Paramedicine is a rapidly evolving profession, with paramedics taking on new roles in a variety of non-traditional practice settings. As expectations have grown, so have paramedics’ capabilities and education. Yet, there is surprisingly little aggregated and available data to inform paramedicine’s growth. Health care in Canada is in the provincial jurisdiction, and there is considerable variation in scopes of practice, regulatory mechanisms, integration with other health and emergency services, and operational practices. Little infrastructure and few processes exist to gather and interpret data at the national level.