MEFIRS Updates November 3rd, 2025

Scene (eScene.10) and Destination facilities (eDisposition.01)

Facilities play a key role within MEFIRS. Not only do they allow tracking the number of transports to and from the various facilities, but they also enable the data exchange that occurs between MEFIRS, hospitals and downstream providers. For this to function properly it is vital that the facilities be selected from the list of facilities. Only the facilities in the list contain the configuration values that allow the health care providers at a receiving facility to view a patient’s patient care report they have received, and to be able to do so as soon as the destination facility has been saved to MEFIRS within your patient care report.

For this reason, we are making several updates to the way facilities are selected and entered in MEFIRS and hope that this will make selecting the correct facility easier for those completing a patient care report.

We have enabled a facility type of Airport/Landing Zone to allow filtering for pickups and drop-offs at airports.
On November 3rd, 2025, we will enable a visibility rule that will hide scene facilities (eScene.10) that are not hospital type facilities in the list when the Incident Location Type (eScene.09) is not Hospital. This means that when you select Hospital in the Incident Location Type Field on the Incident Address panel the list of facilities will only contain hospitals.
On November 3rd, 2025, we will enable a visibility rule that will hide scene facilities (eScene.10) that are not Airport/Landing Zone type facilities in the list when the Incident Location Type (eScene.09) is not Airport. This means that when you select Airport in the Incident Location Type Field on the Incident Address panel the list of facilities will only contain Airports.
On November 3rd, 2025 we will enable a visibility rule that will hide destination facilities (eDisposition.01) that are not hospital type facilities in the list when the Type of Service Requested (eResponse.05) is one of; Emergency Response (Primary Response Area), Emergency Response (Mutual Aid), Emergency Response (Intercept), Hospital-to-Hospital Transfer, or Non-Hospital Facility to Hospital Transfer AND the Transferred To Agency (itDisposition.034) is not LifeFlight. This means that when you select Emergency Response (Primary Response Area), Emergency Response (Mutual Aid), Emergency Response (Intercept), Hospital-to-Hospital Transfer, or Non-Hospital Facility to Hospital Transfer in the Type of Service Requested Field on the Run Form Start/Dispositions panel AND you do not select LifeFlight in the Transferred TO Agency Id on the Arrival/Scene Details Panel the list of facilities will only contain hospitals.
On November 3rd, 2025 we will enable a visibility rule that will hide destination facilities (eDisposition.01) that are not hospital or Airport/Landing Zone type facilities in the list when the Type of Service Requested (eResponse.05) is one of; Emergency Response (Primary Response Area), Emergency Response (Mutual Aid), Emergency Response (Intercept), Hospital-to-Hospital Transfer, or Non-Hospital Facility to Hospital Transfer AND the Transferred To Agency (itDisposition.034) is LifeFlight. This means that when you select Emergency Response (Primary Response Area), Emergency Response (Mutual Aid), Emergency Response (Intercept), Hospital-to-Hospital Transfer, or Non-Hospital Facility to Hospital Transfer in the Type of Service Requested Field on the Run Form Start/Dispositions panel AND you select LifeFlight in the Transferred TO Agency Id on the Arrival/Scene Details Panel the list of facilities will only contain hospitals and Airport/Landing Zones.
On November 3rd, 2025, a text box named Other Scene Facility Name will be added on the Dispatch/Incident Address panel to allow for capturing a facility name that is not in the list. The text box will only be available when selecting one of the “Other…” facilities in the facilities list. Entries in this field will be monitored by Maine EMS Staff so that the facilities list can be kept up to date.
On November 3rd, 2025, a label having a hyperlink to a form will be added on the Dispatch/Incident Address panel to allow users to request an update to facilities via a form.
On November 3rd, 2025, a text box named Other Destination Facility Name will be added on the Transport/Destination Information panel to allow for capturing a facility name that is not in the list. The text box will only be available when selecting one of the “Other…” facilities in the facilities list. Entries in this field will be monitored by Maine EMS Staff so that the facilities list can be kept up to date.
On November 3rd, 2025, a label having a hyperlink to a form will be added on the Transport/Destination Information panel to allow users to request an update to facilities via a form.

