{
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          "source": "hai",
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          "end": "2025-09-30",
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        "HAI_2_CIUPPER": {
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          "end": "2025-09-30",
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        "HAI_3_NUMERATOR": {
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          "reportedName": "MARSHALL MEDICAL CENTER",
          "comparison": "Not Available",
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          "reportedName": "MARSHALL MEDICAL CENTER",
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        },
        "HAI_3_CILOWER": {
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          "source": "hai",
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          "measureName": "SSI - Colon Surgery: Lower Confidence Limit",
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        },
        "HAI_3_CIUPPER": {
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        },
        "HAI_4_SIR": {
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          "raw": "Not Available",
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          "start": "2024-10-01",
          "end": "2025-09-30",
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          "start": "2024-10-01",
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        "HAI_4_CILOWER": {
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          "lowerEstimate": "",
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        "HAI_5_SIR": {
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        "downloadUrl": "https://data.cms.gov/provider-data/sites/default/files/resources/893c372430d9d71a1c52737d01239d47_1785189955/Hospital_General_Information.csv",
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        "checked": "2026-10-03",
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        "file": "/downloads/cms/quality/hcahps.csv.gz",
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        "url": "https://data.cms.gov/provider-data/sites/default/files/dataset-archives/theme/hospitals/hospitals_2025-11-26.zip",
        "file": "/downloads/cms/quality/responsiveness.csv.gz",
        "metadata": "/downloads/cms/quality/responsiveness-metadata.json",
        "sha256": "c11338a55a9ee674566493fe8abde8748d2809163e86de100bc45aaa382d8751",
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        "release": "2026-08-13",
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        "file": "/downloads/cms/quality/hai.csv.gz",
        "metadata": "/downloads/cms/quality/hai-metadata.json",
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        "release": "2026-09-30",
        "url": "https://data.cms.gov/provider-data/sites/default/files/resources/30edc1d0417a34b58affcc2495a02b0a_1790013959/Unplanned_Hospital_Visits-Hospital.csv",
        "file": "/downloads/cms/quality/readmissions.csv.gz",
        "metadata": "/downloads/cms/quality/readmissions-metadata.json",
        "sha256": "98cc64f5fc330ffa7e4bef97f8e86a772a1d3dfe2f7dd08976cb1ee43fad1b2d",
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      {
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        "release": "2026-09-30",
        "url": "https://data.cms.gov/provider-data/sites/default/files/resources/6af7c44d77436e5a1caac3ce39a83fe9_1790013956/Complications_and_Deaths-Hospital.csv",
        "file": "/downloads/cms/quality/mortality.csv.gz",
        "metadata": "/downloads/cms/quality/mortality-metadata.json",
        "sha256": "2f7112969e2de2a015af8574848973dc48595ca6f2fe032e5f0932c515d5f59a",
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    ],
    "ambulanceOffload": [
      {
        "id": "EMSA-APOT-JUNE2025",
        "url": "https://emsa.ca.gov/wp-content/uploads/sites/71/2025/07/Ambulance-Patient-Offload-Delays-Report-to-the-Commission-on-EMS-June-2025.pdf",
        "file": "/downloads/emsa/apot-june2025.pdf",
        "period": "October 2024–March 2025",
        "checked": "2026-10-03",
        "sha256": "d23ed95df643fe752ac0f8c8038b8575b0ac31d5ce9cf5406fb600a9fa93f401"
      },
      {
        "id": "EMSA-APOT-FEB2026",
        "url": "https://emsa.ca.gov/wp-content/uploads/sites/71/2026/02/February-2026-APOT-Exceedance-Report-to-the-Commission-on-EMS.pdf",
        "file": "/downloads/emsa/apot-feb2026.pdf",
        "period": "January 2026",
        "checked": "2026-10-03",
        "sha256": "b2dbac3bf6ce822c8c3f0e5d586874c13242bd4ed0998dda5b36fbdf0211d3d7"
      }
    ]
  },
  "profileRecordProvenance": "Existing CNO reporting layers. Exact source locators are retained where recorded in the records below."
}
