CDE Detailed Report

Disease: Stroke
Sub-Domain: Therapies
CRF: Lifestyle Modification Therapies

Displaying 1 - 23 of 23
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
C58856 High alcohol consumption avoid counsel indicator HighAlcConsumptnAvoidCounslInd Indicates if counseling to avoid high alcohol consumption was provided at discharge. The intervention can be education, discussion, or referral to a rehabilitation program. Indicates if counseling to avoid high alcohol consumption was provided at discharge. The intervention can be education, discussion, or referral to a rehabilitation program. Counseling to avoid high alcohol consumption Yes;No;Unknown;NC Yes;No;Unknown;NC: None-contraindicated Alphanumeric

Choose one.

No references available Adult;Pediatric Supplemental 1.00 2020-05-18 09:04:49.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C58845 Discharge origin location type DischargeOriginLocTyp The type of origin location that is discharging the participant/subject. The type of origin location that is discharging the participant/subject. Specify discharging location Intensive Inpatient rehabilitation facility (IRF) including distinct rehabilitation units of a hospital: three hours or greater of therapy per day;Acute hospital;Medicare certified long-term care hospital (LTCH);Hospice- home or medical facility providing hospice level of care;Other not defined above:;Skilled nursing facility (SNF)/ subacute rehab: less than two hours a day of therapy Intensive Inpatient rehabilitation facility (IRF) including distinct rehabilitation units of a hospital: three hours or greater of therapy per day;Acute hospital;Medicare certified long-term care hospital (LTCH);Hospice- home or medical facility providing hospice level of care;Other not defined above:;Skilled nursing facility (SNF)/ subacute rehab: less than two hours a day of therapy Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2020-05-17 18:41:28.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C58858 High alcohol consumption avoid intervention type HighAlcConsumptnAvoidIntrvnTyp If the participant/subject received counseling to avoid high alcohol consumption, describes the type(s) of interventions received. If the participant/subject received counseling to avoid high alcohol consumption, describes the type(s) of interventions received. Specify intervention(s) Direct discussion with the patient or caregiver to avoid excessive alcohol intake;Referral to a regular structured rehabilitation program to overcome excessive alcohol intake;Provision of educational materials Direct discussion with the patient or caregiver to avoid excessive alcohol intake;Referral to a regular structured rehabilitation program to overcome excessive alcohol intake;Provision of educational materials Alphanumeric

Choose all that apply. The interventions can be directed at the caregiver if the participant/subject is unable to comprehend.

No references available Adult;Pediatric Supplemental 1.00 2020-05-18 09:18:22.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C58846 Discharge origin location other text DischargeOriginLocOthrTxt The free-text field related to 'Discharge origin location type' specifying other text. The type of origin location that is discharging the participant/subject. The free-text field related to 'Discharge origin location type' specifying other text. The type of origin location that is discharging the participant/subject. Other not defined above Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2020-05-18 07:54:34.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data 255

Free-Form Entry

C58859 Recreational prescription drug abuse discontinue counsel indicator RcPrscrptDrgAbseDscntinCnslInd Indicates if counseling to discontinue recreational or prescription drug abuse was provided at discharge. The intervention can be education, discussion, or referral to a rehabilitation program, use of an alternative treatment, or another intervention. Indicates if counseling to discontinue recreational or prescription drug abuse was provided at discharge. The intervention can be education, discussion, or referral to a rehabilitation program, use of an alternative treatment, or another intervention. Counseling to discontinue recreational or prescription drug abuse Yes;No;Unknown;NC Yes;No;Unknown;NC: None-contraindicated Alphanumeric

Choose one.