EMS Agency Admins are also reminded that they can fine-tune which facilities are available and the sort order of facilities in the selection lists in the Resources > Facilities link. To learn more about how to do this, check out the Fine Tuning Facilities For Your Agency knowledge base article

eDisposition.11 - Number of Patients Transported in this EMS Unit

Currently, validation rule 164 requires the Number of Patients Transported in this EMS Unit (eDisposition .11) field to be greater than 0 (not blank) when the Patient Arrived at Destination Date/Time (eTimes .11) field contains a date/time.

This rule will be updated to require the Number of Patients Transported in this EMS Unit (eDisposition .11) to be greater than 0 (not blank) when the Transport Disposition (eDisposition.30) is either 4230001 -Transport by This EMS Unit (This Crew Only) OR 4230003 - Transport by This EMS Unit, with a Member of Another Crew

APGAR Score Validation Rule Update

Validation rule 918 will flag the APGAR (eVitals.32) field as Red and deduct 5 validation points when:

The APGAR (eVitals.32) field is blank
And Age Units (ePatient.16) is Minutes or Hours
And Unit Notified by dispatch date time (eTimes.03) >1-1-2018
And EMS Agency Number (eResponse.01) is not 0807 (LifeFlight of Maine)

EMS clinicians are changing the age units to 1 day to avoid the validation trigger on interfacility transfers, and several agencies have asked that the validation rule be modified to improve data quality.

Validation rule 918 will be replaced with a new validation rule (3729) that will flag the APGAR (eVitals.32) field as Red and deduct 5 validation points when:

The APGAR (eVitals.32) field is blank
And Age Units (ePatient.16) is Minutes or Hours
And Unit Notified by dispatch date time (eTimes.03) >=11-3-2025
And EMS Agency Number (eResponse.01) is not 0807 (LifeFlight of Maine)
And Type Of Service Requested (eResponse.05) is one of:
- Emergency Response (Intercept)
- Emergency Response (Mutual Aid)
- Emergency Response (Primary Response Area)

Updates pertaining to Agencies

Numerous requests have been made to have law enforcement agencies available so that specific law enforcement agencies can be documented in the Other EMS or Public Safety Agencies at Scene (eScene.02) field. Maine EMS will be adding the Law Enforcement Agencies so that they will be available for selection.

In conjunction with adding law enforcement agencies to the Other EMS or Public Safety Agencies at Scene (eScene.02) selection list, the other agencies grid in the Arrival/Scene Details panel on the form will be updated so that Type of Other Service at Scene (eScene.04) is at the top of the grid. This will improve workflow with planned visibility rules that will limit the Other EMS or Public Safety Agencies at Scene (eScene.02) available for selection in the list to only those of the Type of Other Service at Scene (eScene.04) selected.

Visibility Rule 24546 will hide Other EMS or Public Safety Agencies at Scene (eScene.02) that are not EMS agencies when the value selected for Type of Other Service at Scene (eScene.04) is Other EMS Agency

Visibility Rule 24548 will hide Other EMS or Public Safety Agencies at Scene (eScene.02) that are not law enforcement agencies when the value selected for Type of Other Service at Scene (eScene.04) is Law Enforcement Agency.

Visibility Rule 24549 will hide Other EMS or Public Safety Agencies at Scene (eScene.02) that are not Fire Departments or EMS Agencies when the value selected for Type of Other Service at Scene (eScene.04) is Fire/Rescue.

EMS Agency Admins are also reminded that they can fine-tune which agencies are available and the sort order of agencies in the selection lists in the Resources > Supporting Agencies and Units link. To learn more about how to do this, check out the Fine Tuning Supporting Agencies knowledge base article

Updates pertaining to Address elements within PCR

Currently, address elements appear in several places on the incident form:

Dispatch > Incident Address
Arrival > Patient Residence
Arrival > Other Patient Residence
Arrival > Patient Closest Relative
Transport > Destination Address
Narrative > Hospital Outcome

While several of these include data elements not available in the others, there is a difference between them in the order of fields displayed. These panels will be updated to ensure the order of address elements remains consistent.

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