This version of the State EMS Forms was posted on this site on 10/27/2008, and revised by the state on 1/12/2005.

In May 2008 the Data Subcommittee of the EMS Advisory Council finished compiling a data dictionary for use with the EMScan data collection program.

August 13, 2008

The Section of EMS and Trauma Systems in cooperation with the Office of Rural Health at the Arkansas Department of Health is pleased to announce a new Web Based version of the EMScan data collection system. This system is a hybrid that gives users the best of web-based and desktop-based systems. Users will still be able to enter data on their computer and their service’s data will remain on their computer for reference and reporting at all times. The advantage of this version will be that the data can be sent automatically and securely by utilizing a web connection. This version of the system will automatically upload data to the state without someone having to export the data to a file for later transfer by e-mail.

An updated version of the Field Coding Manual is being made available to all services at:

http://www.healthyarkansas.com/ems/pdf/field_coding_book.pdf (.PDF,54.41k)

This manual includes coding that is used in the EMScan Data Collection program. The hospital tables in this coding manual have been updated to reflect changes in ownership, hospital closings, and hospital name changes that have taken place over the last few years. The hospital tables have been sent to EMS Data Systems for inclusion as drop down menus in the new Web-Enabled version of the software. The Section of EMS and Trauma Systems had to delay installation of this product during Hurricane Gustav response, but the installation process should begin again shortly. The Section hopes to have the software completely installed for all participating services by December 31, 2008.

Click on the thumbnails below to view a full sized image.

Arkansas EMS Run Report (rev.1998)

Select the following to view a printable Acrobat (.PDF) version. 

Downloadable Arkansas EMS Forms 1998  (.PDF, 4633.45k)

State of Arkansas EMS Data Dictionary 5/1999(.PDF,17318.89k)

State of Arkansas EMS Data Dictionary 1/2006 (.PDF, 3401.19k)

State of Arkansas EMS Data Dictionary 5/2008 (.PDF,345.50k)

State of Arkansas Trauma System Rules and Regulations  5/2002 (.PDF,154.93k)

Click on the following links to view the corresponding files:

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