One platform for the whole call — and the whole roster.
PCS Cross Check brings the electronic Ambulance Call Report, Community Paramedicine, staff scheduling and a supervisors' audit & reporting portal together in one system, with one login and one database. PHIPA is designed in from the start, and patient records are stored in Canada. And for every medic's pocket there is a free-standing ALS/BLS protocol app.
The platforms
01ACR / ePCR
Fills itself from a health-card scan, adapts to the call type, and checks every dose before the chart is signed.
View in depth →Community Paramedicine
Visits, SOAP charting, home monitoring, a fax line, and the numbers a funder asks for.
View in depth →Remote monitoring →Admin & Reporting
Audit, sign-off, KPIs, heat maps, breach watch, and a fax desk for the office.
View in depth → 04Scheduling
Automated call-outs by text and app, run in collective-agreement order, through to payroll.
View in depth → 05Protocol App
Weight-based ALS dosing, Code Blue and newborn resus dashboards. Fully offline.
View in depth →What sets it apart
A few of the features services ask about firstHealth-card & medication scanners
Scan the card and the demographics fill in. Scan a multi-page MAR in one pass and the patient's medications are read on the iPad, ready to confirm.
ACR · CPAutomated shift call-outs
A sick call opens the seat. Offers go out by text and app in agreement order, replies come back, and the shift is awarded.
SchedulingFax in & fax out
Incoming faxes land in one inbox and are filed to the client. Outgoing faxes go only to numbers someone has checked.
CP · AdminCall-density heat maps
See where the calls actually are, built on the server so no patient record or exact address reaches the screen.
Admin & ReportingBreach watch
An automated sweep reads the audit log for snooping patterns, and a PHIPA breach register tracks every notice owed.
Admin · PHIPAThe Cross Check
Every dose is checked against the protocol maximum as it's typed, and the whole chart is audited again before signing.
ACRCardiac monitor pull
12-leads, vitals and events drop into the chart in seconds, with the waveform attached.
ACR · CPRemote patient monitoring
Home blood pressure, oxygen, heart rate and blood sugar readings land on the CP client's chart.
CPNever loses a chart
Chart with no signal. A draft leaves the tablet only after the server confirms it has the report.
ACR · CPCanadian, and built for PHIPA
PCS Cross Check Inc. is wholly owned and managed in Canada, with no US parent company. That generally places the company outside the reach of the US CLOUD Act. Patient records are stored and encrypted in Canada, and each service's data is walled off from every other service.
- AES-256-GCM encryption at rest
- Two-factor sign-in; can be required for everyone
- Every access logged in a tamper-evident, append-only log
- Encrypted off-site backups, with test restores done
See it live, on your schedule
info@pcscrosscheck.comA walkthrough on real screens with demonstration data.
The whole call, charted — and checked before it's signed.
Built to the Ontario Ambulance Documentation Standards from the start, not adapted later. It fills itself from a health-card scan, adapts to the call type, checks every dose as it's typed, and produces the ministry-format call report. One tablet app, online or off.
Scan the card. The chart fills itself.
Point the iPad at the health card. The name, date of birth, health number and version code are read on the device, never saved or uploaded, and checked against the card's check digit. The age is worked out for you. Every field the platform filled carries a green AUTO badge, and all of them stay editable.
If the platform has seen this patient before, it says so: prior calls and any active CP file, with history, meds and allergies, come up before the first question. The medication scanner reads a patient's MAR, several pages in one scan, and lists the drugs it finds for the medic to confirm. Nothing from the scan is stored or sent.
Every dose checked twice.
As soon as a dose is typed, it's checked against the ALS PCS maximum for that patient's age, weight and route. An overdose, a decimal slip or a mix-up like fentanyl in mg is flagged while the medic is still at the drug box.
At finalize, the Cross Check reads the whole chart again. It checks every dose and every required field for the way the call ended, and lists what's missing in plain language. A red flag has to be fixed, or overridden with a signed attestation that goes to the top of the supervisor's review queue.
