NEMSIS is the National Emergency Medical Services Information System. It is the official EMS Data Standard for collecting EMS data in the United States and the associated territories. NEMSIS provides the architecture to move data efficiently and effectively across multiple platforms and offers a National EMS Data Repository from more than 10,000 EMS agencies. GOALS: Improve understanding of, confidence in and support for EMS data collection and analysis across all target audiences within the EMS community. It is our hope that a better understanding will lead to EMS data being utilized more effectively to improve patient care. Provide guidance to all states and territories working to revise data elements, improve data capture, and ensure they have a NEMSIS compliant data system in place which can send and receive the Version 3 Data Standard. Provide guidance for the implementation of an electronic EMS documentation system in every local EMS system, which can collect and use data based on the current NHTSA Version 3 dataset standard. Provide guidance for the implementation of a state EMS information system in every state and territory, which can receive and use a portion of the local EMS data via the NEMSIS/HL7 XML standard. Improve access to the National EMS Database for reporting capabilities, allowing Federal, State, and Local EMS stakeholders access to performance and benchmarking metrics.