CDE Detailed Report
Disease: general-data-protection-regulation-gdpr
Sub-Domain: Additional Proposed Instruments
CRF:

9 results.
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 Source Form Set Form Field Domain CDASH Variable CDASH Definition CDASH Label Controlled Terminology Prompt Essentiality Question Text CDASH imp guidance SDTM IG target csDSR PhenX Data Type CRF Completion Inst SDTMIG Target Var SDTMIG Target Map Codelist Name PVs Pre Pop Value Query Display List Style
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.).

Supplemental - Highly Recommended based on study type, disease stage and disease type

Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated on 11/4/2009); Paul Coverdell National Acute Stroke Registry Adult;Pediatric Proposed 3.00 2013-07-25 08:54:08.2 Hospital Discharge Additional Proposed Instruments Other

Free-Form Entry

DeBaun Forms
C14213 Diagnosis principal discharge text DiagnosPrincipalDischrgTxt 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 Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated on 11/4/2009); Paul Coverdell National Acute Stroke Registry<br />See http://www.cdc.gov/nchs/icd/icd9cm.htm for the ICD codes. Adult;Pediatric Proposed 3.00 2013-06-21 00:00:00.0 Hospital Discharge Additional Proposed Instruments Other 255

Free-Form Entry

C14215 Diagnosis new indicator DiagnosNewInd 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 Proposed 3.00 2013-06-21 00:00:00.0 Hospital Discharge Additional Proposed Instruments Other

Single Pre-Defined Value Selected

C14216 Diagnosis new type DiagnosNewTyp 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 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

Choose all that apply.

No references available Adult;Pediatric Proposed 3.00 2013-06-21 00:00:00.0 Hospital Discharge Additional Proposed Instruments Other

Multiple Pre-Defined Values Selected

C14217 Stroke service accredited discharge destination type StrokSerAccDisDestTyp Indicates if the discharge destination is certified by any of the following as a primary stroke center. Indicates if the discharge destination is certified by any of the following as a primary stroke center. Is the discharge destination certified by any of the following as a primary stroke center Joint Commission accredited primary stroke center;Healthcare Facilities Accreditation Program (HFAP) accredited primary stroke center;State accredited primary stroke center;None of the above;Unknown Joint Commission accredited primary stroke center;Healthcare Facilities Accreditation Program (HFAP) accredited primary stroke center;State accredited primary stroke center;None of the above;Unknown Alphanumeric

Choose all that apply.

http://www.jointcommission.org/CertificationPrograms/PrimaryStrokeCenters/<br />http://www.hfap.org/AccreditationPrograms/accreditationProcess.aspx Adult;Pediatric Proposed 3.00 2013-06-21 00:00:00.0 Hospital Discharge Additional Proposed Instruments Other

Multiple Pre-Defined Values Selected

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 Proposed 3.00 2013-06-21 00:00:00.0 Hospital Discharge Additional Proposed Instruments Other

