1. A. Each jurisdictional EMS operational program shall, within 24 hours of a call's dispatch, ensure the completion and submission of an eMEDS® patient care report for each unit:

   1. (1) That responds to a call within the State;
   2. (2) That responds to a call from within the State;
   3. (3) That provides EMS care;
   4. (4) That provides EMS transport; or
   5. (5) That applies the Maryland Medical Protocols for Emergency Medical Services Providers.
2. B. The highest medically licensed or certified EMS provider on each unit shall ensure the accurate and timely completion of the eMEDS® patient care report.
3. C. The eMEDS® patient care report shall be complete without reference to any other documentation except another eMEDS® patient care report.

4. D. EMS Documentation Delivered to the Receiving Facility.

   1. (1) If a patient is transported to a health care facility, an eMEDS® patient care report shall, if possible, be completed and submitted before the EMS unit leaves the facility.

   2. (2) If an eMEDS® patient care report is not completed and submitted prior to leaving the health care facility, the transporting unit shall:

      1. (a) Provide documentation of the patient's prehospital care on the MIEMSS Preliminary EMS Report Short Form for inclusion in the patient care record before leaving the facility; and
      2. (b) Complete and submit an eMEDS® patient care report no later than 24 hours after the call’s dispatch.
   3. (3) Changes to a completed and submitted eMEDS® patient care report shall be managed as an amendment to the original record or dataset and will not overwrite the original file.
5. E. eMEDS® patient care report data will be made available to a jurisdictional EMS operational program by MIEMSS in accordance with the Maryland Confidentiality of Medical Records Act, Health-General Article, §4-301 et seq., Annotated Code of Maryland, and, if applicable, the federal Health Insurance Portability and Accountability Act of 1996, the federal Health Information Technology for Economic and Clinical Health Act of 2009, and the regulations promulgated under those statutes, for treatment, quality assurance, and billing, if requested by the jurisdictional EMS operational program and pursuant to the terms of a memorandum of understanding with MIEMSS.
6. F. Compliance with this regulation shall be required for a jurisdictional EMS operational program to meet the requirements for funding under Public Safety Article, §8-103(b)(7), Annotated Code of Maryland, (Amoss Fund) with respect to the Maryland Ambulance Information System and to be eligible for MIEMSS grants.

Authority: Education Article, §§13-509, 13-510, and 13-516, Annotated Code of Maryland

Effective date: December 15, 1999 (26:24 Md. R. 1859)

Regulation .03C amended effective July 1, 2002 (29:12 Md. R. 931); December 19, 2005 (32:25 Md. R. 1945)

Regulation .03E amended effective October 8, 2007 (34:20 Md. R. 1742)

Regulation .04 repealed and new Regulation .04 adopted effective November 1, 2010 (37:21 Md. R. 1437)

Regulation .04 amended effective January 6, 2014 (40:26 Md. R. 2166)

Regulation .05 adopted effective December 15, 2003 (30:24 Md. R. 1746)

Regulation .06 adopted effective December 19, 2005 (32:25 Md. R. 1946)

Regulation .06 repealed and new Regulation .06 adopted effective November 1, 2010 (37:21 Md. R. 1437)

Regulation .07 adopted effective December 19, 2005 (32:25 Md. R. 1946)

Regulation .07 repealed effective November 1, 2010 (37:21 Md. R. 1437)

Regulation .08 adopted effective October 8, 2007 (34:20 Md. R. 1742)

Regulation .08B, C amended effective December 12, 2013 (40:24 Md. R. 2017)