Crosswalk in-hospital changes

GREEN = REQUIRED BLUE = OPTIONAL

Modified question

Deleted question

New required question

New optional question

Current PCNASP In-Hospital Data Dictionary (0920-1108; exp. 9/30/2022)

Requested changes

Original Data element

Original question

Response options

Data element

Revised question

Response options

Change description

1

<HlthInsM>

Medicare/Medicare Advantage

1 -Yes; 0 - No/ND

<HlthInsM>

Medicare/Medicare Advantage

1 -Yes; 0 - No/ND

Elements changed to required as information is required for summary data and program analyses. Also TJC required.

1

<HlthInsC>

Medicaid

1 -Yes; 0 - No/ND

<HlthInsC>

Medicaid

1 -Yes; 0 - No/ND

1

<HlthInsP>

Private/VA/Champus/Other

1 -Yes; 0 - No/ND

<HlthInsP>

Private/VA/Champus/Other

1 -Yes; 0 - No/ND

1

<HlthInsN>

Self Pay/No Insurance

1 -Yes; 0 - No/ND

<HlthInsN>

Self Pay/No Insurance

1 -Yes; 0 - No/ND

1

<HlthInND>

Not Documented

1 -Yes; 0 - No/ND

<HlthInND>

Not Documented

1 -Yes; 0 - No/ND

1

<WhyNoAdm>

Reasons that the patient was not admitted

1 - discharged directly from ED to home or other location that is not an acute care hospital; 4 - Transferred from your ED to another acute care hosptial; 6 - died in ED; 7 - Left ED AMA; 8 - discharged from observation status without an inpatient admission; 9 - Other

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<mRS_pre>

Modified Rankin Score pre-stroke

1 = A pre-stroke mRS of 0, 1, or 2 was documented in the medical record, OR physician/APN/PA documentation that the patient was able to look after self without daily help prior to this acute stroke episode. 2 = A pre-stroke mRS of 3, 4, or 5 was documented in the medical record, OR physician/APN/PA documentation that the patient could NOT look after self without daily help prior to this acute stroke episode. 3 = A pre-stroke mRS was not documented, OR unable to determine (UTD) from the medical record documentation.

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<AdmSysBP>

If patient received IV thrombolytic, what was the first systolic blood pressure?

Numeric #

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<AdmDiaBP>

If patient received IV thrombolytic, what was the first diastolic blood pressure?

Numeric #

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<AdmGluc>

If patient received IV thrombolytic, what was the first blood glucose?

Numeric #

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<APlAdm>

Antiplatelet medication

1 -Yes; 0 - No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ACoagAdm>

Anticoagulant

1 -Yes; 0 - No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<HBPAdmYN>

Antihypertensive medication

1 -Yes; 0 - No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<DprADMYN>

Antidepressant medication

1 -Yes; 0 - No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<TeleYN>

Was telestroke consultation performed?

1- Yes, the patient received telestroke consultation from my hospital staff when the patient was located at another hospital; 2- Yes, the patient received telestroke consultation from someone other than my staff when the patient was located at another hospital; 3- Yes, the patient received telestroke consultation from a remotely located expert when the patient was located at my hospital; 4- No telestroke consult performed; 9-ND

<TeleYN>

Was telestroke consultation performed?

1- Yes, the patient received telestroke consultation from my hospital staff when the patient was located at another hospital; 2- Yes, the patient received telestroke consultation from someone other than my staff when the patient was located at another hospital; 3- Yes, the patient received telestroke consultation from a remotely located expert when the patient was located at my hospital; 4- No telestroke consult performed; 9-ND

Data element changed to required since other telestroke elements removed. Elements part of list of minimum data element for new NOFO.

1

<TeleVid>

Telestroke consultation performed via interactive video

1 – Yes; 0 - No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<TeleRad>

Telestroke consultation performed via teleradiology

1 – Yes; 0 - No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<TelePho>

Telestroke consultation performed via telephone call

1 – Yes; 0 - No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<TeleND>

Telestroke consultation method not documented

1 – Yes; 0 - No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImagTYN>

Was brain or vascular imaging performed prior to transfer to your facility?

