Texas Emergency Department Public Use Data File
Texas Health Care Information Collection
Center for Health Statistics
The 2014–15 General Appropriations Act, S.B. 1, 83rd Texas Legislature, Regular Session, 2013 (Article II, Department of State Health Services [DSHS], Rider 93) specified that DSHS shall collect hospital emergency department (ED) data as set forth in Chapter 108, Texas Health and Safety Code (THSC). DSHS currently collects inpatient and outpatient data from hospitals and ambulatory surgical centers. DSHS began collecting ED data from hospitals on January 1, 2015 per 25 Texas Administrative Code (TAC), Sections 421.71-421.78, and in conjunction with the collection of inpatient and outpatient data.
In accordance with Health and Safety Code, Section 108.012(b), "the department may charge a person requesting public use or provider quality data a fee for the data. The fees may reflect the quantity of information provided and the expense incurred by the department in collecting and providing the data. The executive commissioner by rule and shall be set the fees at a level that will raise revenue sufficient for the operation of the department. The department may not charge a fee for providing public use data to another Texas state agency. View Chapter 108.
The Hospital Emergency Department (ED) Public Use Data Files (PUDF) include data from Inpatient PUDF and the Outpatient PUDF. The Inpatient PUDF contains patient-level information for patients which were admitted into the hospital for care. The inpatient hospital stay may last several hours to days, weeks or years, depending upon the condition or status of the patient before being discharged, transferred or expired; the Outpatient PUDF contains patient-level information for outpatient services that do not go more than twenty-four (24) hours from the time they are being treated in the hospital or ambulatory surgery center (ASC).
The Hospital ED PUDF is currently available for the first quarter 2016 through fourth quarter 2023. The first quarter 2024 is tentatively scheduled to be released December 2024.
Purchasing the Hospital ED PUDF requires a completed Order Form, which includes a Data Use Agreement.
- Data Summary for Inpatient (IP), Outpatient (OP) and Emergency Department
- Emergency Department (ED) PUDF Order Form (PDF, 928 KB)
Statistics on emergency department events (Excel format)
Information on the data fields is included in the user manual available below.
The 2023 Hospital ED PUDF contains
| Number of Hospitals | Number of Records | |||
|---|---|---|---|---|
| IP Base | IP Charges | OP Bases | OP Charges | |
| First quarter, 847 facilities | 443,443 records | 10,384,173 records | 2,832,990 records | 25,222,582 records |
| Second quarter, 843 facilities | 438,451 records | 10,136,349 records | 2,899,136 records | 25,633,620 records |
| Third quarter, 822 facilities | 448,014 records | 10,311,351 records | 2,690,638 records | 26,430,907 records |
| Fourth quarter, 852 facilities | 456,910 records | 10,564,726 records | 3,158,898 records | 27,315,160 records |
- ED PUDF User Manual 2023 (1.7 MB)
The 2022 Hospital ED PUDF contains:
| Number of Hospitals | Number of Records | |||
|---|---|---|---|---|
| IP Base | IP Charges | OP Bases | OP Charges | |
| First quarter, 841 facilities | 411,804 records | 9,635,114 records | 2,733,951 records | 23,109,921 records |
| Second quarter, 841 facilities | 410,848 records | 9,336,411 records | 2,799,422 records | 24,351,621 records |
| Third quarter, 845 facilities | 427,409 records | 9,681,569 records | 2,937,007 records | 25,342,183 records |
| Fourth quarter, 837 facilities | 438,056 records | 10,070,805 records | 3,150,882 records | 26,046,303 records |
- ED PUDF User Manual, 2022 (2.5 MB)
The 2021 Hospital ED PUDF contains:
| Number of Hospitals | Number of Records | |||
|---|---|---|---|---|
| IP Base | IP Charges | OP Bases | OP Charges | |
| First quarter, 809 facilities | 410,049 records | 11,323,735 records | 2,385,430 records | 20,991,869 records |
| Second quarter, 813 facilities | 411,152 records | 9,681,691 records | 2,625,684 records | 23,156,146 records |
| Third quarter, 817 facilities | 439,293 records | 10,137,933 records | 3,068,522 records | 24,591,264 records |
| Fourth quarter, 817 facilities | 414,199 records | 9,584,088 records | 2,896,344 records | 23,976,539 records |
The 2020 Hospital ED PUDF contains:
| Number of Hospitals | Number of Records | |||
|---|---|---|---|---|
| IP Base | IP Charges | OP Base | OP Charges | |
| First quarter, 503 facilities | 410,367 records | 8,803,361 records | 2,483,855 records | 20,397,393 records |
| Second quarter, 489 facilities | 347,806 records | 7,484,854 records | 1,612,607 records | 14,724,511 records |
| Third quarter, 497 facilities | 386,828 records | 10,290,344 records | 1,849,868 records | 17,068,467 records |
| Fourth quarter, 790 facilities | 403,844 records | 10,939,368 records | 2,505,863 records | 20,976,708 records |
The 2019 Hospital ED PUDF contains:
| Number of Hospitals | Number of Records | |||
|---|---|---|---|---|
