New Mexico Heat Stress Emergency Department Visits, 2008-2020 Metadata
- metadata
- idinfo
- citation
- citeinfo
- origin: New Mexico EPHTN Project Manager
- pubdate: 20220504
- title: New Mexico Heat Stress Emergency Department Visits, 2008-2020
- onlink
- descript
- abstract: Heat stress is defined as a constellation of explicit effects of hot weather on the body, including heat stroke and sunstroke (hyperthermia), heat syncope/collapse, heat exhaustion, heat cramps, heat fatigue, heat edema, and other/unspecified clinical effects attributed to excessive heat exposure. This dataset contains case counts of heat stress (classified as any primary or other diagnosis code in the range of ICD-9-CM 9920-9929, cause of injury code E9000 or E9009 or ICD-10-CM T67, X30 or X32 (excluding cases with code W92)) emergency department (ED) visits among New Mexico residents for the years 2008-2020 for the months May through September. The Nationally Consistent Data and Measures (NCDM) is for the months May through September. All months have been made avaiable. ED visits include patients who are admitted to the hospital through the emergency department (inpatients) as well as outpatient. These data are stratified by county of residence, age group, sex, and when available, race and ethnicity.
- purpose: To provide data for the National Environmental Public Health Tracking Network consistent with the guidance for creating emergency department visits for heat stress Nationally Consistent Data and Measures (NCDM): 1) number of ED visits for heat stress; 2) crude rate of ED visits for heat stress per 100,000 population; and 3) age-adjusted rate of ED visits for heat stress per 100,000 population (adjusted by the direct method to the 2000 US standard population.
- supplinf: Data were provided by individual non-federal EDs in New Mexico. Data have been de-identified to protect patient confidentiality. Emergency department visits for heat stress are selected based on a combination of ICD-9-CM and ICD-10-CM codes. Cases with a code of man-made source of heatICD-9-CM E9001 or ICD-10-CM W92 anywhere in the record are excluded. Data have been de-identified to protect patient confidentiality.
Population data used to calculate rates are annual estimates produced by the University of New Mexico Geospatial and Population Studies (GPS) program and are considered the most accurate available for New Mexico. They are the official estimates and projections used in New Mexico state government.
- timeperd
- timeinfo
- rngdates
- begdate: 20080101
- begtime
- enddate: 20202131
- endtime
- current: Publication Date
- status
- progress: Complete
- update: Annually
- spdom
- bounding
- westbc: -109.05017700000001
- eastbc: -103.00206900000001
- northbc: 37.000292999999999
- southbc: 31.332173999999998
- keywords
- theme
- themekt: Topic Category
- themekey: Health
- theme
- themekt: PH_DiseaseClassification_ICD-9-CM
- themekey: Heat stroke and sunstroke; 9920, Heat syncope; 9921, Heat cramps; 9922, Heat exhaust-anhydrotic; 9923, Heat exhaust-salt deplete; 9924, Heat exhaustion NOS; 9925, Heat fatigue transient; 9926, Heat edema; 9927, Heat effect NEC; 9928, Heat effect NOS; 9929, Excessive heat: weather; E9000, Excessive heat NOS; E9009,
- themekt: PH_DiseaseClassification_ICD-10-CM
- themekey: Effects of heat and light; T67, Exposure to excessive natural heat; X30, Exposure to sunlight; X32, Heat stroke and sunstroke; T670, Heat syncope; T671, Heat cramps; T672, Heat exhaust-anhydrotic; T673, Heat exhaust-salt deple; T674, Heat exhaustion NOS; T675, Heat fatigue transient; T676, Heat edema; T677, Other effect of hat and light; T678, Heat effect NOS; T679, Exposure to excessive natural heat: weather; X30, Exposure to sunlight; X32
- theme
- themekt: NONE
- themekey: Heat illness; Heat stroke; Hyperthermia; Heat stress; Sun stroke; Heat collapse; Heat cramp; Heat exhaustion from water depletion; Heat exhaustion from salt depletion; Heat exhaustion, unspecified; Other specified heat effects; Unspecified effects of heat and light; Health effect caused by excessive heat due to weather; ictus solaris; Effect from unknown cause of excessive heat; Heat stress emergency department visits; emergency department visits; Heat stress emergency room visits
- place
- placekt
- placekey: New Mexico, NM, 35; 001 (Bernalillo), 003 (Catron), 005 (Chaves), 006 (Cibola), 007 (Colfax), 009 (Curry), 011 (De Baca), 013 (Dona Ana), 015 (Eddy), 017 (Grant), 019 (Guadalupe), 021 (Harding), 023 (Hidalgo), 025 (Lea), 027 (Lincoln), 028 (Los Alamos), 029 (Luna), 031 (McKinley), 033 (Mora), 035 (Otero), 037 (Quay), 039 (Rio Arriba), 041 (Roosevelt), 043 (Sandoval), 045 (San Juan), 047 (San Miguel),049 (Santa Fe), 051 (Sierra), 053 (Socorro), 055 (Taos), 057 (Torrance), 059 (Union), 061 (Valencia)
- place
- place
- accconst: Restricted (secure) data will only be released to external users after the data steward, the Health Systems Epidemiology Program of the New Mexico Department of Health (NM DOH-HSEP), has reviewed and authorized the request. Restricted (secure) data must be requested directly from NM DOH-HSEP. Any data requests or inquiries regarding underlying data elements should be directed to NM DOH-HSEP at DOH-HealthSystemsEPI@state.nm.us.
