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NC - North Carolina
This version of the State EMS Forms was posted on this
site on 02/15/2005 and updated on 08/23/2010. Last revised by the state on 06/06/2006.
North Carolina began
Submitting to NEMSIS in January, 2006. The
state has 100% of their agencies submitting 100% of their
data. The State is currently submitting 78% of the National
Data Set.
"The Prehospital
Medical Information System (PreMIS) is an
internet based EMS information system. The
PreMIS system provides a data entry and
reporting capability for the evaluation of
EMS patient care and system performance. The
system is in use by over 800 EMS agencies,
40,000 technicians, and maintains over
1,000,000 records per year. PreMIS functions
beyond a medical record and quality
management tool, in that hospital outcome
data, billing data, and linkages to multiple
databases outside EMS are encouraged. " Compliance has been
mandatory since January 1st. 2005.
The January 2010 edition
of Prehospital Emergency Care highlights the
North Carolina EMS Data System. The article
highlights the successful development of a
fully integrated, statewide EMS data system
for quality improvement of EMS service
delivery and patient care in North Carolina.
The article also provides a platform for
linking EMS with emergency physicians, other
health care providers, and public health
agencies responsible for planning, disease
surveillance, and disaster preparedness. The
North Carolina EMS Data System applications
include the Prehospital Medical Information
System (PreMIS), the Credentialing
Information System (CIS), the State Medical
Asset Resource Tracking Tool (SMARTT), and
the EMS Performance Improvement Toolkits.
Click on the thumbnails below to view a
full sized image.
  
PreMis Run Forms version 1 PreMIS Preliminary Report version 2
PreMIS Preliminary Report -Short
Patient Handoff Form
Select the following to view a
printable Acrobat (.PDF) version.
North Carolina PreMIS Data Elements
Standards for EMS
Data Collection rev.2002(.PDF,67.0 k)
PreMIS Paper Form Training Manual rev. 4/2001(.PDF,2.03 MB)
North Carolina
PreMIS Paper Run Sheet (.PDF,151k)
North
Carolina PreMIS Paper Run Sheet Supplemental Form (.PDF,19.7 k)
North
Carolina PreMIS Data Points rev. 4/2000(.PDF,53.16k)
PreMIS Preliminary Report
-Short Patient Handoff Form (.PDF, 65.58k)
Note: The State
of North Carolina is no longer printing paper forms and PreMIS will not be
supporting the paper form beyond December 31, 2004.
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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Last edited:08/23/2010
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