No references available Adult;Pediatric Supplemental 1.00 2020-05-18 09:20:58.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C58847 Weight loss counsel indicator WeightLossCounselInd Indicates if weight loss counseling was provided at discharge. The intervention can be education, an individualized plan, or referral to a dietitian or structured program. Indicates if weight loss counseling was provided at discharge. The intervention can be education, an individualized plan, or referral to a dietitian or structured program. Counseling for weight loss Yes;No;Unknown;NC Yes;No;Unknown;NC: None-contraindicated Alphanumeric

Patients who are overweight or obese (BMI 25 or greater) are candidates for intervention in weight management or increased physical activity. Patients who exercise less than three (3) days a week for 30 minutes should receive a written activity recommendation or referral to stroke rehabilitation involving increased activity.

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 Adult;Pediatric Supplemental 1.00 2020-05-18 08:00:05.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C58860 Recreational prescription drug abuse discontinue intervention type RcPrscrptDrgAbseDscntinIntvTyp If the participant/subject received counseling to discontinue recreational or prescription drug abuse, describes the type(s) of interventions received. If the participant/subject received counseling to discontinue recreational or prescription drug abuse, describes the type(s) of interventions received. Specify intervention(s) Direct discussion with the patient or caregiver to avoid recreational drug use;Referral to a regular structured rehabilitation program for drug addiction;Use of alternative treatment to overcome prescription drug abuse;Other, specify:;Provision of educational materials Direct discussion with the patient or caregiver to avoid recreational drug use;Referral to a regular structured rehabilitation program for drug addiction;Use of alternative treatment to overcome prescription drug abuse;Other, specify:;Provision of educational materials Alphanumeric

Choose all that apply. The interventions can be directed at the caregiver if the participant/subject is unable to comprehend.

No references available Adult;Pediatric Supplemental 1.00 2020-05-18 09:27:06.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C58848 Weight loss intervention type WeightLossInterventTyp If the participant/subject received counseling for weight loss, describes the type(s) of interventions received. If the participant/subject received counseling for weight loss, describes the type(s) of interventions received. Specify intervention(s) Provision of educational materials;Direct education of overweight patients to achieve healthy weight loss goals;Development of individualized plan to achieve weight loss goals;Referral to a dietitian for weight loss;Referral to a structured program for weight loss Provision of educational materials;Direct education of overweight patients to achieve healthy weight loss goals;Development of individualized plan to achieve weight loss goals;Referral to a dietitian for weight loss;Referral to a structured program for weight loss Alphanumeric

Patients who are overweight or obese (BMI 25 or greater) are candidates for intervention in weight management or increased physical activity. Patients who exercise less than three (3) days a week for 30 minutes should receive a written activity recommendation or referral to stroke rehabilitation involving increased activity
The interventions can be directed at the caregiver if the participant/subject is unable to comprehend.

No references available Adult;Pediatric Supplemental 1.00 2020-05-18 08:21:37.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C58861 Recreational prescription drug abuse discontinue intervention other text RcPrscrptDrgAbseDscIntvOthrTxt The free-text field related to 'Recreational prescription drug abuse discontinue intervention type' specifying other text. If the participant/subject received counseling to discontinue recreational or prescription drug abuse, describes the type(s) of interventions received. The free-text field related to 'Recreational prescription drug abuse discontinue intervention type' specifying other text. If the participant/subject received counseling to discontinue recreational or prescription drug abuse, describes the type(s) of int Other, specify Alphanumeric

The interventions can be directed at the caregiver if the participant/subject is unable to comprehend.

No references available Adult;Pediatric Supplemental 1.00 2020-05-18 09:29:58.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data 255

Free-Form Entry

C58849 Physical activity increase recommendation indicator PhysActIncrseRecInd Indicates if recommendations to increase physical activity were provided at discharge. The intervention can be education, discussion, an individualized plan, referral to a structured program or another intervention. Indicates if recommendations to increase physical activity were provided at discharge. The intervention can be education, discussion, an individualized plan, referral to a structured program or another intervention. Recommendations to increase physical activity Yes;No;Unknown;NC Yes;No;Unknown;NC: None-contraindicated Alphanumeric

Patients who are overweight or obese (BMI 25 or greater) are candidates for intervention in weight management or increased physical activity. Patients who exercise less than three (3) days a week for 30 minutes should receive a written activity recommendation or referral to stroke rehabilitation involving increased activity.

