Electronic Maryland EMS Data System (eMEDS®)

The electronic Maryland EMS Data System (eMEDS®) uses commercial software provided and hosted by ImageTrend®, an industry leader for emergency patient care reporting. MIEMSS owns a statewide site license for the eMEDS® system, permitting the State’s EMS services to use it at no cost and no additional burden on local funding. All of Maryland’s jurisdictional EMS operational programs (JEMSOPs) and many licensed commercial ambulance services submit patient care reports directly into eMEDS®. Maryland has one of the few statewide comprehensive prehospital patient care reporting systems in the nation. eMEDS® provides timely information to hospital emergency department physicians and nurses through an application called Hospital Hub. All Maryland healthcare facilities have access to the eMEDS® Hospital Hub to obtain prehospital patient care reports.


Your login to eMEDS is the SAME username/password as your eLicensure login (https://www.miemsslicense.com/). If you are having problems logging in, please first take a minute and log into the eLicensure System first. If you are not able to login, please use the forgot password option available on the login page. You will be sent an e-mail with a reset password option.

If you are receiving a message regarding your "Login Access" you will need to obtain assistance from your Company/County Administrator or contact eMEDS Support. See the below guidance for your Company/County Administrator on how they are able to unlock your account.

Administrator Guide for Unlocking Accounts

Prior to Licensure & Certification’s online system (eLicensure), MIEMSS used a system called the Maryland Prehospital Provider Registry (MPPR). This was the system or record that stored all certification records for past, and current providers. Users were added to this system after they obtained a certification and assigned a provider ID number. By default, provider’s username was their provider ID number. In MIEMSS’ new eLicensure system, the first step to certification is to create a profile. After profile creation, users would login and complete any appropriate application. By default, eLicensure creates a username using the user’s name as they do not yet have a provider ID number. Older profiles transferred from MPPR to eLicensure retained their original username as it was assigned.

There are a number of considerations involved in how long to maintain these records. Such records may have impact on billing, quality assurance, and legal defense among other things. You should consult your legal counsel to determine how your company can best address these issues.

As a guide to the medical-legal issues which should be considered, the requirements of Health General Article Section 4-403 should be reviewed. That section does not technically apply to EMS providers because they are not included in the definition of health care providers as used in that section. Nonetheless, it is probably a good guide for EMS to follow assuming the other concerns mentioned above are satisfied.

Section 4-403 provides in part:

(b) Except for a minor patient, unless a patient is notified, a health care provider may not destroy a medical record or laboratory or X-ray report about a patient for 5 years after the record or report is made.

(c) In the case of a minor patient, a medical record or laboratory or X-ray report about a minor patient may not be destroyed until the patient attains the age of majority plus 3 years or for 5 years after the record or report is made, whichever is later, unless:

(1) The parent or guardian of the minor patient is notified; or

(2) If the medical care documented in the record was provided under § 20-102(c) or § 20-103(c) of this article, the minor patient is notified.

As a general rule, MIEMSS is legally prohibited from supplying copies of EMS reports. Requests must be made to the particular EMS Operational Program (EMSOP) that completed the report.

eMAIS Reports
If you are an EMSOP’s Highest Jurisdictional Official (HJO) or the EMSOP’s Quality Assurance (QA) Officer, and in need of an eMAIS report, submit your request to MIEMSS, in writing, using the “Data Request Form” link, located on the MIEMSS homepage, under the Online Services header: https://www.miemss.org/dataRequest

HJOs and/or QA Officers are to fill out the form with all the necessary information and provide details regarding the particular report, and the purpose of the request. At the end of a submission, users will be provided an opportunity to print the request.

All requests are automatically sent to the MIEMSS’ Office of the Assistant Attorney General for review and release, if approved. Requests may take up to thirty (30) days to respond.

eMEDS®/State Bridge Reports
Access to eMEDS® reports entered under the State Bridge application can be retrieved from the Vault. User access is granted to the Vault by the EMSOP’s HJO.

Vault Instructions
Vault URL: https://maryland.imagetrendvault.com/
ImageTrend 2-Factor Authentication: Vault-Two-Factor-Authentication (PDF)

eMEDS/Elite Reports
Access to eMEDS® reports entered under the Elite application can be retrieved from the current system used today. User access is based off permission group settings determined by the EMSOP’s HJO. For questions, please contact the EMSOP’s HJO.

The transition to eMEDS v3.5 occurred at midnight on Friday December 1, 2023. Below are the posted transition documents that were referenced during this transition. A course, in the Online Training Center, is also available called, “Transition to eMEDS v3.5”. Users are encouraged to take this course to prepare for the changes made.

eMEDS Release Notes

  • Modify Question Regarding PUI Criteria
    • The selections for the question of, “Which criteria did this patient meet?” has been modified to the following:
      • Travel History [remove]
      • Fever
      • Muscle Aches [add]
      • New loss of Sense of Smell or Taste [add]
      • Respiratory Symptoms
      • Contact with COVID Positive Patient
  • Remove Default Answer
      • To assist with the creation of validation rules, and proper data collection, the default answer of “No” has been removed from the question, “Viral Syndrome Pandemic Triage Protocol Used?"
    • New Value for “Signature Status”
      • The selection of, “Not Signed - Patient Contamination Concern” has been added to the available choices for “Signature Status” within the eMEDS report when capturing a signature.
    PDF Release Note

