Electronic patient care report (ePCR) of out-of-hospital emergency medical services (EMS)

Electronic patient care report (ePCR) of out-of-hospital emergency medical services (EMS)

The electronic patient care record (ePCR) of out-of-hospital emergency medical services (EMS) makes the data of emergency medical services (EMS) available directly in the patient data system. The deployment of the service will start in autumn 2020.

The ePCR in EMS is part of the Patient Data Repository, one of its patient record documents. The service will be deployed in stages in all EMS units throughout the country. 

New information systems introduced

The emergency medical services will start using the common field command system KEJO shared by the safety authorities and the Emergency Response Centre (ERC) information system ERICA shared by the authorities. They will replace the currently used field systems and patient documentation systems in emergency medical services.

Benefits of ePCR in EMS

KEJO is used for producing the ePCR in EMS, and ERICA is used for producing the information related to the calling of EMS units. They have a uniform data structure in use. 

Thanks to the structured recording, healthcare providers can see this data directly from their own patient data systems while emergency service providers can see other patient data recorded in the Patient Data Repository via KEJO.

Further information about the data contents and definitions of the ePCR in EMS is available here

Requirements for deployment 

Electronic recording of the data of the ePCR in EMS in the Patient Data Repository requires the deployment of ERICA and KEJO in the hospital district. 

In addition, private EMS providers used by the hospital districts must also use the Patient Data Repository.

Preparation for deployment 

The deployment of the ePCR in EMS will bring many changes to the healthcare services. For example, the operating models for EMS will undergo changes when the recording practices of EMS data are updated.

Kela is preparing the deployment of the ePCR in EMS and communicates about it in cooperation with the Ministry of Social Affairs and Health, the Finnish Institute for Health and Welfare, social welfare and healthcare providers and EMS providers, as well as with information system suppliers. 

In the project for preparing the deployment, e.g. guidance and support is given to operators that are implementing KEJO in the system implementation in accordance with the definitions for the ePCR in EMS.

With respect to the new operating models and recording practices related to the service, training and guidance is arranged for EMS units and healthcare providers. The training events are coordinated by the Ministry of Social Affairs and Health. 

Kela provides guidance and support for healthcare providers in the deployment and in recording the data in the ePCR in EMS in the Kanta Services.

Deployment schedule

The deployment of the ePCR in EMS is implemented in stages at the regional level. 

At first, production use will be started by the Kuopio University Hospital District Municipal Federation and Siun Sote, the Joint Municipal Authority for North Karelia Social and Health Services. In terms of these organisations, the deployment has been planned for late 2020. 

In other hospital districts, deployment will take place as of 2021.
 

Last updated 09.09.2020