Documenting an ePCR Utilizing A.I.

Documenting an ePCR Utilizing A.I.

Purpose Statement

  1. The purpose of this article is to demonstrate how to use A.I.-powered documentation tools when completing an EMS Patient Care Report (ePCR) in First Due. This feature enhances field documentation by allowing users to transcribe spoken reports into structured data fields, improving speed, accuracy, and completeness of clinical narratives and treatment logs.

Background Information

  1. The A.I. functionality in First Due allows EMS personnel to speak their documentation directly into the ePCR. The system transcribes spoken input, uses natural language processing to extract key information, and then applies that data into structured ePCR fields (e.g., vitals, procedures, treatments, and narrative).
  2. This feature:
    1. Supports field users with limited time for manual data entry
    2. Improves completeness and legibility of clinical documentation
    3. Assists in generating accurate narratives based on real-time voice capture
AlertAlert: To begin using A.I.-powered documentation, please contact your system administrator. This feature may require enablement or permissions configuration.

Required Permissions

To access and use A.I. features within the ePCR module, users must have:
  1. Access to EMS Incident Documentation - My EMS Care Reports
  2. A.I. Documentation Enabled - ePCR AI generation permission
These are typically granted to EMS field personnel, supervisors, or designated QA reviewers.

Video


Step-by-Step Guide

Step 1. Access the A.I. Feature Within the ePCR
  1. From within an active ePCR, locate and click the A.I. icon (visible on all ePCR screens).


From within an ePCR select on the AI icon to begin.



Step 2. Begin a New Transcription
  1. A Data Transcription modal will appear.
  2. Click Record and begin speaking your documentation.


A Data Transcription modal will populate, to begin select the Record button and begin speaking.



Step 3. Stop and Review the Transcription
  1. When finished, click Stop.
  2. Your spoken notes will be transcribed and displayed for review.


Once completed select Stop and review your Transcription.



Step 4. Edit the Transcription (Optional)
  1. Click directly into the transcription box to make changes or add content.
  2. Use the Eraser icon to clear the entire transcription if needed.
  3. Click Record again to add more spoken input.


You are able to edit your Transcription by selecting in the transcription box and edit or add any information. You can also erase the entire transcription using the eraser icon.



Step 5. Generate Structured Data
  1. When satisfied with the transcription, click Generate.
  2. This initiates the A.I. data extraction process.


Once satisfied with the Transcription select the Generate button.



Step 6. Review and Edit Generated Data
  1. Click Edit to review or adjust suggested data fields.


Once generated you are able to select Edit to modify the Transcription.



  1. The system will show extracted information grouped into the following categories:


The Data Extraction will show all information that was extracted from your transcription.



  1. Patient Information


Patient Information



  1. Assessments (e.g., injuries, impressions, complaints)


Assessments, such as injuries, impressions and patient complaints



  1. Treatments and Procedures


Treatments and procedures



  1. Disposition and Narrative


Finally the dispositions and narrative will be generated from the Transcription.



Step 7. Accept or Reject Suggested Data
  1. While in Edit mode, you can accept or reject individual field suggestions.


Once you have reviewed the Data Extraction you are able to make changes by selecting the Edit button.



  1. Modify, add, or remove content as needed.


If Edit was selected you are able to modify or add to any fields.



Step 8. Save and Apply the Data
  1. After reviewing edits, click Save.


When completed with any edits select Save.



  1. Then click Apply to insert the transcribed and structured data into your ePCR.


Now select Apply to bring your Data Transcription into your ePCR and those fields will be documented.



Step 9. Complete the Feedback Survey
  1. ​After applying A.I.-generated data, a short survey will appear.
  2. ​Answer the prompts and click Submit to complete the process.
​
​
After selecting Apply there will be an AI service survey to complete, once answered select Submit.

Best Practices

  1. Use clear and concise language when speaking your report for better transcription results.
  2. Always review extracted data before applying to avoid errors.
  3. Speak in complete sentences with logical structure (e.g., patient presented with..., treatment provided was...).
  4. If corrections are needed, use the Edit feature before applying data to the ePCR.

Troubleshooting & FAQs

Q: Why don’t I see the A.I. icon in my ePCR?
A: Contact your system administrator to verify that A.I. documentation is enabled for your agency and user role.
​
Q: Can I still manually complete the ePCR without using A.I.?
A: Yes. A.I. tools are optional and are designed to enhance but not replace manual documentation.
​
Q: What happens if the A.I. misinterprets something I said?
A: Use the Edit mode to correct or reject any inaccurate field extractions before applying data.
​
Q: Will this replace my narrative?
A: No. The system generates a suggested narrative, which you can edit or replace as needed. Final approval is always up to the user.

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