CDE Detailed Report

The time of symptom discovery is either the time at which the patient was first noted by another person to have stroke symptoms or the self-reported time by an individual who may not be accurate or reliable in their assessment of stroke symptoms onset (e.g., in the setting of neglect or anosagnosia, or aphasia). When the event is witnessed by another person, then the time of discovery is identical to the time of last known well; however, when unwitnessed or self-reported by an unreliable patient, this time of discovery will be later chronologically than the time last known well. Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
Supplemental - Highly Recommended based on study type, disease stage and disease type.

This refers to the method of transport to your hospital, not to the method of initial transport to another facility if the patient was subsequently transferred to your hospital.

If the patient was a resident of a nursing home, but was out with family for the day and suffered a stroke and the family/EMS brought the patient to your hospital, choose "Not in a healthcare setting". If the patient was at home, at work of even a visitor in your hospital and had stroke symptoms, then choose "Not in a healthcare setting". If the patient was transferred to your hospital from another hospital's ED or inpatient unit but was outside of a healthcare facility when the stroke occurred, choose "Not in a healthcare setting". If the patient was a resident of a nursing home and the stroke occurred at the NH, choose "Chronic healthcare facility". A chronic care facility would include nursing home, long-term care facility, inpatient rehab facility, and assisted-living facility. If the patient is at a clinic or physician office visit, or at your hospital but receiving outpatient procedure or service that did not require the patient to be admitted as an inpatient, select "Outpatient healthcare setting". If the patient was an inpatient in your hospital choose "Stroke occurred while patient was an inpatient at your hospital". If the patient was already within your ED or hospital and experienced new onset of stroke symptoms, then this is considered an inpatient stroke or TIA. Only those hospitals that are interested in collecting information regarding inpatient stroke care should enter these patients. Patients who have transient symptoms that are present on arrival to the ED but resolve, and then later return during the hospitalization and meet criteria for ischemic stroke should all be entered as inpatient strokes.

Choose one. Unknown should be used if not documented or cannot be determined.

Choose one response. The answer to this question is independent of the answer for Patient Location When Stroke Symptoms Discovered. This question asks where the patient was located prior to arriving at your hospital, not where the patient was when they first developed stroke symptoms. This element is intended to capture data about patients who are admitted to the hospital because of stroke events and is not for use with inpatient strokes (i.e., inpatient stroke = stroke that occurs while a patient is an inpatient in the hospital).