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImagTCT>

If yes, which imaging tests were performed: CT

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImagTCTA>

If yes, which imaging tests were performed: CTA

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImagTCTP>

If yes, which imaging tests were performed: CT Perfusion

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImagTMRI>

If yes, which imaging tests were performed: MRI

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImagTMRA>

If yes, which imaging tests were performed: MRA

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImagTMRP>

If yes, which imaging tests were performed: MR Perfusion

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImagTND>

If yes, which imaging tests were performed: Image type not documented

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImagTD>

Date 1st vessel or perfusion imaging initiated at prior hospital

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImagTDND>

Date 1st vessel or perfusion imaging initiated at prior hospital not documented

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImagTT>

Time 1st vessel or perfusion imaging initiated at prior hospital

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImagTTND>

Time 1st vessel or perfusion imaging initiated at prior hospital not documented

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImageDND>

Date brain imaging first initiated not documented

1 – Yes; 0 – No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImageTND>

Time brain imaging first initiated not documented

1 – Yes; 0 – No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImageVas >

Was acute vascular or perfusion imaging (e.g., CTA, MRA, DSA) performed at your hospital?

1 – Yes; 0 – No/ND

<ImageVas >

Was acute vascular or perfusion imaging (e.g., CTA, MRA, DSA) performed at your hospital?

1 – Yes; 0 – No/ND

Element changed to required as collection is included in list of minimum data elements for new NOFO

1

<ImageCTA>

If yes, type of imaging: CTA

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImageCTP>

If yes, type of imaging: CT Perfusion

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImageMRA>

If yes, type of imaging: MRA

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImageMRP>

If yes, type of imaging: MR Perfusion

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImageDSA>

If yes, type of imaging: DSA (catheter angiography)

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImageND>

If yes, type of imaging: Image type not documented

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImagVD>

Date 1st vessel or perfusion imaging initiated at your hospital

MMDDYYYY

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImagVDND>

Date 1st vessel or perfusion imaging initiated at your hospital not documented

1 – Yes; 0 – No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImagVT>

Time 1st vessel or perfusion imaging initiated at your hospital

Time HHMM

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<ImagVTND>

Time 1st vessel or perfusion imaging initiated at your hospital not documented

1 – Yes; 0 – No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<LVO>

Was a target lesion (large vessel occlusion) visualized?

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<LVOICA>

If yes, site of large vessel occlusion: ICA

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<LVOIICA>

If yes, site of large vessel occlusion: Intracranial ICA

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<LVOCICA>

If yes, site of large vessel occlusion: Cervical ICA

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<LVOIOt>

If yes, site of large vessel occlusion: ICA other/UTD

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<LVOMCA>

If yes, site of large vessel occlusion: MCA

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<LVOMCAM1>

If yes, site of large vessel occlusion: MCA M1

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<LVOMCAM2>

If yes, site of large vessel occlusion: MCA M2

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<LVOMCAOt>

If yes, site of large vessel occlusion: MCA Other/UTD

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<LVOBasAr>

If yes, site of large vessel occlusion: Basilar artery

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<LVOOth>

If yes, site of large vessel occlusion: Other cerebral artery branch

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<LVOVerAr>

If yes, site of large vessel occlusion: Vertebral artery

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<LKWDNK>

Last known well date not documented

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<LKWTNK>

Last known well time not documented

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<DiscDNK>

Discovery date not documented

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<DiscTNK>

Discovery time not documented

1 – Yes; 0 – No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<TrmIVM>

Was IV tPA (alteplase) initiated for this patient at this hospital?

1 - Yes; 0 - No

<TrmIVM>

Was IV thrombolytic initiated for this patient at this hospital?

1 - Yes; 0 - No

Question prompt modified to align with GWTG

1

<TrmIVMD>

What date was IV tPA (alteplase) initiated for this patient at this hospital?

MMDDYYYY

<TrmIVMD>

What date was IV thrombolytic initiated for this patient at this hospital?

MMDDYYYY

Question prompt modified to align with GWTG

1

<TrmIVMDN>

IV tPA initiation date not documented

1 - Yes; 0 - No

Individual data element to capture not document not needed

1

<TrmIVMT>

What time was IV tPA (alteplase) initiated for this patient at this hospital?

