https://www.missouridelta.com/emergency-care-home/

The Time Critical Diagnosis (TCD) system, created in 2013 through the
Missouri Department of Health and Human Services, is a statewide
emergency medical care response system aimed at providing a quicker
response and higher quality care when a time critical emergency such
as stroke happens. The goal of the TCD system is to create consistent,
statewide rules and regulations to help EMS, EMTs and hospital
personnel ensure patients are being transported to and treated by the
most appropriate facility for their needs.

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