Abstract: In an integrated web-based software system for tracking and managing patient care reports associated with emergency medical transport trips, a thin web-based client is viewable through the Internet, including wirelessly from within emergency vehicles, and communicates with a main system that is designed around a core layered architecture with at least one system database and a web-based interface. The system facilitates report entry and delivery to hospitals and end-user administration, including the ability to create new fields and tabs for the run form, notifications about relevant data conditions, continuous reporting capabilities, and on the fly data updates.