Time HHMM

<TrmIVMT>

What time was IV thrombolytic initiated for this patient at this hospital?

Time HHMM

Question prompt modified to align with GWTG

1

<TrmIVMTN>

IV tPA initiation time not documented

1 - Yes; 0 - No

Individual data element to capture not document not needed

1

<TrmALT>

Thrombolytic used: Alteplase (Class 1 evidence)

1 - Yes; 0 - No

New data element to align with recent scientific updates and align with GWTG

1

<TrmALds>

Alteplase, total dose:

(up to 1 decimal place)

New data element to align with recent scientific updates and align with GWTG

1

<TrmTNK>

Thrombolytic used: Tenecteplase (Class 2b evidence)

1 - Yes; 0 - No

New data element to align with recent scientific updates and align with GWTG

1

<TrmTNds>

Tenecteplase, total dose:

(up to 1 decimal place)

New data element to align with recent scientific updates and align with GWTG

1

<TrmTNRsn>

Reason for selecting tenecteplase instead of alteplase:

1 - Large Vessel Occlusion (LVO) with potential thrombectomy 2 – Mild stroke 3 - Other

New data element to align with recent scientific updates and align with GWTG

1

<TrmExtnd>

If IV thrombolytic administered beyond 4.5-hour, was imaging used to identify eligibility?

1- Yes, Diffusion-FLAIR mismatch 2- Yes, Core-Perfusion mismatch 3 – None 4 - Other

New data element to align with recent scientific updates and align with GWTG

1

<TrmIVT>

IV thrombolytic at an outside hospital

1 - Yes; 0 - No

New data element to align with recent scientific updates and align with GWTG

1

<TrmIVTAT>

If yes, select thrombolytic administered at outside hospital or Mobile Stroke Unit:

1- Alteplase 2- Tenecteplase

New data element to align with recent scientific updates and align with GWTG

1

<CathTDND>

Date of IA t-PA or MER initiated not documented

1 – Yes; 0 – No

Individual data element to capture not document not needed

1

<TrmIVT>

IV tPA (alteplase) at an outside hospital

1 - Yes; 0 - No

<TrmIVT>

IV thrombolytic tPA (alteplase) at an outside hospital or EMS / mobile stroke unit?

1 - Yes; 0 - No

Question prompt modified to align with GWTG

1

<TrmIVTAT>

If yes, select thrombolytic administered at outside hospital or Mobile Stroke Unit:

1- Alteplase 2- Tenecteplase

New data element to align with recent scientific updates and align with GWTG

1

<CathTxD>

Date of IA t-PA or MER initiation at this hospital

MMDDYYYY

<CathTxD>

Date of IA alteplase or MER initiation at this hospital

MMDDYYYY

Question prompt modified to align with GWTG

1

<CathTDND>

Date of IA t-PA or MER initiated not documented

1 – Yes; 0 – No

Individual data element to capture not document not needed

1

<CathTxT>

Time of IA t-PA or MER initiation at this hospital

Time HHMM

<CathTxT>

Time of IA alteplase or MER initiation at this hospital

Time HHMM

Question prompt modified to align with GWTG

1

<CathTTND>

Time of IA t-PA or MER initiation not documented

1 – Yes; 0 – No

Individual data element to capture not document not needed

1

<ThrmCmp>

Complication of reperfusion therapy

0 – None; 1 –symptomatic ICH within 36 hours (< 36 hours) of tPA ; 2 - life threatening, serious systemic hemorrhage within 36 hours of tPA; 3 - other serious complications; 9 – Unknown/Unable to Determine

<ThrmCmp>

Complication of reperfusion therapy (Thrombolytic or MER)

0 – None; 1 –symptomatic ICH within 36 hours (< 36 hours) of tPA ; 2 - life threatening, serious systemic hemorrhage within 36 hours of tPA; 3 - other serious complications; 9 – Unknown/Unable to Determine

