CDE Detailed Report

Disease: Stroke
Sub-Domain: Discharge Information
CRF: Hospital Discharge

Displaying 1 - 10 of 10
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (Question Text) Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C58829 Diagnosis principal discharge stroke TIA related ICD-10-CM code status DgnPrnDisStrkTIARelICD10CdStat Status indicating if the principal or secondary ICD-10-CM diagnosis code is not Stroke/ TIA (transient ischemic attack) related. Status indicating if the principal or secondary ICD-10-CM diagnosis code is not Stroke/ TIA (transient ischemic attack) related. Discharge diagnosis related to stroke No Stroke/ TIA -related ICD-10 code No Stroke/ TIA -related ICD-10 code Alphanumeric

No instructions available

See https://www.cdc.gov/nchs/icd/icd10cm.htm for the ICD codes. Adult;Pediatric Supplemental 1.00 2020-05-15 15:24:53.0 Hospital Discharge Discharge Information Disease/Injury Related Events

Single Pre-Defined Value Selected

C58831 Stroke initial residence or discharge destination other text StrokInResDisDestOthrTxt The free-text field related to 'Stroke initial residence or discharge destination type' specifying other text. Participant's/ subject's discharge destination. The discharge destination is defined as where the patient is going for post-acute stay. The free-text field related to 'Stroke initial residence or discharge destination type' specifying other text. Participant's/ subject's discharge destination. The discharge destination is defined as where the patient is going for post-acute stay. Other not defined above Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2020-05-15 15:45:43.0 Hospital Discharge Discharge Information Disease/Injury Related Events 255

Free-Form Entry

C14218 Commission on Accreditation of Rehabilitation Facilities (CARF) - destination indicator CARFDestInd Indicates if the discharge destination is a rehabilitation center accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). Indicates if the discharge destination is a rehabilitation center accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). Is the discharge destination a rehabilitation center accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF)? Yes;No;Unknown Yes;No;Unknown Alphanumeric

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http://www.carf.org/ Adult;Pediatric Supplemental 3.00 2013-06-21 00:00:00.0 Hospital Discharge Discharge Information Disease/Injury Related Events

Single Pre-Defined Value Selected

C14627 Stroke initial residence or discharge destination type StrokInResDisDestTyp Participant's/ subject's discharge destination. The discharge destination is defined as where the patient is going for post-acute stay. Participant's/ subject's discharge destination. The discharge destination is defined as where the patient is going for post-acute stay. Initial residence/ Discharge destination Home with no in-home services;Home with home care services;Another family member's/ friend's home;Intensive Inpatient rehabilitation facility (IRF) including distinct rehabilitation units of a hospital: three hours or greater of therapy per day;Skilled nursing facility (SNF)/ subacute rehab: less than two hours a day of therapy;Medicare certified long-term care hospital (LTCH);Hospice- home or medical facility providing hospice level of care;Other not defined above:;Expired Home with no in-home services;Home with home care services;Another family member's/ friend's home;Intensive Inpatient rehabilitation facility (IRF) including distinct rehabilitation units of a hospital: three hours or greater of therapy per day;Skilled nursing facility (SNF)/ subacute rehab: less than two hours a day of therapy;Medicare certified long-term care hospital (LTCH);Hospice- home or medical facility providing hospice level of care;Other not defined above:;Expired Alphanumeric

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American Heart/American Stroke Association. (2018). Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (© 2018, American Heart/American Stroke Association). Available at: https://www.heart.org/-/media/files/professional/quality-improvement/get-with-the-guidelines/get-with-the-guidelines-stroke/stroke-fact-sheet_-final_ucm_501842.pdf?la=en; Paul Coverdell National Acute Stroke Registry; The Joint Commission Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-06-21 00:00:00.0 Hospital Discharge Discharge Information Disease/Injury Related Events

Single Pre-Defined Value Selected

C18908 Diagnosis stroke risk factor new other text DiagnosStrokeRiskFactorNewOTH The free-text field related to 'Diagnosis new type' specifying other text. If there were any new diagnoses related to stroke risk factors during hospital stay, describes those risk factors. The free-text field related to 'Diagnosis new type' specifying other text. If there were any new diagnoses related to stroke risk factors during hospital stay, describes those risk factors. Other, specify Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-06-21 00:00:00.0 Hospital Discharge Discharge Information Disease/Injury Related Events 4000

