Emergency medical service (EMS) is defined as the service needed to provide rapid appropriate medical care to people in the

community who are acutely ill or injured. EMS personnel travel to their patients, provide on site care, and transport them to a hospital or other health care center for further treatment when needed. Short code (911) is also made available for general public to contact them for any emergency case. Many EMS systems also categorize calls base on the nature of the event or illness/injury being reported. EMS data have been used for syndromic surveillance in many developed countries. EMS Provides some of the most timely surveillance data available if the data are well integrated into the surveillance system, example information such as serious illness within the community (chest pain etc). The category can use to selecting records required by syndromic surveillance, minimizing work and time during file creation and transfer. The categories can also be combining to obtain broader illness syndromes.