Question prompt modified to align with GWTG

1

<NonTrtC>

Contraindications, which include any of the following: Elevated blood pressure (systolic > 185 or diastolic > 110 mmHg) despite treatment; Recent intracranial or spinal surgery or significant head trauma, or prior stroke in previous 3 months; History of previous intracranial hemorrhage, intracranial neoplasm, arteriovenous malformation, or aneurysm; Active internal bleeding; Acute bleeding diathesis (low platelet count, increased PTT, INR ≥ 1.7 or use of NOAC); Arterial puncture at non-compressible site in previous 7 days; Blood glucose concentration <50 mg/dL (2.7 mmol/L)

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NonTrtCT>

Symptoms suggest subarachnoid hemorrhage; CT demonstrates multi-lobar infarction (hypodensity >1/3 cerebral hemisphere)

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NonTrtWN>

Warnings: Pregnancy; Recent acute myocardial infarction (within previous 3 months); Seizure at onset with postictal residual neurological impairments; Major surgery or serious trauma within previous 14 days; Recent gastrointestinal or urinary tract hemorrhage (within previous 21 days)

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NonTrtNC>

Care team unable to determine eligibility

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NonTrtOH>

IV or IA thrombolysis/thrombectomy given at outside hospital prior to arrival

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NonTrtIL>

Life expectancy < 1 year or severe co-morbid illness or CMO on admission

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NonTrtFR>

Patient/family refusal

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NonTrtRI>

Rapid improvement

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NonTrtSM>

Stroke severity too mild

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NonTrtA>

Delay in patient arrival

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NonTrtTD>

In-hospital Time Delay

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NonTrtDX>

Delay in stroke diagnosis

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NonTrtIV>

No IV access

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NonTrtAG>

Advanced age

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NonTrtS>

Stroke too severe

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NonTrtOC>

Other reasons

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NonTrtOT>

Other reasons (text)

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NonTrtC4>

Contraindications, which include any of the following: Elevated blood pressure (systolic > 185 or diastolic > 110 mmHg) despite treatment; Recent intracranial or spinal surgery or significant head trauma, or prior stroke in previous 3 months; History of previous intracranial hemorrhage, intracranial neoplasm, arteriovenous malformation, or aneurysm; Active internal bleeding; Acute bleeding diathesis (low platelet count, increased PTT, INR ≥ 1.7 or use of NOAC); Arterial puncture at non-compressible site in previous 7 days; Blood glucose concentration <50 mg/dL (2.7 mmol/L)

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NoT4_CT>

Symptoms suggest subarachnoid hemorrhage; CT demonstrates multi-lobar infarction (hypodensity >1/3 cerebral hemisphere)

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NoT4_WN>

Warnings: Pregnancy; Recent acute myocardial infarction (within previous 3 months); Seizure at onset with postictal residual neurological impairments; Major surgery or serious trauma within previous 14 days; Recent gastrointestinal or urinary tract hemorrhage (within previous 21 days)

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NoT4_NC>

Care team unable to determine eligibility

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NoT4_OH>

IV or IA thrombolysis/thrombectomy at an outside hospital prior to arrival

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NoT4_ILL>

Life expectancy < 1 year or severe co-morbid illness or CMO on admission

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NoT4_FR>

Patient/family refusal

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NoT4_RI>

Rapid improvement

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NoT4_SM>

Stroke severity too mild

1 Yes; 0 No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<tPA4NC>

Documented exclusions or relative exclusions (contraindications or warnings) for not initiating IV thrombolytic in the 3-4.5 hour treatment window?

1 - Yes; 0 - No

<tPA4NC>

Documented exclusions or relative exclusions (contraindications or warnings) for not initiating IV thrombolytic in the 3-4.5 hour treatment window?

1 - Yes; 0 - No

Data element changed to required to capture exclusions to treatment documented. This information is necessary since remaing questions with individual reasons have been removed.

1

<NonTrtA4>

Delay in patient arrival

1 - Yes; 0 - No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NoT4_ED>

In-hospital Time Delay

1 - Yes; 0 - No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NoT4_DX>

Delay in stroke diagnosis

1 - Yes; 0 - No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NoT4_PT>

No IV access

1 - Yes; 0 - No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NoT4_O>

Other reasons

1 - Yes; 0 - No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NonTrMCA>

Additional relative exclusion criteria: Age >80; History of both diabetes and prior ischemic stroke; Taking an oral anticoagulant regardless of INR; Severe stroke (NIHSS >25)

1 - Yes; 0 - No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<tPADelay>

If IV tPA (alteplase) was initiated greater than 60 minutes after hospital arrival, were eligibility or medical reasons documented as the cause for delay?

