Complete the ED PUDF Order Form, which includes a Data Use Agreement (DUA). Review the form for further instructions and submission guidelines.

Under Texas Health and Safety Code Section 108.012(b), the Texas Department of State Health Services (DSHS) may charge a fee for public use or provider quality data.

Fees are set to cover the program’s operational costs. Fees depend on how much data is requested, the cost of preparing it. No fee is charged when data is requested by another Texas state agency. Texas state agencies and universities, as well as local Texas health departments, are exempt from paying for fees.

For a detailed breakdown of fees, see Data Fees.

• Hospital ED PUDFs are available from Q1 2016 through Q2 2024.
• Q3 2024 data is expected to be released in June 2025.

Understanding Health Resource Utilization

ED data provides insights into how healthcare resources are used, which can help inform resource allocation and planning.

Public Health Surveillance

It can be used to monitor disease outbreaks, identify new or emerging health threats, and track trends in various health indicators.

Investigating Disparities

Researchers can use ED data to examine disparities in access to care, treatment patterns, and outcomes based on factors like ethnicity, socioeconomic status, or insurance status.

Evaluating Interventions

ED data can be used to assess the effectiveness of public health interventions or new treatment protocols.

If you experience difficulty accessing any of the documents, contact the HHS Accessibility Office.

Supporting Resources

• ED PUDF User Manual 2025 (1.94 MB)
• Event Statistics (70 KB)

Supporting Resources

• ED PUDF User Manual 2024 (2.5 MB)
• Event Statistics (94 KB)

Supporting Resources

• ED PUDF User Manual 2023 (2.5 MB)
• Event Statistics (95 KB)

Supporting Resources

• ED PUDF User Manual, 2022 (2.5 MB)
• Event Statistics (44 KB)

Supporting Resources

• ED PUDF User Manual, 2021
• Event Statistics (93 KB)

Supporting Resources

• ED PUDF User Manual, 2020

Supporting Resources

• ED PUDF User Manual, 2019

Technical Updates

An update has been released for the third quarter of 2019.

THCIC found that 30 out of 80 duplicate outpatient records from this quarter are ED outpatient data.

They also discovered that out of the 79 missing records, 61 are ED outpatient data. So, THCIC reran the 3rd quarter ED outpatient data. They removed duplicates and added the 61 missing records. This created a new data set for the 3rd quarter ED outpatient data.

THCIC will send you fixed-length and tab-delimited files:

• A new 3rd quarter ED outpatient data file named “ED-OP_base3q2019.txt” and a classification file named “ED-OP_classification_3q2019.txt”;
• A dataset with the 30 duplicate records (all data fields from the base file) removed from the 3rd quarter ED outpatient data named “ed_op_3q2019_dups.txt” and a classification file for these duplicates named “ed-op_classification_dups_3q2019.txt”;
• A dataset with the 61 missing records (all data fields from the base file) added to the new 3rd quarter ED outpatient data named “ed_op_3q2019_miss.txt” and a classification file for these missing records named “ed_op_classification_miss_3q2019.txt.”

The thirty (30) duplicates Records ID removed from the 3^rd 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