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 Adult;Pediatric Supplemental 1.00 2020-05-18 08:26:30.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C58862 Contraceptive hormone replacement treatment counsel indicator CntrcptHrmneReplceTrtCounslInd Indicates if counseling relating to contraceptive/hormone replacement treatment was provided at discharge. The intervention can be discussion or use of alternate treatment or approaches. Indicates if counseling relating to contraceptive/hormone replacement treatment was provided at discharge. The intervention can be discussion or use of alternate treatment or approaches. Counseling relating to contraceptive/hormone replacement treatment Yes;No;Unknown;NC Yes;No;Unknown;NC: None-contraindicated Alphanumeric

Choose one.

No references available Adult;Pediatric Supplemental 1.00 2020-05-18 09:37:20.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C58850 Physical activity increase intervention type PhysActIncrseInterventTyp If the participant/subject received recommendations to increase physical activity, describes the type(s) of interventions received. If the participant/subject received recommendations to increase physical activity, describes the type(s) of interventions received. Specify intervention(s) Provision of educational materials;Direct discussion with the patient to reduce sedentary behaviors and work towards increased activity goals (as tolerated);Development of individualized plan to achieve physical activity goals;Referral to a regular structured exercise program;Other, specify: Provision of educational materials;Direct discussion with the patient to reduce sedentary behaviors and work towards increased activity goals (as tolerated);Development of individualized plan to achieve physical activity goals;Referral to a regular structured exercise program;Other, specify: Alphanumeric

Patients who are overweight or obese (BMI 25 or greater) are candidates for intervention in weight management or increased physical activity. Patients who exercise less than three (3) days a week for 30 minutes should receive a written activity recommendation or referral to stroke rehabilitation involving increased activity.
The interventions can be directed at the caregiver if the participant/subject is unable to comprehend.

No references available Adult;Pediatric Supplemental 1.00 2020-05-18 08:36:01.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C58863 Contraceptive hormone replacement treatment intervention type CntrcptHrmneReplceTrtIntrvnTyp If the participant/subject received counseling related to contraceptive/hormone replacement treatment, describes the type(s) of interventions received. If the participant/subject received counseling related to contraceptive/hormone replacement treatment, describes the type(s) of interventions received. Specify intervention(s) Direct discussion with the patient to discontinue treatment, if not prescribed for medical indications;Utilization of alternative contraceptive/hormonal treatment or approaches Direct discussion with the patient to discontinue treatment, if not prescribed for medical indications;Utilization of alternative contraceptive/hormonal treatment or approaches Alphanumeric

Choose all that apply. The interventions can be directed at the caregiver if the participant/subject is unable to comprehend.

No references available Adult;Pediatric Supplemental 1.00 2020-05-18 09:48:07.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C58851 Physical activity increase intervention other text PhysActIncrseInterventOthrTxt The free-text field related to 'Physical activity increase intervention type' specifying other text. If the participant/subject received recommendations to increase physical activity, describes the type(s) of interventions received. The free-text field related to 'Physical activity increase intervention type' specifying other text. If the participant/subject received recommendations to increase physical activity, describes the type(s) of interventions received. Other, specify Alphanumeric

Patients who are overweight or obese (BMI 25 or greater) are candidates for intervention in weight management or increased physical activity. Patients who exercise less than three (3) days a week for 30 minutes should receive a written activity recommendation or referral to stroke rehabilitation involving increased activity.

No references available Adult;Pediatric Supplemental 1.00 2020-05-18 08:45:29.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data 255

Free-Form Entry

C58864 Mental resilience stress management tool adopt counsel indicator MntlRslStrssMngToolAdptCnslInd Indicates if counseling to adopt tools for mental resilience and stress management was provided at discharge. The intervention can be discussion or another intervention. Indicates if counseling to adopt tools for mental resilience and stress management was provided at discharge. The intervention can be discussion or another intervention. Counseling to adopt tools for mental resilience and stress management Yes;No;Unknown;NC Yes;No;Unknown;NC: None-contraindicated Alphanumeric

Choose one.