1 - Yes; 0 - No

<tPADelay>

If IV thrombolytic was initiated greater than 60 minutes after hospital arrival, were eligibility or medical reasons documented as the cause for delay?

1 - Yes; 0 - No

Question prompt modified to align with GWTG

1

<tPADel45>

If IV tPA (alteplase) was initiated greater than 45 minutes after hospital arrival, were eligibility or medical response documented as the cause for delay?

1 - Yes; 0 - No

<tPADel45>

If IV thrombolytic was initiated greater than 45 minutes after hospital arrival, were eligibility or medical response documented as the cause for delay?

1 - Yes; 0 - No

Question prompt modified to align with GWTG

1

<DelayRsn>

Eligibility or Medical reason(s) documented as the cause for delay in thrombolytic administration: Need for additional PPE for suspected/ confirmed infectious disease

1 - Yes; 0 - No

New data element to capture delays due to need for additional PPE. This refelect challenges due to COVID-19.

1

<ArtPuncD>

What is the date of skin puncture at this hospital to access the arterial site selected for endovascular treatment of a cerebral artery occlusion?

MMDDYYYY

Data elements removed as this information is no longer critical to program.

1

<ArtPDND>

Date of skin puncture at this hospital to access arterial site selected not documented.

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<ArtPuncT>

What is the time of skin puncture at this hospital to access the arterial site selected for endovascular treatment of a cerebral artery occlusion?

Time HHMM

Data elements removed as this information is no longer critical to program.

1

<ArtPTND>

Time of skin puncture at this hospital to access arterial site selected not documented.

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<MERPROC>

Was a mechanical endovascular reperfusion procedure attempted during this episode of care (at this hospital)?

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<NoMERDoc>

Are reasons for not performing mechanical endovascular reperfusion therapy documented?

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<NoMEREx1>

Reasons for not performing mechanical endovascular therapy includes: significant pre-stroke disability (pre-stroke mRS >1); no evidence of proximal occlusion; NIHSS <6; brain imaging not favorable/hemorrhage transformation (ASPECTS score <6); groin puncture could not be initiated within 6 hours of symptom onset; anatomical reason- unfavorable vascular anatomy that limits access to the occluded artery; patient/family refusal; MER performed at outside hospital; and/or allergy to contrast material

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<NoMEREx2>

Reason for not performing mechanical endovascular therapy: equipment-related delay

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<NoMEREx3>

Reason for not performing mechanical endovascular therapy: no endovascular specialist available

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<NoMEREx4>

Reason for not performing mechanical endovascular therapy: delay in stroke diagnosis

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<NoMEREx5>

Reason for not performing mechanical endovascular therapy: vascular imaging not performed

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<NoMEREx6>

Reason for not performing mechanical endovascular therapy: advanced age

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<NoMEREx7>

Reason for not performing mechanical endovascular therapy: other reason

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<MERType1>

Reason for not performing mechanical endovascular therapy: other reason

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<MERType2>

If MER treatment at this hospital, type of treatment: retrievable stent

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<MERType3>

If MER treatment at this hospital, type of treatment: other mechanical clot retrieval device beside stent retrieval

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<MERType4>

If MER treatment at this hospital, type of treatment: clot suction device

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<MERType5>

If MER treatment at this hospital, type of treatment: intracranial angioplasty, with or without permanent stent

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<MERType6>

If MER treatment at this hospital, type of treatment: cervical carotid angioplasty, with or without permanent stent

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<FPassD>

If MER treatment at this hospital, type of treatment: other

MMDDYYYY

Data elements removed as this information is no longer critical to program.

1

<FPassDND>

What is the date of the first pass of a clot retrieval device at this hospital?

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<FPassT>

Date of the first pass of a clot retrieval device at this hospital not documented

Time HHMM

Data elements removed as this information is no longer critical to program.

1

<FPassTND>

What is the time of the first pass of a clot retrieval device at this hospital?

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<MERDelay>

Time of the first pass of a clot retrieval device at this hospital not documented

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<WhyMERD1>

Is a cause(s) for delay in performing mechanical endovascular reperfusion therapy documented?