Free-Form Entry

C21666 Diagnosis principal discharge stroke related ICD-10-CM code DignsPrinDiscgRelStrkICD10Code If the Principal ICD-10-CM diagnosis code is a stroke-related code, then enter it here. If it is not, then select the Secondary ICD-10 diagnosis code that is stroke-related, as determined by ICD-10-CM code recorded in the medical record. If the Principal ICD-10-CM diagnosis code is a stroke-related code, then enter it here. If it is not, then select the Secondary ICD-10 diagnosis code that is stroke-related, as determined by ICD-10-CM code recorded in the medical record. Discharge diagnosis related to stroke Alphanumeric

The ICD-10 code should be recorded using the following format: _ _ _ . _ _

American Heart/American Stroke Association. (2018). Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (&copy; 2018, American Heart/American Stroke Association). Available at: https://www.heart.org/-/media/files/professional/quality-improvement/get-with-the-guidelines/get-with-the-guidelines-stroke/stroke-fact-sheet_-final_ucm_501842.pdf?la=en; Paul Coverdell National Acute Stroke Registry<br /> See https://www.cdc.gov/nchs/icd/icd10cm.htm for the ICD codes. Adult;Pediatric Supplemental 1.00 2016-04-19 00:00:00.0 Hospital Discharge Discharge Information Disease/Injury Related Events 255

Free-Form Entry

C04804 Hospital discharge date and time HospitDischgDateTime Date (and time, if applicable and known) the participant/subject was discharged from the hospital Date (and time, if applicable and known) the participant/subject was discharged from the hospital Date of discharge Date or Date & Time

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.).

American Heart/American Stroke Association. (2018). Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (&copy; 2018, American Heart/American Stroke Association). Available at: https://www.heart.org/-/media/files/professional/quality-improvement/get-with-the-guidelines/get-with-the-guidelines-stroke/stroke-fact-sheet_-final_ucm_501842.pdf?la=en; Paul Coverdell National Acute Stroke Registry Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-07-25 08:54:08.2 Hospital Discharge Discharge Information Disease/Injury Related Events

Free-Form Entry

C14213 Diagnosis principal discharge code DiagnosPrincipalDischrgCode The principal diagnosis is defined in the Uniform Hospital Discharge Data Set (UHDDS) as "that condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care." The principal diagnosis is defined in the Uniform Hospital Discharge Data Set (UHDDS) as "that condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care." Principal discharge diagnosis Alphanumeric American Heart/American Stroke Association. (2018). Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (&copy; 2018, American Heart/American Stroke Association). Available at: https://www.heart.org/-/media/files/professional/quality-improvement/get-with-the-guidelines/get-with-the-guidelines-stroke/stroke-fact-sheet_-final_ucm_501842.pdf?la=en; Paul Coverdell National Acute Stroke Registry<br /> See https://www.cdc.gov/nchs/icd/icd10cm.htm for the ICD codes. Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-06-21 00:00:00.0 Hospital Discharge Discharge Information Disease/Injury Related Events 255

Free-Form Entry

C14215 Diagnosis stroke risk factor new indicator DiagnosStrokeRiskFactorNewInd Were there any new diagnoses (i.e., diagnosed for the first time) related to stroke risk factors during the hospital stay? Were there any new diagnoses (i.e., diagnosed for the first time) related to stroke risk factors during the hospital stay? Were any new diagnoses related to stroke risk factors made during the hospital stay Yes;No;Unknown Yes;No;Unknown Alphanumeric

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No references available Adult;Pediatric Supplemental 3.00 2013-06-21 00:00:00.0 Hospital Discharge Discharge Information Disease/Injury Related Events

Single Pre-Defined Value Selected

C14216 Diagnosis stroke risk factor new type DiagnosStrokeRiskFactorNewTyp If there were any new diagnoses related to stroke risk factors during hospital stay, describes those risk factors. If there were any new diagnoses related to stroke risk factors during hospital stay, describes those risk factors. New diagnosis type(s) Diabetes;Hypertension;Hyperlipidemia;Artherosclerosis;Persistent or Paroxysmal Atrial Fibrillation/Flutter;Other, specify Diabetes;Hypertension;Hyperlipidemia;Artherosclerosis;Persistent or Paroxysmal Atrial Fibrillation/Flutter;Other, specify Alphanumeric

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No references available Adult;Pediatric Supplemental 3.00 2013-06-21 00:00:00.0 Hospital Discharge Discharge Information Disease/Injury Related Events

Multiple Pre-Defined Values Selected

CSV