• What - A new Return Transport feature streamlines the creation of return journey ePCRs by automatically populating relevant information from initial transports while maintaining compliance requirements for fresh clinical documentation. The system allows crews to flag initial transports for return trips, automatically generates return ePCRs with swapped location information, and pre-populates patient data while ensuring separate clinical assessments, with enhanced destination field visibility and dynamic patient tracking capabilities.
• Why - This enhancement was implemented due to customer request to address the inefficiency of completing two separate ePCRs for related return transports, reducing documentation burden for EMS crews while maintaining medical protocol compliance requirements for fresh clinical assessment and documentation on return journeys.
• How - Access and utilize return transport functionality through enhanced ePCR workflows:
  • Administrator enables "Enable Return Transport Feature" in EMS Setup → General
  • During initial transport, check "Will require return transport" toggle to flag patients needing return trips
  • Access "Add Return Transport" button to view modal displaying flagged patients without completed return trips
  • Select patient from available return transport candidates to create new ePCR with automatically populated information
  • Scene and destination locations are automatically swapped from original transport
  • Patient management information including name, DOB, medications, and allergies pre-populate from original transport
  • Destination address fields remain always visible and editable for flexible address management
  • Complete fresh clinical documentation including vitals, assessments, narratives, and signatures as required
  • Note: Clinical data is NOT transferred to ensure compliance with fresh assessment requirements
  • Note: If return transport ePCR is deleted, patient reappears in available return transport list
• Use Case - An EMS crew transports a dialysis patient from their residence at 123 Oak Street to the dialysis center at Regional Medical Plaza, flagging the transport for return trip. After the patient's dialysis treatment, the crew uses "Add Return Transport" to create a return ePCR that automatically sets Regional Medical Plaza as the scene location and 123 Oak Street as the destination, with the patient's name, date of birth, and medication list already populated. The crew then documents fresh vital signs, conducts a new patient assessment, and writes a narrative specific to the return journey, ensuring complete compliance while eliminating redundant data entry for patient demographics and transport logistics.
  

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Enhancements

1. RIT - Support Custom Questions in RIT Setup/Documentation

• What - RIT (Rapid Intervention Tool) functionality has been expanded to support custom questions tied to specific groups including Vitals, Procedures, Medications, Airways, and LAB, enabling comprehensive data collection capabilities during RIT setup and documentation. The enhancement provides group-specific associations with recurrence functionality while maintaining data persistence across RIT creation, editing, import, and report completion workflows.
• Why - This enhancement was implemented due to customer request to extend RIT capabilities with organization-specific data collection requirements, allowing EMS agencies to capture additional critical information during rapid intervention scenarios while maintaining the efficiency and speed of the RIT workflow.
• How - Configure and utilize custom questions within RIT workflows:
  • Set up custom questions tied to specific groups: Vitals, Procedures, Medications, Airways, or LAB
  • Access RIT configuration where custom questions associated with supported groups appear as available fields
  • Select and configure relevant custom questions within RIT setup to include in rapid intake workflow
  • During RIT documentation, complete custom questions that were included in the setup configuration
  • Utilize both PN (Positive/Negative) and NV (Narrative/Value) field types for custom questions
  • Use recurrence functionality for custom questions requiring repeated entries within the same session
  • Note: Only active custom questions appear in RIT setup, with deactivated questions hidden from new configurations
  • Note: Custom question data persists throughout RIT creation, editing, and report completion workflows
• Use Case - An EMS agency responding to cardiac arrest calls can configure custom questions in the LAB group such as "Point-of-care glucose level" and "Lactate measurement" that appear during RIT documentation, allowing paramedics to quickly capture critical lab values alongside standard intervention data. These custom fields integrate seamlessly with the existing RIT workflow, enabling comprehensive patient data collection during high-stress emergency situations while maintaining the rapid documentation capabilities essential for effective patient care.
  