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<WhyMERD2>

Reasons for delay: social/religious; initial refusal; care-team unable to determine eligibility; management of concomitant emergent/acute conditions such as cardiopulmonary arrest, respiratory failure (requiring intubation); and/or investigational or experimental protocol for thrombolysis

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<WhyMERD3>

Reasons for delay: delay in stroke diagnosis

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<WhyMERD4>

Reasons for delay: in-hospital time delay

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<WhyMERD5>

Reasons for delay: equipment-related delay

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<WhyMERD6>

Reasons for delay: other

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<WhyMERD7>

Reasons for delay: need for additional imaging

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<WhyMERD8>

Reasons for delay: Need for additional PPE for suspected/confirmed infectious disease

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<TICIG>

Reasons for delay: catheter lab not available

1 – Grade 0; 2 – Grade 1; 3 – Grade 2a; 4 – Grade 2b; 5 – Grade 3; 6 - ND

Data elements removed as this information is no longer critical to program.

1

<TICID>

Thrombolysis in Cerebral Infarction (TICI) Post-Treatment Reperfusion Grade

Date MMDDYYYY

Data elements removed as this information is no longer critical to program.

1

<TICIDND>

Date a post-treatment TICI Reperfusion Grade of 2B/3 was first documented during the mechanical thrombectomy procedure?

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<TICIT>

Date of post-treatment TICI reperfusion grade of 2B/3 not documented

Time HHMM

Data elements removed as this information is no longer critical to program.

1

<TICITND>

Time a post-treatment TICI Reperfusion Grade of 2B/3 was first documented during the mechanical thrombectomy procedure?

1 - Yes; 0 - No

Data elements removed as this information is no longer critical to program.

1

<NIHSSPre>

Time of post-treatment TICI reperfusion grade of 2B/3 not documented

Numeric #

Data elements removed as this information is no longer critical to program.

1

<MedHisEC>

is there history of E-Cigarette Use (Vaping)? (Use of electronic nicotine delivery system or electronic cigarettes (e-cigarettes))

1 - Yes; 0 - No/ND

Data elements added to aling with recent changes in GWTG to capture history of COVID infection.

1

<MedHisDT>

Medical history of dementia?

1 - Yes; 0 - No/ND

1

<MH_EID>

HX of Emerging Infectious Disease

1 - Yes; 0 - No/ND

1

<MH_COV1>

SARS-COV-1

1 - Yes; 0 - No/ND

1

<MH_COV2>

SARS-COV-2 (COVID-19)

1 - Yes; 0 - No/ND

1

<MH_MERS>

MERS

1 - Yes; 0 - No/ND

1

<MH_OTH>

Other infectious respiratory pathogen

1 - Yes; 0 - No/ND

1

<MHDRUG>

Drug or alcohol abuse?

1 - Yes; 0 - No/ND

Data elements removed as this information is no longer critical to program.

1

<MHFHSTK>

Family history of stroke

1 - Yes; 0 - No/ND

Data elements removed as this information is no longer critical to program.

1

<MHHRTX>

Hormone replacement therapy

1 - Yes; 0 - No/ND

Data elements removed as this information is no longer critical to program.

1

<MHOBESE>

Obesity

1 - Yes; 0 - No/ND

Data elements removed as this information is no longer critical to program.

1

<MHMIGRN>

Migraines

1 - Yes; 0 - No/ND

Data elements removed as this information is no longer critical to program.

1

<MHRENAL>

Chronic renal insufficiency (serum creatinine > 2.0)?

1 - Yes; 0 - No/ND

Data elements removed as this information is no longer critical to program.

1

<MedHisDP>

Depression

1 - Yes; 0 - No/ND

Data elements removed as this information is no longer critical to program.

1

<MedHisSA>

Sleep Apnea

1 - Yes; 0 - No/ND

Data elements removed as this information is no longer critical to program.

1

<MHDVT>

DVT/PE

1 - Yes; 0 - No/ND

Data elements removed as this information is no longer critical to program.

1

< MHFH>

Familial Hypercholesteremia

1 - Yes; 0 - No/ND

Data elements removed as this information is no longer critical to program.

