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          "higherEstimate": "Not Available"
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          "higherEstimate": "Not Available"
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        "file": "/downloads/cms/quality/responsiveness.csv.gz",
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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",
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        "metadata": "/downloads/cms/quality/readmissions-metadata.json",
        "sha256": "98cc64f5fc330ffa7e4bef97f8e86a772a1d3dfe2f7dd08976cb1ee43fad1b2d",
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        "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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        "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",
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    ]
  },
  "profileRecordProvenance": "Existing CNO reporting layers. Exact source locators are retained where recorded in the records below."
}
