Custom Data Request Presentation
What data elements will be provided?
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Internal Tracking ID
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Patient Age
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Sex
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Race and Ethnicity
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Patient County
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Patient Zip Code (3 digit)
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Patient State
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Visit ID
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Insurance Coverage (or Other Expected Source of Payment
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Arrival Date/Time of Day
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Transport Mode
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Chief Complaint
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Blood Pressure
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Initial Temperature
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Disposition
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Disposition Diagnosis Description
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Diagnosis Code(s)
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Procedure Code(s)
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Injury Code(s)
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