Variables |
Definition |
Jurisdiction |
The two-digit state abbreviation (e.g., GA) |
Year |
The four digit calendar year (e.g., 2019) |
Month |
The full name of the month (e.g., January) |
Sex |
Three categories: male, female, missing |
Age_Group |
Eleven categories: 0-10 years, 11-14 years, 15-24 years, 24-34 years, 35-44 years, 45-54 years, 55-64 years, 65-74 years, 75-84 years, 85 years and up, missing |
County_name |
Exact name of the County within each jurisdiction (e.g., Adams). Please exclude the word "county" after the county name (e.g., do not list "Adams County"). |
County_FIPS |
Five character FIPS code for the County within each jurisdication where the first two digits are the state code and the last three digits are the county code (e.g., 12345) |
Suspected_drug_OD_n |
The number of ED visits for each required month related to a suspected drug overdose. |
Suspected_opioid_OD_n |
The number of ED visits for each required month related to a suspected opioid overdose. |
Suspected_heroin_OD_n |
The number of ED visits for each required month related to a suspected heroin overdose. |
Suspected_stimulant_OD_n |
The number of ED visits for each required month related to a suspected stimulant overdose. |
Total_ED |
The total number of ED visits for each required month that were included in the analysis. |
Attachment D - Rapid ED overdose data form |
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Form Approved OMB NO: 0920-XXXX Exp. Date: X/XX/XXXX |
Public reporting burden of this collection of information is estimated at 3 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/Information Collection Review Office, 1600 Clifton Road, NE, MS D-74, Atlanta, GA 30333; Attn: PRA (0920-XXXX). |
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Describe and provide metadata on this rapid report of ED visits suspected to involve drug, opioid, heroin and stimulant overdoses |
1. Approximately what percent of ED visits in your state or jurisdiction were included in your analysis? (Enter a percentage such as "75%") |
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2. Over 90% of hospitals report data within (Check appropriate response): |
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< 24 hours |
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< 1 week |
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< 1 month |
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< 3 months |
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> 3 months |
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Unknown |
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3. How many total facilities are included in your analysis for this data submission? (Enter a number such as "22") |
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4. Report the percent of all ED visits in this data submission missing chief complaint data. (Enter a percentage such as "10%") |
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5. Report the median string length of text from chief complaint data. (Enter a percentage such as "5 words") |
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6. Report the percent of all ED visits in this data submission that have no discharge diagnosis codes (e.g., ICD-10-CM). (Enter a percentage such as "15%") |
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7. What was the maximum number of discharge diagnosis codes (e.g., ICD-10-CM) entered for a single ED visit in this data submission? (Enter a number such "10") |
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8. What was the mean number of diagnosis codes (e.g., ICD-10-CM) that were entered for all ED visits in this data submissions? (Enter a number such as "8") |
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9. Please identify any major issues that impact the quality of data shared during this data submission time period: |
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10. Who should CDC contact with questions about this data report? |
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Name: |
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Email: |
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