No references available Adult;Pediatric Supplemental 1.00 2020-05-18 09:51:03.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C58853 Dietary intervention type DietaryInterventTyp If the participant/subject received dietary recommendations, describes the type(s) of interventions received. If the participant/subject received dietary recommendations, describes the type(s) of interventions received. Specify intervention(s) Direct discussion with the patient or caregiver to adopt a healthy diet;Provision of educational materials;Initiation of an individualized diet (includes TLC (Therapeutic Lifestyle Changes), DASH (Dietary Approaches to Stop Hypertension), diabetic or heart healthy);Formal dietary counseling or initiation of a structured diet plan Direct discussion with the patient or caregiver to adopt a healthy diet;Provision of educational materials;Initiation of an individualized diet (includes TLC (Therapeutic Lifestyle Changes), DASH (Dietary Approaches to Stop Hypertension), diabetic or heart healthy);Formal dietary counseling or initiation of a structured diet plan Alphanumeric

Choose all that apply. The interventions can be directed at the caregiver if the participant/subject is unable to comprehend.

No references available Adult;Pediatric Supplemental 1.00 2020-05-18 08:53:53.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C58865 Mental resilience stress management tool adopt intervention type MntlRslStrssMngToolAdptIntvTyp If the participant/subject received counseling to adopt tools for mental resilience and stress management, describes the type(s) of interventions received. If the participant/subject received counseling to adopt tools for mental resilience and stress management, describes the type(s) of interventions received. Specify intervention(s) Direct discussion with the patient or caregiver;Other, specify: Direct discussion with the patient or caregiver;Other, specify: Alphanumeric

Choose all that apply The interventions can be directed at the caregiver if the participant/subject is unable to comprehend.

No references available Adult;Pediatric Supplemental 1.00 2020-05-18 09:55:01.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C58854 High sodium intake avoid counsel indicator HighSodiumIntakeAvoidCounslInd Indicates if counseling to avoid high sodium intake was provided at discharge. The intervention can be education, discussion, or referral to a dietitian or formal program. Indicates if counseling to avoid high sodium intake was provided at discharge. The intervention can be education, discussion, or referral to a dietitian or formal program. Counseling to avoid high sodium intake Yes;No;Unknown;NC Yes;No;Unknown;NC: None-contraindicated Alphanumeric

Choose one.

No references available Adult;Pediatric Supplemental 1.00 2020-05-18 08:58:58.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C58866 Mental resilience stress management tool adopt intervention other text MntlRslStrsMngTlAdtIntvOthrTxt The free-text field related to 'Mental resilience stress management tool adopt intervention type' specifying other text. If the participant/subject received counseling to adopt tools for mental resilience and stress management, describes the type(s) of interventions received. The free-text field related to 'Mental resilience stress management tool adopt intervention type' specifying other text. Other, specify Alphanumeric

The interventions can be directed at the caregiver if the participant/subject is unable to comprehend.

No references available Adult;Pediatric Supplemental 1.00 2020-05-18 09:58:55.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data 255

Free-Form Entry

C58855 High sodium intake avoid intervention type HighSodiumIntakeAvoidIntrvnTyp If the participant/subject received counseling to avoid high sodium intake, describes the type(s) of interventions received. If the participant/subject received counseling to avoid high sodium intake, describes the type(s) of interventions received. Specify intervention(s) Provision of educational materials;Direct discussion with the patient or caregiver to reduce sodium intake;Referral to a dietitian or a formal education program Provision of educational materials;Direct discussion with the patient or caregiver to reduce sodium intake;Referral to a dietitian or a formal education program Alphanumeric

Choose all that apply. The interventions can be directed at the caregiver if the participant/subject is unable to comprehend.