• What - Automatic calculation of the Revised Trauma Score (RTS) has been implemented based on patient vital signs including Glasgow Coma Scale (GCS), Systolic Blood Pressure (SBP), and Respiratory Rate (RR), providing healthcare providers with immediate trauma severity assessment using the standardized RTS weighted formula. The system offers real-time calculation with dynamic score updates and clinical range conversion for accurate trauma scoring.
• Why - This enhancement was implemented due to customer request to improve the speed and accuracy of trauma assessment by providing immediate RTS scoring, enabling faster clinical decision-making and appropriate care prioritization through automated calculation of this critical trauma assessment tool.
• How - RTS calculation is automatically performed using standardized clinical parameters:
  • Enter patient Glasgow Coma Scale (GCS), Systolic Blood Pressure (SBP), and Respiratory Rate (RR) values
  • System automatically converts vital signs to coded scores: GCS (13-15→4pts, 9-12→3pts, 6-8→2pts, 4-5→1pts, 3→0pts), SBP (≥89→4pts, 76-88→3pts, 50-75→2pts, 1-49→1pts, 0→0pts), RR (10-29→4pts, ≥30→3pts, 6-9→2pts, 1-5→1pts, 0→0pts)
  • Weighted formula applied: RTS = (0.9368 × GCSPoints) + (0.7326 × SBPPoints) + (0.2908 × RRPoints)
  • RTS score appears immediately in patient record following data entry completion
  • Dynamic updates occur automatically when any component vital signs are modified
  • Note: System provides immediate score updates for real-time clinical assessment
  • Note: Compatible with existing workflow functionality for visual indicators and clinical alerts
• Use Case - A paramedic treating a motor vehicle accident victim enters GCS of 8, SBP of 70, and RR of 32, and the system immediately calculates and displays an RTS score of 4.89, indicating severe trauma requiring immediate transport to a trauma center. When the patient's blood pressure improves to 95 mmHg after fluid resuscitation, the RTS automatically recalculates to 6.83, providing real-time assessment of the patient's improving condition and helping guide continued treatment decisions during transport.
  

5. Form - Add Station List to Vehicle Dispatch Location Dropdown Options

• What - The eResponse.16 Vehicle Dispatch Location field has been expanded to include the Stations list alongside existing Vendor Directory and free text options, providing three distinct data sources for populating dispatch locations. The enhancement implements priority logic favoring Stations over Vendors when duplicate names exist and includes GPS coordinate integration for accurate location documentation.
• Why - This enhancement was implemented due to customer request to eliminate unnecessary duplication where Stations were only available if built as Vendors, while providing comprehensive dispatch location options and ensuring accurate GPS coordinates are captured for dispatch documentation.
• How - Access enhanced dispatch location options through expanded field functionality:
  • Navigate to eResponse.16 Vehicle Dispatch Location field in ePCR form
  • Dropdown displays options from three sources: Stations list, EMS-type Vendors, and free text entry
  • Priority logic ensures Stations take precedence when names match Vendors (case-insensitive)
  • Select Station from dropdown to automatically populate dispatch location and GPS coordinates
  • EMS vendor filtering displays only EMS-type vendors to maintain operational relevance
  • Use free text input when predefined options don't match actual dispatch location
  • Note: GPS coordinates automatically populate in Vehicle Dispatch GPS Location field when Stations are selected
  • Note: Selected information persists through page reloads, report completion, and export processes
  • Note: Station selections appear correctly in XML exports and printed reports
• Use Case - When documenting an EMS response dispatched from Fire Station 7, crews can now select "Station 7" directly from the dropdown, which automatically populates both the dispatch location name and the precise GPS coordinates for the station. If both a Station 7 and a Vendor entry named "Station 7" exist in the system, the actual fire station entry takes priority, ensuring accurate location data while eliminating the confusion that previously required maintaining duplicate station entries in the Vendor Directory.
  