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 Discharged to home or self care (routine discharge);Discharged/ transferred to a short term/ general hospital for inpatient care;Discharged/ transferred to skilled nursing facility (SNF) with Medicare certification in anticipation of skilled care = patient received therapy less than 3 hours/day;Discharged/ transferred to a Designated Cancer Center or Children's Hospital;Discharged/ transferred to home under care of organized home health service organization;Expired;Discharged/ transferred to court/ law enforcement;Discharged/ transferred to a federal health care facility;Hospice- home;Hospice- medical facility (certified) providing hospice level of care;Discharged/ transferred to hospital-based Medicare approved swing bed;Discharged/ transferred to an inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital;Discharged/ transferred to a nursing facility certified under Medicaid but not certified under Medicare;Discharged/ transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital;Discharged/ transferred to a Medicare certified long term care hospital (LTCH);Discharged/ transferred to a Critical Access Hospital (CAH);Discharged/ transferred to another type of health care institution not defined elsewhere in this code list;Discharged to home or self care (routine discharge);Discharged/ transferred to a short term/ general hospital for inpatient care;Discharged/ transferred to skilled nursing facility (SNF) with Medicare certification in anticipation of skilled care = patient received therapy less than 3 hours/day;Discharged/ transferred to a Designated Cancer Center or Children's Hospital;Discharged/ transferred to home under care of organized home health service organization;Expired;Discharged/ transferred to court/ law enforcement;Discharged/ transferred to a federal health care facility;Hospice- home;Hospice- medical facility (certified) providing hospice level of care;Discharged/ transferred to hospital-based Medicare approved swing bed;Discharged/ transferred to an inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital;Discharged/ transferred to a nursing facility certified under Medicaid but not certified under Medicare;Discharged/ transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital;Discharged/ transferred to a Medicare certified long term care hospital (LTCH);Discharged/ transferred to a Critical Access Hospital (CAH);Discharged/ transferred to another type of health care institution not defined elsewhere in this code list Discharged to home or self care (routine discharge);Discharged/ transferred to a short term/ general hospital for inpatient care;Discharged/ transferred to skilled nursing facility (SNF) with Medicare certification in anticipation of skilled care = patient received therapy less than 3 hours/day;Discharged/ transferred to a Designated Cancer Center or Children's Hospital;Discharged/ transferred to home under care of organized home health service organization;Expired;Discharged/ transferred to court/ law enforcement;Discharged/ transferred to a federal health care facility;Hospice- home;Hospice- medical facility (certified) providing hospice level of care;Discharged/ transferred to hospital-based Medicare approved swing bed;Discharged/ transferred to an inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital;Discharged/ transferred to a nursing facility certified under Medicaid but not certified under Medicare;Discharged/ transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital;Discharged/ transferred to a Medicare certified long term care hospital (LTCH);Discharged/ transferred to a Critical Access Hospital (CAH);Discharged/ transferred to another type of health care institution not defined elsewhere in this code list;Discharged to home or self care (routine discharge);Discharged/ transferred to a short term/ general hospital for inpatient care;Discharged/ transferred to skilled nursing facility (SNF) with Medicare certification in anticipation of skilled care = patient received therapy less than 3 hours/day;Discharged/ transferred to a Designated Cancer Center or Children's Hospital;Discharged/ transferred to home under care of organized home health service organization;Expired;Discharged/ transferred to court/ law enforcement;Discharged/ transferred to a federal health care facility;Hospice- home;Hospice- medical facility (certified) providing hospice level of care;Discharged/ transferred to hospital-based Medicare approved swing bed;Discharged/ transferred to an inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital;Discharged/ transferred to a nursing facility certified under Medicaid but not certified under Medicare;Discharged/ transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital;Discharged/ transferred to a Medicare certified long term care hospital (LTCH);Discharged/ transferred to a Critical Access Hospital (CAH);Discharged/ transferred to another type of health care institution not defined elsewhere in this code list Alphanumeric

Choose one

Supplemental - Highly Recommended based on study type, disease stage and disease type

Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated on 11/4/2009); Paul Coverdell National Acute Stroke Registry; The Joint Commission Adult;Pediatric Proposed 3.00 2013-06-21 00:00:00.0 Hospital Discharge Additional Proposed Instruments Other

Single Pre-Defined Value Selected

C18908 Diagnosis new other text DiagnosNewOTH 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 Proposed 3.00 2013-06-21 00:00:00.0 Hospital Discharge Additional Proposed Instruments Other 4000

Free-Form Entry

C21666 Diagnosis principal discharge stroke related ICD-10-CM code DignsPrinDiscrgRelStrkICD10Cd 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. Principal discharge diagnosis Alphanumeric

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

Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated on 11/4/2009); Paul Coverdell National Acute Stroke Registry<br />See http://www.cdc.gov/nchs/icd/icd10cm.htm#icd2016 for the ICD codes. Adult;Pediatric Proposed 1.00 2016-04-19 00:00:00.0 Hospital Discharge Additional Proposed Instruments Other 255

Free-Form Entry

9 results.
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