No references available Adult;Pediatric Supplemental 1.00 2020-05-18 09:01:53.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C14277 Dietary recommendation indicator DietaryRecommendationInd Indicates if dietary recommendations were made at discharge. Examples of possible diets the patient may be put on include the Therapeutic Lifestyle Changes (TLC) Diet (a low saturated fat, low cholesterol diet) and an antihypertensive diet, such as the Dietary Approaches to Stop Hypertension (DASH) diet. Indicates if dietary recommendations were made at discharge. Dietary recommendations Yes;No;Unknown;NC Yes;No;Unknown;NC: None-contraindicated Alphanumeric

Choose one. The intervention can be education, discussion, an individualized diet, or formal counseling or a structured diet plan.

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; For more information, please visit https://www.nhlbi.nih.gov/health-topics/dash-eating-plan Adult;Pediatric Supplemental 3.00 2013-06-21 00:00:00.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C14274 Smoking cessation treatment indicator SmoCessTreatInd For patients who have smoked at least one cigarette within the past year (Joint Commission definition) or who vape, indicates whether the patient received counseling to stop smoking/vaping or smoking cessation advice during the hospitalization as documented in progress notes or physician orders at discharge or admissions. who have smoked at least one cigarette within the past year or who vape, indicates whether the patient received counseling to stop during the hospitalization as documented in progress notes or physician orders at discharge or admissions. Counseling to stop smoking/vaping or smoking cession advice Yes;No;Unknown;NC Yes;No;Unknown;NC: None-contraindicated Alphanumeric

If the patient refused smoking cessation advice or counseling during this hospital stay, select "Yes". It does not meet criteria of Yes to simply advise the patient that smoking is bad for their health. Smoking cessation therapies such as patch, gum, etc., are also equivalent to counseling.
If the patient has a history of cigarette smoking within the year prior to arrival date but the patient does not currently smoke, they should be advised to continue not smoking. For these patients, if this advice/counseling was not done, select "No".
If the patient is prescribed Wellbutrin (bupropion), it should not be assumed that this is a smoking cessation aid unless specifically noted as such. It is sometimes used as an antidepressant unrelated to smoking.
If a reason for non-treatment was documented in the medical record (e.g., not indicated, contraindicated, patient/family refused), select "NC."

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 Adult;Pediatric Supplemental 3.00 2013-06-21 00:00:00.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C14275 Smoking cessation treatment type SmoCessTreatTyp If the participant/subject received anti-smoking/ smoking cessation treatment, describes the type(s) of treatment received. The interventions can be directed at the caregiver if the participant/subject is unable to comprehend. If the participant/subject received anti-smoking/ smoking cessation treatment, describes the type(s) of treatment received. The interventions can be directed at the caregiver if the participant/subject is unable to comprehend. Specify the type(s) of smoking cessation treatment received Prescription of smoking cessation aid (e.g., Habitrol, NicoDerm, Nicorette, Nicotrol, Prostep, Zyban);Referral to smoking cessation class/program;Smoking cessation brochures/handouts/video;Direct discussion with the patient or caregiver about stopping smoking;Institution of a structured nicotine withdrawal protocol/program during acute hospitalization;Prescription of Wellbutrin (bupropion), Chantix (varenicline), or alternative FDA-approved smoking cessation medication if prescribed for smoking cessation;Education provided to patients and caregivers about second hand smoke exposure Prescription of smoking cessation aid (e.g., Habitrol, NicoDerm, Nicorette, Nicotrol, Prostep, Zyban);Referral to smoking cessation class/program;Smoking cessation brochures/handouts/video;Direct discussion with the patient or caregiver about stopping smoking;Institution of a structured nicotine withdrawal protocol/program during acute hospitalization;Prescription of Wellbutrin (bupropion), Chantix (varenicline), or alternative FDA-approved smoking cessation medication if prescribed for smoking cessation;Education provided to patients and caregivers about second hand smoke exposure Alphanumeric

Choose all that apply. The interventions can be directed at the caregiver if the participant/subject is unable to comprehend.

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 Adult;Pediatric Supplemental 3.00 2013-06-21 00:00:00.0 Lifestyle Modification Therapies Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

CSV