0920-0853 Hospital Discharge Reporting Form
Asthma Information Reporting System (AIRS)
Att7a_AIRS HD Reporting Forms.xlsx
Analysis and Use of Core Data Sets
OMB: 0920-0853
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TECHNICAL NOTES
Overview
STATE HD DATATECHNICAL NOTES
Sheet 1: STATE HD DATA
| STATE | [Year] Hospital Discharge Data | |||||
|
||||||
| SM Weight | N of Hosp. Visits* | [Year] Pop. | Crude Rate | |||
| Total | #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
| Hospitalization 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 hospitalizations that occurred for in-state residents that occurred in out-of-state hospitals? | ||
| Yes | ||
| No | ||
| 4. Location of data for an emergency department visit resulting in a hospital admission (select one only): | ||
| Emergency department data file only | ||
| Hospital discharge data file only | ||
| Both the emergency department data file and the hospital discharge data file | ||
| Unknown | ||
| Other; specify: | ||
| None of the above | ||
| Additional technical notes: | ||
| ***CLICK HERE TO RETURN TO EXCEL SHEET LABELED 'CA HD DATA'*** | ||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |
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