1. Navigate to the EMS Setup located in the Incident Documentation module.
2. Select on the Custom Elements section.
3. Select the Add button within the Custom Questions subsection.
4. When adding Custom Elements required fields will be identified by the (*) symbol.
5. Enter a Custom Element ID.
- This is the unique identifier to accompany the new question.
- This ID may come from a NEMSIS State Data Set (e.g. "emsa.E1") or be defined by an agency.
6. Within the Title, the text entered here is what becomes visible to a provider filling out an ePCR.
7. From the Data Type dropdown select Boolean.

Note: When selecting Boolean the Recurrence defaults to No and is not selectable.
8. You can choose to include this custom element within the XML Export by using the dropdown and selecting Yes or No .
9. You are able to set Not values using the dropdown and selecting on all that will apply for this custom question.
10. Set any Pertinent Negatives from the dropdown that should apply to the question being asked.
11. Insert the definition of this question.
- This is used for internal tracking.
12. From the Path section you are able to add this question to a Custom Subsection or select a Data Set and After Field.
13. When the Add to Custom Subsection is selected now you can place this question in any of your agencies Custom Subsections using the dropdown.
- See article ePCR Sections on how to create custom subsections.
14. If choosing to add the custom question to a Data Set use the dropdown to select which Data set.
Data Sets:
- DEMDataSet - will compare against a state specific Demographics set.
- EMSDatatSet - will compare against the national NEMSIS standard.
15. Once the Data Set is selected you will need to set the After Field by using the dropdown.
- This is where the custom question will appear within the ePCR.
16. You are able to set an overall default value or choose default values for Pertinent Negatives and Not Values.
If Default Value is set to Yes, you will not be able to set Pertinent Negatives or Not Values.
- To set Default Pertinent Negatives or Not Values then choices need to be selected from steps 9 and 10.
17. To save and create your new custom questions select Add.