0920-0853 Emergency Department Visits Reporting Form

Asthma Information Reporting System (AIRS)

Att6a_AIRS ED Visits Reporting Form.xlsx

Analysis and Use of Core Data Sets

OMB: 0920-0853

Document [xlsx]
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Overview

STATE ED Data
TECHNICAL NOTES


Sheet 1: STATE ED Data

STATE [Year] Emergency Department Data


SM Weight
N of ED Visits [Year] Pop. Crude Rate
Total

0
#DIV/0!
Age groups




.Under 5 years



#DIV/0!
.5 to 9 years



#DIV/0!
.10 to 14 years



#DIV/0!
.15 to 17 years



#DIV/0!
.18 to 19 years



#DIV/0!
.20 to 24 years



#DIV/0!
.25 to 29 years



#DIV/0!
.30 to 34 years



#DIV/0!
.35 to 39 years



#DIV/0!
.40 to 44 years



#DIV/0!
.45 to 49 years



#DIV/0!
.50 to 54 years



#DIV/0!
.55 to 59 years



#DIV/0!
.60 to 64 years



#DIV/0!
.65 to 69 years



#DIV/0!
.70 to 74 years



#DIV/0!
.75 to 79 years



#DIV/0!
.80 to 84 years



#DIV/0!
.85 years or more



#DIV/0!
*First listed Dx of asthma only (ICD-10-CM code J45)
#DIV/0!
*Only provide hospitalizations that occurred among in-state residents Age-adjusted Rate per 100,000
***CLICK HERE TO COMPLETE EXCEL SHEET LABELED 'TECHNICAL NOTES'***


Sheet 2: TECHNICAL NOTES

Emergency Department Data Technical Notes
1. Indicate coding scheme used for [Year] data:

All data was coded only using ICD-10-CM

Other; specify:
2. Types of hospitals not contained in this data (check all that apply):

Veteran’s Administration Hospitals

Military hospitals

Psychiatric/mental health hospitals

Prison hospitals

Indian Health Service Hospital

Other; specify:
3. Does the data include emergency department visits that occurred for in-state residents that occurred out-of-state emergency departments?

Yes

No
Additional technical notes:

***CLICK HERE TO RETURN TO EXCEL SHEET LABELED 'CA ED DATA'***
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