- useconst: This information is provided by the Environmental Health Epidemiology Bureau (EHEB) of the New Mexico Department of Health. Efforts have been made to assure the accuracy of the data. However, no responsibility is assumed by the New Mexico Department of Health related to materials and how it is represented by those who access this information.
There are some important caveats to keep in mind when using these data: data are submitted by individual hospital emergency departments which have varied systems, databases, capacities to extract data and file formats that are produced; coding within the dataset may not be uniform; currently, limited quality control or assurance efforts are in place. Data submitted have been examined for internal consistency and to determine whether they have conformed to the NMDOH request guidelines. Each facility is contacted to troubleshoot when needed. However, no chart reviews have been conducted to determine the reliability or validity of these data as reported. The NMDOH does not take responsibility for the quality of the data. All users must read and fully comprehend metadata prior to data use.
- ptcontac
- cntinfo
- cntperp
- cntper: New Mexico EPHTN Project Manager
- cntorg: New Mexico Department of Health, Environmental Health Epidemiology Bureau
- cntpos
- cntaddr
- addrtype: Physical
- address: 1190 St. Francis Drive
- city: Santa Fe
- state: NM
- postal: 87505
- country: United States Of America
- cntvoice: 18888788992
- cntvoice
- cnttdd
- cntfax: 5058270013
- cntemail: DOH-EHEB@state.nm.us
- hours: 8:00 - 5:00
- cntinst
- secinfo
- secsys: None
- secclass: Restricted
- sechandl: Restricted data released to an external partner may not be disseminated or distributed.
- native: Windows; SAS 9.4, File name: nm_ed_0820.xml File size: ~80 Mb
- dataqual
- logic: NONE
- complete: These data include emergency department visits of individuals who are discharged from 36 New Mexico's acute care, non-federal hospitals' facilities. The dataset includes both patients who were treated and released (including those who were admitted as inpatients from the ED).
- lineage
- procstep
- procdesc: Data processed according to the Emergency Department Visits for Heat Stress Implementation Guidance. Per the instructions found in the Centers for Disease Control and Prevention Recommendations for Nationally Consistent Data and Measures within the Environmental Public Health Tracking Network, Content Area: Heat Stress, Indicator: Emergency Department Visits for Heat Stress, July 25, 2016. Cases include: resident emergency department visits for heat stress (classified as any primary or other diagnosis code in the range of ICD-9-CM 9920-9929, or cause of injury code E9000 or E9009 or ICD-10-CM T670-T679, X30 or X32) in treated and released (including those who were admitted as inpatients) emergency department visit administrative data set during the months May through September. Cases with a code of E9001 (man-made source of heat) anywhere in the record are excluded. Data were reported by 36 of New Mexico's acute care, non-federal hospitals' facilities. The submitted data were extensively edited. First, each hospital's data were edited for systematic problems. Then, each record was reviewed for invalid codes, missing items, and inconsistent items (e.g., sex, race/ethnicity, and diagnosis). For example, ethnicity is set to H=Hispanic when race coding shows H and race is set to U=Unknown for reported race of H. Data were de-duplicated to the time of visit, not day of visit. Transfers were not excluded. The corrections were made to the data file until all issues were resolved.
ED data are collected from facilities yearly. The long-term plan is for the New Mexico Department of Health (NMDOH) to collect these data through an ED electronic reporting (e-reporting) system currently being developed with the New Mexico Health Information Collaborative (NMHIC). However, few facilities are reporting to the ED e-reporting system at this time. Therefore, in the interim, we have been requesting that each year each facility submits its data directly to the NMDOH. If a facility is already working with NMHIC, they continue to do so, but also provide data to NMDOH directly.
