This version of the State EMS Forms was posted on this site on 03/09/2010, and revised by the state on 9/29/2005.

Florida began submitting to NEMSIS in 2007. Currently 67% of Florida's EMS agencies are submitting to their state database. Florida is submitting 100% of the NEMSIS National Dataset.

The DOH completed a data dictionary based on NEMSIS requirements in January, 2007, and constructed a database for pre-hospital information compliant with the NEMSIS standard. A group of EMS providers has begun a pilot program to submit pre-hospital data to the EMS Bureau database. It is expected that 50% of all EMS providers will be using the system by July 2008. DOH has set a target of June 30, 2010 for getting all Florida EMS providers to submit their EMS run information electronically.

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

Aggregate Pre-Hospital Report form (rev. 9/1999)

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

EMS Aggregate Data Collection Form  5/2002 (.PDF, 102.17k) This data is collected and submitted quarterly and in aggregate form

EMS Aggregate Data Collection Form Instruction Manual 5/2002 (.PDF,9966.28k)

Florida Self Comparison to NHTSA 2.2.1 Dataset 9/2006 (pfd, 29.13k)

Aggregate Data Transition Process  1/2007 (.PDF,81.64k)

Florida EMS Data Dictionary v1.0. 01/2007 (.PDF,828.33k)

Florida Data Dictionary Updates 06/2007 (.PDF,64.38k)

Florida EMS Data Dictionary v1.3 9/2007 (.PDF,47.6k)

Changes for the Data Dictionary 1.3 release 10/2007 (.PDF,40.71k)

Florida EMS Data Dictionary 1.4 release 9/2008 (.PDF,1152.25k)

Florida EMS Data Dictionary 1.4.1 release 9/2009 (.PDF. 1703.78k)

Pilot Program Plan 9/2006 (.PDF,48.02k)

Link to Pilot testing Schedule 10/2007

Link to Updated Project Schedule

The Florida EMSTARS Reference Guide rev. 10/2007

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