A screen for the active call
The address in large type, every call time in one row, turn-by-turn navigation and the nearest ED. The CAD link is built in and turns on when a dispatch feed is connected.
Also in the ACR
- Call-type charting: the BLS standard's focused assessment goes into the right section of the chart
- Cardiac monitor pull: 12-lead, vitals and events added in seconds
- One flowsheet: vitals, meds and procedures on one timeline, with GCS and MAP worked out for you
- Up to 5 co-signers, each signing with a PIN, from any device
- Signed amendments: each correction is a new version and the original is never changed
- Refusal of service: capacity check, bilingual declarations, drawn signatures
- Daily Shift Log: the truck, monitor and station fill into every chart
- Incident reports started from the call, each signed with a PIN
- Postal code fills itself from a province-wide address register
- Midnight-aware times and automatic 24-hour format
- Night mode, glove-sized buttons and keyboard-only charting
- Prints in ministry format, with blank fields shown as blank
The record your funding case is built on.
A CP module on the same platform as the ACR. Book the visits, chart structured encounters with the monitor's 12-lead attached, and keep a client record that spans months of care. Reports count distinct clients separately from visit volume. Your service sets its own programs, visit types and referral sources.
The day booked, worked and closed
Each medic gets a day and month calendar. Plan a day turns the caseload's due and overdue tasks into a booked day in one step, and two medics can't book the same door. Coordinators see every CP medic's day on one screen and can move visits between them. A work pool fills a slow afternoon. Recurring tasks roll forward on their own when completed, and anything overdue is flagged across the caseload.
Encounters are real SOAP charts with vitals, frailty and falls screens, and the same one-tap cardiac monitor pull as the ACR. A signed encounter is locked.
A fax line for the program
Incoming faxes land in one inbox, opened from the tablet or the admin desk. A person files each fax to the client, and it moves into that client's document file. Outgoing records go by fax only to numbers someone has checked, or by secure link with a texted code. Never both, and a fax is never re-sent automatically.
Between visits, the readings come to the chart
Blood pressure, heart rate, oxygen level and blood sugar from the client's home tablet appear on their chart; the blood-pressure cuff and oximeter send readings on their own. The community paramedic sets up the tablet with a 6-digit code. The last 7 days show on the chart, with trends over 4 weeks or 3 months.
Counted the way a funder asks
Distinct clients seen, reported separately from visit volume. How often clients are really seen, caseload by status, and each clinician's share. A note on each report says what basis each number uses, so a program never overstates its reach. 911 use before and after enrolment is measured carefully, with checks on how far each figure can be trusted.
Also in Community Paramedicine
- A document file on every client: bloodwork, physician notes, photos, PDFs
- When a CP client calls 911, the crew sees the on-file history, with a check against the wrong patient
- 911 crews can leave a note for the CP team when they sign the call
- Read the linked 911 report from the CP chart; every opening is logged
- Send to a physician or NP from the tablet, with a PIN
- PHIPA consent: signed, PIN-attested and locked on the server
- Client data on the tablet is encrypted and wiped at shift end
- Health-card scanner for enrolment
Oversight for supervisors — and numbers for the budget meeting.
A dedicated portal for supervisors and administrators. Open the legal document for any chart, keep the sign-off queue moving, release records securely, and see every access. Reporting turns finished calls into KPIs, exports and heat maps. The figures are worked out on the server, so no patient record reaches the browser.
Where the calls actually are
Call density across your coverage area, built from the location already recorded on each call. Calls are counted on the server in ~550 m cells, so no patient record and no exact location ever reaches the screen. The same picture is shown as numbers by postal area underneath.
The map says how many calls had a usable location, so you know how complete the picture is. Use it for posting plans, staffing, and the meetings where you have to justify both.
Breach watch: someone actually reads the audit log
A log nobody reads protects nobody. An automated sweep compares each account's access with its own normal pattern and flags what snooping looks like:
- unusually high volume for that user
- looking up a client who shares their own or a coworker's surname
- a long-quiet account suddenly reading, or small-hours access
Each signal can be dismissed or escalated. Escalated signals go into a permanent PHIPA breach register, which flags notices still owed to the person and the IPC and keeps the yearly IPC statistics ready. A signal is a suspicion, not an accusation; most turn out to be a busy shift.