| IP Base | IP Charges | Op Base | OP Charges | |
| First quarter, 491 facilities | 406,180 records | 8,252,417 records | 2,544,659 records | 21,413,050 records |
| Second quarter, 492 facilities | 398,940 records | 8,017,296 records | 2,463,527 records | 21,350,818 records |
| Third quarter, 488 facilities | 400,377 records | 8,192,082 records | 2,440,133 records | 21,130,812 records |
| Fourth quarter, 489 facilities | 413,783 records | 8,737,281 records | 2,638,460 records | 21,336,880 records |
The 2018 Hospital ED PUDF contains:
| Number of Hospitals | Number of Records | |||
|---|---|---|---|---|
| IP Base | IP Charges | OP Base | OP Charges | |
| First quarter, 496 facilities | 409,776 records | 7,835,239 records | 2,500,788 records | 19,282,380 records |
| Second quarter, 487 facilities | 385,680 records | 7,341,105 records | 2,359,980 records | 19,153,697 records |
| Third quarter, 492 facilities | 382,461 records | 7,593,268 records | 2,319,929 records | 19,275,555 records |
| Fourth quarter, 497 facilities | 390,017 records | 7.788.331 records | 2,444,990 records | 20,692,681 records |
The 2017 Hospital ED PUDF contains:
| Number of Hospitals | Number of Records | |||
|---|---|---|---|---|
| IP Base | IP Charges | OP Base | OP Charges | |
| First Quarter, 491 facilities | 389,694 records | 7,531,666 records | 2,369,061 records | 18,888,359 records |
| Second quarter, 483 facilities | 374,777 records | 7,068,705 records | 2,309,112 records | 18,724,107 records |
| Third quarter, 441 facilities | 368,002 records | 6,917,547 records | 2,232,450 records | 17,951,759 records |
| Fourth quarter, 494 facilities | 390,192 records | 7,347,775 records | 2,477,301 records | 19,192,622 records |
The 2016 Hospital ED PUDF contains:
| Number of Hospitals | Number of Records | |||
|---|---|---|---|---|
| IP Base | IP Charges | OP Base | OP Charges | |
| First quarter, 486 facilities | 371,668 records | 7,149,726 records | 2,324,263 records | 17,938,585 records |
| Second quarter, 487 facilities | 364,092 records | 7,024,369 records | 2,315,466 records | 18,261,235 records |
| Third quarter, 486 facilities | 367,523 records | 7,065,645 records | 2,275,340 records | 18,289,934 records |
| Fourth quarter, 486 facilities | 368,588 records | 7,117,949 records | 2,260,107 records | 17,847,395 records |
Texas Health Data
Texas Health Data is an interactive public data system that allows you to query THCIC PUDF and statistical reports for Texas healthcare utilization and quality measures.
Free Data Download
The Public Use Data File (PUDF) for 2016 and 2017, in fixed-length and tab-delimited format, are available for free download. Please submit an order form.
Technical Update
An update has been released for the third quarter 2019. THCIC found that thirty (30) of the eighty (80) duplicates Outpatient data records in the 3rd quarter Outpatient 2019 data are ED Outpatient data. THCIC also found that sixty-one (61) of those seventy-nine (79) missing records from the 3rd quarter Outpatient 2019 data are ED Outpatient data. Therefore, THCIC reran the 3rd quarter ED Outpatient 2019 data to remove the duplicates and add the sixty-one (61) missing records to create a new 3rd quarter ED Outpatient 2019 data. THCIC will send you (fixed-length and tab-delimited files):
- A new 3rd quarter ED Outpatient 2019 data named “ED-OP_base3q2019.txt” and a classification file named “ED-OP_classification_3q2019.txt”;
- A dataset containing only the thirty (30) duplicate records (all data fields from the Base file) removed from the 3rd quarter ED Outpatient 2019 data named “ed_op_3q2019_dups.txt” and a classification file for the thirty (30) duplicate records named “ed-op_classification_dups_3q2019.txt”;
- A dataset containing only the sixty-one (61) missing records (all data fields from the Base file) added to the new 3rd quarter ED Outpatient 2019 data named “ed_op_3q2019_miss.txt” and a classification file for the sixty-one (61) missing records named “ed_op_classification_miss_3q2019.txt”.
The thirty (30) duplicates Records ID removed from the 3rd quarter ED Outpatient 2019 data are listed in Table2 of the excel file named “THCIC ED 3Q2019 Duplicates Record IDs Addenda”.
- Third quarter, 2019 - ED Update Excel (10 KB)
An update has been released for the first quarter 2019 “ED Facility_type1q2019.txt” and “ED Facility_type1q2019_tab.txt” files. A number of facilities that submitted data were not included in those files. The update contains the correct reporting of the facilities and facility type information for the 1Q2019 Emergency Department Facility Type files. All other data files were correctly reported and in the appropriate data files. Released February 18, 2020
- First quarter, 2019 - Fixed Length Text Files and Tab-Delimited Text Files
Data Purchasers
The list of organizations a variety of organizations that use the data for analysis. The listing includes recipients from calendar year 2022 through calendar year 2023. This list is updated annually. (February 7, 2024).
If you have suggestions or comments regarding ED PUDF data, submit them to THCIC.