6. EMS Short Form - Add NERIS Impediment Narrative to EMS Short Form

• What - The EMS Short Form (Fire Short Form) has been enhanced to include the NERIS Impediment Narrative section alongside the existing standard department narrative, ensuring complete report summaries are visible in short form views. The addition maintains consistent formatting and integrates seamlessly with current short form layout while appearing correctly in all print and export versions.
• Why - This enhancement was implemented due to customer request to address the missing NERIS Impediment Narrative section from the EMS Short Form, ensuring consistency between full form and short form narrative sections for comprehensive report review capabilities.
• How - NERIS Impediment Narrative is automatically displayed in enhanced EMS Short Form:
  • Access EMS Short Form (Fire Short Form) interface for report summary viewing
  • Enhanced narrative section displays both standard department narrative and NERIS Impediment Narrative together
  • Review complete narrative content including NERIS impediment details directly within short form
  • Consistent formatting maintains display standards matching other narrative sections
  • Seamless integration works with existing short form workflows without additional configuration
  • Note: Enhancement appears correctly in all print and export versions of EMS Short Form
  • Note: Users can access all narrative components for comprehensive incident documentation review
  • Note: Addition maintains existing short form layout and functionality
• Use Case - Fire department officers reviewing incident reports can now see both the standard incident narrative and any NERIS impediment information (such as "Delayed response due to heavy traffic on Main Street" or "Access restricted by police scene control") directly in the short form summary. This comprehensive view eliminates the need to switch between short and full form views to understand complete incident circumstances, improving review efficiency while ensuring all critical narrative information is readily accessible for supervisory review and documentation purposes.
  

7. EMS Setup - Add Hover Help on ePatient.25 Setting

• What - Contextual hover help has been added to the ePatient.25 setting in EMS Setup > General, providing administrators with critical guidance about proper timing for feature activation and state coordination requirements. The enhancement displays compatibility warnings to prevent premature activation that could cause file compatibility issues with state reporting systems.
• Why - This enhancement was implemented due to customer request to prevent configuration errors that could disrupt state reporting workflows by providing just-in-time guidance about the importance of coordinating ePatient.25 activation timing with state system compatibility requirements.
• How - Hover help provides contextual guidance for proper ePatient.25 configuration:
  • Navigate to EMS Setup → General to access ePatient.25 setting
  • Hover over setting to display informative tooltip with activation guidance
  • Review state coordination information indicating states will notify when feature should be enabled
  • Compatibility warning alerts about potential file compatibility issues with premature activation
  • Just-in-time information provides relevant guidance exactly during configuration process
  • Note: Hover help maintains clean interface while offering critical configuration guidance
  • Note: Warning helps prevent premature activation that could affect NEMSIS data exchange
  • Note: Feature provides error prevention without cluttering the administrative interface
• Use Case - An EMS administrator reviewing system settings sees the ePatient.25 option and hovers over it to learn that premature activation could cause file compatibility issues with their state's NEMSIS data exchange system. The hover help explains that the state will coordinate activation timing to ensure system-wide compatibility, preventing the administrator from enabling the feature too early and potentially disrupting the department's ability to submit compliant reports to state agencies until proper coordination occurs.
  

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Fixes

1. AI - AI Transcription Fixes for Social Security Number and Medication Dosage Display

• What - AI transcription functionality has been enhanced to address data processing issues affecting Social Security Number display and medication dosage accuracy, ensuring complete SSN display by removing hyphen formatting restrictions and accurate medication dosage capture including decimal values in the eHistory section. These fixes improve data integrity and clinical accuracy in AI-generated reports.
• Why - This enhancement was implemented due to customer request to resolve data truncation issues where Social Security Numbers were displaying only partial digits and medication dosages were showing incomplete decimal values, potentially affecting clinical decision-making and data accuracy in AI-generated reports.
• How - Enhanced AI transcription processing addresses data accuracy issues:
  • SSN processing now ignores hyphen formatting and processes all numeric characters for complete display
  • Full 9-digit Social Security Numbers appear in both AI data generation and final reports
  • Medication dosage parsing accurately captures decimal values from transcription content
  • Decimal values (e.g., 2.5) are fully preserved and displayed in eHistory section without truncation
  • Data validation ensures transcription content matches original for both SSN and medication information
  • Database integrity maintained without affecting existing database records
  • Note: Fixes address hyphen-separated SSN format that previously caused truncation
  • Note: Medication dosage improvements specifically target decimal value processing in transcription workflows
• Use Case - When AI processes a patient transcription containing "Social Security Number 123-45-6789" and medication history including "Metoprolol 2.5 mg twice daily," the enhanced system now correctly displays the complete SSN "123456789" and the full medication dosage "2.5 mg" in both the AI data generation and final reports. Previously, these would have appeared as "123" and "2 mg" respectively, potentially leading to medication errors or patient identification issues during clinical care and documentation review.