Documents & Forms Updated 2/2007
Tab Updated 10/2011
This version of the State EMS Forms was posted on this site on 02/15/2005 and updated on 09/07/2010. 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.
Select the following to view a printable Acrobat (.PDF) version
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