County of San Diego Local Emergency Medical Services Information System (CoSD LEMSIS)

LEMSIS Diagram

COSD LEMSIS is the no-cost, cloud-based data collection system that manages:

  • Prehospital Patient Care Records (ePCR)
  • Base Hospitals Records (eBHR)
  • System Resources (Bypass Status, Alerts)
  • STEMI, Stroke, Trauma Registries
  • Personnel Credentialing
  • Ambulance Inspections
  • Transfer of Care (TOC)
  • Integration with Heath Information Exchange (HIE)

LEMSIS Log-ins by Module

License Management System (Credentialing) URL:

Elite (ePCR & eBHR)

Resource Bridge/Hospital Hub URL:

Patient Registries URL:


How to Migrate To Elite

Agencies that desire to migrate to LEMSIS Elite should submit an “Agency Information Update” form which is located on the LEMSIS Licensing Portal.  Requirements described on the form, such as most up-to-date vehicles, etc. must be complete.  Agencies submitting the Agency Information Update form will be contacted within 10 business days to discuss a future implementation plan.



LEMSIS Technical Information