As of June 30, 2024 we will no longer accept v3.4 (v3.3.4) data. 

North Carolina is now accepting NEMSIS v3.5 data elements and asks you to notify your ePCR vendor to begin the transition process. 

All vendors have been contacted and made aware of the transition, but at their request, they ask that you also reach out to them. Current ESO customers do not need to contact ESO. 

What is NEMSIS?

The establishment of the National Emergency Medical Services Information System (NEMSIS) provides a standardized and essential approach to data collection by EMS agencies. This data plays a crucial role in developing training programs, evaluating patient care outcomes, and providing valuable research information at both local and national levels. Furthermore, this documentation standard significantly impacts federal fee schedules and reimbursement rates, making it a vital tool for the entire medical community.3

NEMSIS v3.5 Transition


As North Carolina transitions to NEMSIS v3.5 please be aware of a few things:


  • North Carolina now requires that Facility Codes match the value in the state list. Please ensure that the Facility ID is filled out for all Hospital Destinations and confirm that it matches the values in the state list here.
    • If you have a hospital or free-standing emergency room in your service area that is new, closed, changes name, etc., you will need to complete this form to make the changes.
      • You will be updated once the request is completed.
  • Version 3.5 records will require agencies to provide new web credentials to their vendor. ESO will work directly with each vendor to provide agency web service credentials. The process varies across vendors; some require the request to transition to version 3.5, along with the web service credentials, to come directly from the EMS agency. In those circumstances, someone from our office or ESO will be able to coordinate with you. If you have any questions about your agency’s transition preparedness or web service credentials, do not hesitate to contact your ePCR software support representative or complete this form.
  • All agencies must transition by August 31, 2023.
  • The disposition of a call is now organized into 4-5 elements that allows more flexibility for various types of EMS response and increase the accuracy of documentation. Below you can find resources to help you inform your staff of the disposition updates along with other information.