The department is authorized to request and receive these data under the Public Health Act which grants the department authority to Investigate, control and abate the cause of diseases (Section 24-1-3C). Additional authority was enacted (NMAC 7.4.3.10) on April 30, 2009 which specifically requires that all non-federal emergency departments in the State of New Mexico must comply with NMDOH requests for ED data.
The Health Information Accountability and Portability Act (HIPAA) provides that covered entities (including hospitals and their emergency departments) may disclose protected health information, without authorization, to public health authorities who are legally authorized to receive such reports for the purpose of preventing or controlling disease, injury, or disability. This would include, for example, the reporting of a disease or injury, and conducting public health surveillance. The NMDOH is a public health authority.
- procdate: 20220405
- eainfo
- overview
- eaover: This dataset contains case count of heat stress (classified as any primary or other diagnosis code in the range of ICD-9-CM 992.0-992.9, or cause of injury code E900.0 or E900.9 or ICD-10_CM T670-T679, X30 or X32) emergency department visits among New Mexico residents for the years 2008-2016. The following variables are included: County, Year, Month, Age Group, Sex, Race and Ethnicity, Number of heat stress emergency department visits. These data are stratified by county of residence, age group, sex, and race and ethnicity and reported for the months May through September.
- eadetcit: This dataset includes the following fields: County is alphabetic name for the 33 counties (FIPS 001-061). Year: 2012; AGEGROUP: 1=0-4 years, 2=5-9 years, 3=10-14 years, 4=15-19 years, 5=20-24 years, 6=25-29 years, 7=30-34 years, 8=35-39 years, 9=40-44 years, 10=45-49 years, 11=50-54 years, 12=55-59 years, 13=60-64 years, 14=65-69 years, 15=70-74 years, 16=75-79 years, 17=80-84 years, 18=85+ years, 19=Unknown; SEX: M=Male, F=Female, U=Unknown; RACE:W=White, B=Black, O=Other, U=Unknown; ETHNICITY:H=Hispanic, NH=Non-Hispanic, U=Unknown; COUNT_ED: Number of heat stress emergency department visits.
For detailed entity and attributes, see data dictionary document 'NCDM Data Dictionaries'. http://ephtracking.cdc.gov/showLibrary.action
- distinfo
- distrib
- cntinfo
- cntperp
- cntper: New Mexico EPHTN Project Manager
- cntorg: New Mexico Department of Health, Environmental Health Epidemiology Bureau
- cntpos
- cntaddr
- addrtype: Physical
- address: 1190 St. Francis Drive
- city: Santa Fe
- state: NM
- postal: 87502
- country: United States of America
- cntvoice: 18888788992
- cntvoice
- cnttdd
- cntfax: 5058270013
- cntemail: DOH-EHEB@state.nm.us
- hours: 8:00 - 5:00
- cntinst
- resdesc: File: nm_ed_0820.xml File size: ~80 Mb
- distliab: Persons or entities given access to restricted data are liable for compliance with NMDOH-EHEB data use agreement. Disciplinary action will be incurred for non-compliance or violation of data use agreements.
- custom: For access to unrestricted or public use data, please see: http://ephtracking.cdc.gov for national and multistate data or http://nmtracking.org for access to restricted or secure New Mexico specific data. For access to restricted or secure data please see Access Constraints sections for release of restricted data.
- metainfo
- metd: 20220405
- metc
- cntinfo
- cntperp
- cntper: New Mexico EPHTN Project Manager
- cntorg: New Mexico Department of Health, Environmental Health Epidemiology Bureau
- cntpos
- cntaddr
- addrtype: Physical
- address: 1190 St. Francis Drive
- city: Santa Fe
- state: NM
- postal: 87505
- country: United States Of America
- cntvoice: 18888788992
- cntvoice
- cnttdd
- cntfax: 5058270013
- cntemail: DOH-EHEB@state.nm.us
- hours: 8:00 - 5:00
- cntinst
- metstdn: EPHTN Tracking Network Profile Version 1.2
- metac: Restricted (secure) data will only be released to external users after the review process set by the New Mexico EPHT Program has been completed and the request has been approved.
- metuc: This information is provided by the Environmental Health Epidemiology Bureau (NMEHEB) of the New Mexico Department of Health. Efforts have been made to assure the accuracy of the data.
