This version of the State EMS Forms was posted on this site on 08/10/2007, and revised by the state on 04/06/2010. Last Updated 7/30/2010.

The state of Indiana is currently working with NEMSIS to submit their state data.

Per the 2006 Indiana Highway Safety Strategic Plan, The State of Indiana states they will:

Implement National EMS Information System (NEMSIS) EMS data set. The NEMSIS Project is an effort to create a standardized National EMS Database set. The effort will define EMS and pre-hospital care in order to improve patient care and EMS curriculum and defining a standard on which to measure care. Agencies everywhere will be able to share key elements of their data nationally.

Success Indicator: NEMSIS compliant reporting statewide by 2008.

 

2006 Indiana Highway Safety Strategic Plan (.PDF, 213.06k)

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

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

Indiana EMS/Data Definitions 2/2004(.PDF,70.54k)

Proposed EMS Data Definitions 12/2005 (.PDF, 79.37k)

Indiana EMS Data Definitions 1/2009 (.PDF, 4466.19k)

Click on the following links to view the corresponding files:

NOTE:  You will need Acrobat Reader to view much of the catalogue content.  If you need the current version of Acrobat Reader, you may download it for free from: 
http://www.adobe.com/products/acrobat/readstep2.html 

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