Faxes in and out, with every step recorded
The office works the same fax inbox as the tablets. It shows how long each fax has waited, filing to the client, and a sent list where only a confirmed delivery reads "Delivered." A fax only goes to a number on the checked list. A misdirected fax is destroyed, never forwarded, and staff are prompted to tell the sender. Sorting the fax tray is a permission each service grants, and it can be given to clerks who have no access to charts.
Reporting
- Service KPIs: volume, response, on-scene and offload times, CTAS mix
- Export in five formats: CSV, XML, XLSX, DOCX, PDF
- Scheduled reports daily, weekly or monthly, plus a custom report builder
- Per-paramedic and CP program views
- De-identified research export, audited
Oversight & security
- One legal document everywhere, with every amendment version kept
- Sign-off queue, return-for-amendment, priority review queue
- Two-step secure disclosure: a link plus a texted code; the send log is your PHIPA disclosure record
- Tamper-evident, append-only audit log; every search is logged
- Custom roles, two-factor sign-in, encrypted backups
The scheduling system that knows your collective agreement.
A complete scheduling system that runs the hardest part of the job: the call-out. Every premium, bank and book-off follows your agreement. The medics' app handles schedules, trades and time off, and every pay period exports to payroll. Run it on its own or with the ePCR on one login.
The call-out that runs itself
A sick call at 0400 shouldn't mean an hour on the phone. Book the absence and the system:
- Opens the seat, for the hours actually missing
- Works the call-in list in agreement order: floats, then part-time straight time, then overtime, with wait times set by how soon the shift starts
- Texts the offers and reads the replies: medics reply YES to accept
- Awards the shift and confirms with the duty supervisor
App users get a push offer first. If they don't see it in time, a text goes out anyway. Refusals are recorded the way your agreement defines them.
The mobile app
- Native iOS & Android with push notifications
- Accept or decline offers in one tap
- Shift trades, with the 11-hour rest rule checked
- Time-off requests, meal premiums and OT claims from the truck
- Shifts in your phone's calendar (Apple or Google)
- Each medic chooses app, text, or both
- Supervisors can book and backfill from the same app
Planning, leave & pay
- Multi Book: training days and committees covered in agreement order; assigned seats leave nothing to refuse
- Vacation white sheets with seniority-ordered bids
- Partial book-offs and long-term leaves, paid correctly
- Banks that track the year: vacation, stat and OT
- Editable pay codes; payroll export each pay period
- Nothing double-books: leave, trades and call-outs check each other
Every ALS dose, cross‑checked in seconds.
A fast clinical reference that works completely offline, organized around the Ontario ALS and BLS Patient Care Standards. Enter age and weight once to get weight-based dosing with every step of the calculation shown, infusion rates, and Code Blue and newborn resuscitation dashboards. Separate from the platform, from the same paramedic. Coming soon to Google Play and the App Store.
Dosing & infusions
- Weight- and age-based dosing with every step of the calculation shown
- Automatic minimum and maximum limits and mandatory patch points
- One-tap dilution recipes for common analgesics and sedatives
- Concentration & volume overrides for non-standard vials and bags
- Infusion calculator (macro/micro) with an audible drip metronome
Resuscitation & reference
- Code Blue: analyze, epinephrine and lidocaine timers, shock counter, audible alerts
- Timestamped code log; your last 10 codes are kept for review
- Newborn resus: guided flow, CPR metronome, SpO₂ targets by minute of life
- Procedure references, from airway devices to obstetrics
- Adult & pediatric reference modes and a pediatric airway table
One company. Five tools. Built by a paramedic, for paramedics.
A walkthrough on real screens beats any brochure. Book a live demo of the ACR, Community Paramedicine, the admin portal, scheduling and the protocol app, on demonstration data, at a time that suits your service.