


10/22/18 ePCR Workgroup Meeting at REMSA


Action Items: 

  • Refine the redacted PCR further
    • No waveforms or attachments
  • Require signatures for AMR divisions with additional dispositions discussed
  • Power Tools
    • Remove CSS (Cincinnati Stroke Scale) as an option
    • Add in Staff Performing on the stroke exam ("Vital") grid

Other Discussions:

  • System Update on 10/18
    • Fixed: Incident list view
    • Next update is tentatively early November    
  • Unified ePCR discussed, along with CQI Module
  • CARES dataset realignment
    • CARES 31 and 33 will override NEMSIS options for CARES consistency
  • October 1st saw Report Writer database upgrade/move, all data should be more reliably accessible and faster than the degraded performance we were seeing
  • NPI/MCI discussion about true # of patients at an incident



9/13/18 ePCR Workgroup Meeting at REMSA


Action Items: 

  • Stroke workflow
    • Remove from top the ability to choose Cincinnati stroke scale, default to mLAPSS
    • Include date time stamp for mLAPSS
    • Crew member names moved from the bottom to top near banner
    • Last known well will become mandatory when certain fields are filled out
  • CARES ePCR Reconciliation
    • 2017/2018 data dictionary, use CARES definition
  • Response tab
    • Remove lights and no sirens, so there will be only 6 choices which can be changed from dropdown list to buttons instead for ease of  use
  • CCT
    • Require signature from crew member
  • Realign cardiac arrest situation tool to mirror medical situation tool. Add timer. 
  • Ongoing migration of data bank system


Other Discussions:

  • Change management article
    • Email updates were sent to all field providers along with a more detailed version to all primary representatives for updated materials.
    • A summary of the updates is on the FreshDesk locally, and the full version can be accessed on ImageTrend’s University (must be logged in).
  • Stroke workflow
  • CARES ePCR
  • Data migration
  • Middle initial functionality in the LMS migrating to Elite (request from prior custom enhancement) – review prior Scope of Work.

For Further Review:

  • Follow up on reconciling repeat patients, if we are able to manually merge them

  • Still working on supplies piece for Pechanga Fire

  • Follow up migration of data bank system from each provider with new personalized web addresses



8/30/18 ePCR Workgroup Meeting at REMSA

Action Items: 

  • REMSA will move the definitions for Patient Disposition to the Patient Disposition tab away from the main Incident tab - requested to make scrolling easier as crews can still see the definitions on the other panel if needed (completed)
  • Stroke documentation: (completed)
    • mLAPSS panel will be renamed, 
    • a Vitals grid will be added to the mLAPSS panel that auto-calculates the LAMS score, 
    • Stroke Scale Type will be defaulted to mLAPSS but will still be editable
    • "Non conclusive" will be renamed to "Inconclusive" for stroke positive
    • 'Not values' will be removed for stroke scale outcome
  • TXA worksheet will no longer be required (validation was already removed recently that had required the wristband number for TXA patients) (completed)
  • Murrieta Fire will submit examples of incidents where waveform capnography did not show up on the PCR so that REMSA can then follow up with ImageTrend.

For Further Review:

  • REMSA staff will review options for requiring a second pain scale score as appropriate
  • REMSA staff will review CARES definitions with NEMSIS definitions for clarification/direction on ePCR fields pertaining to ROSC 
  • Power Tools, including standardization and dosage limitations to support better CQI

Other Discussions:

  • Power Tools - Agency Admins are testing functions to contribute to the functions in the systemwide dynamic situation tools. There is a request for more standardization, which requires further review and discussions.
  • Signatures - field users can use the Other section for patients who were unable to sign for several reasons, which can be selected from the dropdown menus.