    • Signature Reason & Language
      • The option for “Release at Scene” has been made active for the Signature Reason in order to capture a signature from the patient (or patient representative) who qualifies for home self-care under the emergency protocol entitled, “Viral Syndrome Pandemic Triage Protocol.”
      • Signature Language has been added when the following conditions are applied
      • Type of Person Signing equals:
        • Patient; or
        • Patient Representative
      • Signature Reason equals:
        • Release at Scene
      • Signature Language:
        • I (or my guardian) have been informed regarding the state of my present physical condition to the extent I allowed an examination, and I (or my guardian) hereby acknowledge that I am a candidate to stay at home and self-care and am willingly staying home as recommended by representatives of the EMS System above. I (or my guardian) do hereby for myself, my heirs, executors, and administrators and assigns forever release and fully discharge said EMS system, its officers, employees, medical consultants, hospitals, borrowed servants or agents from my and all conceivable liability that might arise from this recommendation and I (and my guardian) therefore agree to hold them completely harmless. I understand should my condition worsen that I can call 911.
    • New Question: Test Positive for COVID-19
      • The following question has been added to the COVID-19 panel in eMEDS
        • Question: Patient tested positive (by lab test) for COVID-19 within the past 14 days?
          • Yes: Tested and Confirmed Positive for COVID-19
          • No: Tested and Confirmed Negative for COVID-19
          • Unknown: Test and Awaiting Results
          • Not Tested: Patient has not been tested.
    PDF Release Note
    • New Panel: On Scene Screening?
      • The emergency protocol entitled “Viral Syndrome Pandemic Triage Protocol” check list, has been implemented in eMEDS.
      • This panel will only be visible to those jurisdictions that have made the proper notification to the Office of the Medical Director that they will be implementing this protocol.
      • By default, the question of, “Viral Syndrome Pandemic Triage Protocol Used?” is answered as “No”. After selecting “Yes” the check list questions will appear.
      • As soon as a “shaded box” is selected, the clinician will not be asked any additional checklist questions and the only available answer for the final question of “Did the patient quality to remain at home” will be “No”.
      • Patient phone number added for ease of entry if patient does remain at home for future follow up.

    PDF Release Note

    • New Question: Is this patient a PUI for Coronavirus?
      • Under the new section called ”COVID-19,” clinicians will find a new question asking if the patient is a Person Under Investigation (PUI) for Coronavirus. If the clinician answers “Yes”, then a validated field asking the clinician to select the criteria that the patient meets to make them a PUI for Coronavirus
    • New Question: COVID-19 Follow-up Call?
      • When “Type of Call” is selected as, “Mobile Integrated Community Health (MICH)” a new question asking if this is a COVID-19 Follow-up will appear with a yes/no response.
    PDF Release Note
    • Facility Name Update
      • "Western Maryland Regional Medical Center - 395" updated to "Western Maryland (UPMC) - 395"(RQID-00211)
    • Run Form Layout Update
      • Add Date/Time Unit Arrive on Scene [eTimes.06] in read only format and Date/Time At Patient Side [eTimes.07] at the bottom of the disposition page (RQID-00211)
      • Move Cardiac Arrest Section under Provider Actions, above TOR/POD Section (RQID-00212)
      • Move questions from Patient Condition to Transport Mode Page and relabel page to "Transport Disposition" (RQID-00218)
      • Signature Grid: Add "Transfer to Healthcare Clinician" to quick selection list. (RQID-00208)
      • Add Last Known Well Time [eSituation.18] above Date/Time of Symptom Onset [eSituation.01] (RQID-00201)
      • Modification of Vitals Grid on Run Form (RQID-00202)
    • Validation Updates
      • Validate Assessment/Exam Grid when Date/Time At Patient Side [eTimes.07] is not blank. (RQID-00221)
      • Validate Chief Complaint Grid when Date/Time At Patient Side [eTimes.07] is not blank. (RQID-00220)
      • CARES Validation (RQID-00209)
        • Resuscitation Attempted by EMS [eArrest.03] will flag when:
          • Resuscitation attempted by 911 responder [itArrest.014] is equal to “Yes” AND
          • Resuscitation Attempted by EMS [eArrest.03] is blank AND
          • AED Use prior to EMS Arrival is equal to “No”
    • Visibility Rules Update
      • End of Event Visibility Rules (RQID-00215)
    • Update label of the drop down choices in “Airway Grade”, under Airway Confirmation. This section can be located in the “Airway ALS” tab of the run form. (RQID-00078)
      • “Grade 1” label changes to “Grade 1: All of cords/all of structure”
      • “Grade 2” label changes to “Grade 2: Some of Cords/Some of structure”
      • “Grade 3” label changes to “Grade 3: No cord/Some of structure”
      • “Grade 4” label changes to “Grade 4: No cords/No structure”
    • Validation Rule Change: Date/Time of Cardiac Arrest will only become validated if “Arrest Witnessed By (CARES-19)” is NOT equal to “Not Witnessed”. (RQID-00052 & RQID-00073)

    Resource Documents

    Various downloads and/or documents of information useful for eMEDS.

    Need Additional Help/Assistance?

    State of Maryland/MIEMSS Support
    • Email: emeds-support@miemss.org (preferred method)
    • Office: (410) 706-3669 (if no answer, please leave message)
    • Note: Please be sure to include your full name and your MIEMSS issued ID number printed on your clinician card.

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