ePCR Narratives

Supported Narrative Formats

EMS SOAP generates ePCR narratives in whatever documentation format your agency requires. During onboarding, we configure the AI to match your preferred style. Supported formats include:

• SOAP — Subjective, Objective, Assessment, Plan
• CHART — Chief complaint, History, Assessment, Treatment, Transport
• D-CHART — Dispatch, Chief complaint, History, Assessment, Treatment, Transport
• Custom formats — Any documentation structure your agency or medical director requires

For example, a SOAP narrative consists of four sections:

• Subjective: Patient complaints, history, symptoms as reported (chief complaint, HPI, OPQRST, SAMPLE).
• Objective: Measurable findings — vitals, physical exam, interventions performed, EKG interpretation.
• Assessment: Clinical impression, field diagnosis, differential diagnoses, and severity assessment.
• Plan: Treatment provided, transport decision, and medical necessity language for billing compliance.

Creating a Narrative via Text

1. Navigate to Narratives from the sidebar.
2. Type your patient encounter details in the text input field. Include key information such as chief complaint, vitals, treatments, and transport details.
3. Click Send. The AI processes your input and generates a complete narrative in your agency's configured format.
4. The narrative appears in the chat area with proper formatting.

Creating a Narrative via Voice

1. Click the microphone icon in the input area.
2. Grant microphone access if prompted by your browser.
3. Speak naturally about the patient encounter. The transcription appears in real-time as you speak.
4. Recordings have a 3-minute limit. Click the microphone again to stop early, or wait for the timer.
5. Review the transcript in the text input — make any edits needed — then click Send.

How AI Generation Works

When you submit your input, EMS SOAP:

1. Retrieves relevant context from your agency's uploaded medical protocols and billing guidelines.
2. Structures the information into your agency's preferred narrative format (SOAP, CHART, D-CHART, etc.).
3. Automatically includes medical necessity language required for insurance reimbursement.
4. References your agency's specific protocols, procedures, and standards of care.

The entire process typically takes under 5 seconds.

Reviewing and Copying

After generation, you can:

• Refine: Send follow-up messages to add details, correct information, or adjust the narrative.
• Copy: Click the copy button to copy the narrative to your clipboard.
• Paste to ePCR: Paste directly into your ePCR system (Zoll, ImageTrend, ESO, or any other system).
• Review grading: An automatic quality grade shows what elements are present and what may be missing.

PII Detection

EMS SOAP includes built-in PII (Personally Identifiable Information) detection to help protect patient privacy. Before your input is sent to the AI:

• The system scans for potential PII including names, Social Security numbers, phone numbers, email addresses, and physical addresses.
• If PII is detected, you will see a warning and can choose to remove it before proceeding.
• Medical context filtering prevents false positives — hospital names, medical abbreviations, and anatomical terms are not flagged.
• Your organization manager can manage PII detection settings and maintain an approved whitelist.