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Custom Data Request Presentation

What data elements will be provided?

  • Internal Tracking ID
  • Patient Age
  • Sex
  • Race and Ethnicity
  • Patient County
  • Patient Zip Code (3 digit)
  • Patient State
  • Visit ID
  • Insurance Coverage (or Other Expected Source of Payment
  • Arrival Date/Time of Day
  • Transport Mode
  • Chief Complaint
  • Blood Pressure
  • Initial Temperature
  • Disposition
  • Disposition Diagnosis Description
  • Diagnosis Code(s)
  • Procedure Code(s)
  • Injury Code(s)
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