1

<PneumYN>

Was there documentation that the patient was treated for hospital acquired pneumonia (pneumonia not present on admission) during this admission?

1 – Yes; 0 - No or ND; 2 NC

<PneumYN>

Was there documentation that the patient was treated for hospital acquired pneumonia (pneumonia not present on admission) during this admission?

1 – Yes; 0 - No or ND; 2 NC

Question changed to required to more completely assess complications during hospital stay

1

<UTI>

Was patient treated for a urinary tract infection (UTI) during this admission?

1 - Yes; 0 - No/ND

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<UTIFoley>

If patient was treated for a UTI, did the patient have a Foley catheter during this admission?

1 - Yes, and patient had catheter in place on arrival; 2 - Yes, but only after admission; 0 - No; 9 - UTD

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<DVTDocYN>

Did patient experience a DVT or pulmonary embolus (PE) during this admission?

1 - Yes; 0 - No/ND

<DVTDocYN>

Did patient experience a DVT or pulmonary embolus (PE) during this admission?

1 - Yes; 0 - No/ND

Question changed to required to more completely assess complications during hospital stay

1

<Inf_Cold>

Seasonal cold

1 - Yes; 0 - No/ND

New question added to capture COVID-19 infection or other infectious diseases. Stroke has been found to be a complication of COVID-19 infection

1

<Inf_Flu>

Influenza

1 - Yes; 0 - No/ND

New question added to capture COVID-19 infection or other infectious diseases. Stroke has been found to be a complication of COVID-19 infection

1

<Inf_BAC>

Other Bacterial infection

1 - Yes; 0 - No/ND

New question added to capture COVID-19 infection or other infectious diseases. Stroke has been found to be a complication of COVID-19 infection

1

<Inf_OTH>

Other viral infection

1 - Yes; 0 - No/ND

New question added to capture COVID-19 infection or other infectious diseases. Stroke has been found to be a complication of COVID-19 infection

1

<Inf_EmID>

Emerging Infectious Disease

1 - Yes; 0 - No/ND

New question added to capture COVID-19 infection or other infectious diseases. Stroke has been found to be a complication of COVID-19 infection

1

<Inf_COV1>

SARS-COV-1

1 - Yes; 0 - No/ND

New question added to capture COVID-19 infection or other infectious diseases. Stroke has been found to be a complication of COVID-19 infection

1

<Inf_COV2>

SARS-COV-2 (COVID-19)

1 - Yes; 0 - No/ND

New question added to capture COVID-19 infection or other infectious diseases. Stroke has been found to be a complication of COVID-19 infection

1

<Inf_MERS>

MERS

1 - Yes; 0 - No/ND

New question added to capture COVID-19 infection or other infectious diseases. Stroke has been found to be a complication of COVID-19 infection

1

<Inf_OEID>

Other Emerging Infectious Disease

1 - Yes; 0 - No/ND

New question added to capture COVID-19 infection or other infectious diseases. Stroke has been found to be a complication of COVID-19 infection

1

<Inf_NONE>

None/ND

1 - Yes; 0 - No/ND

New question added to capture COVID-19 infection or other infectious diseases. Stroke has been found to be a complication of COVID-19 infection

1

<ICD9PrDx>

Principal discharge ICD-9-CM code

5 – digit, 2 decimal places

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<NIHSSICD>

ICD-10-CM code for first captured NIHSS score (in the secondary/other diagnosis field)

0 – R29.700 ... 75 – R29.7

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<EtioDoc>

Was stroke etiology documented in the patient medical record?

1 – Yes; 0 - No

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<EtioType>

If the stroke etiology was documented, select the type.

1 – Large-artery atherosclerosis (e.g., carotid or basilar stenosis); 2 – Cardioembolism (e.g., atrial fibrillation/flutter, prosthetic heart valve, recent MI); 3 – Small-vessel occlusion (e.g., subcortical or brain stem lacunar infarction <1.5 cm); 4 – Stroke of other determined etiology (e.g., dissection, hypercoagulability, other); 5 – Cryptogenic stroke (multiple potential etiologies, undetermined etiology)

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<mRSDone>

Was Modified Rankin Scale done at discharge?

1 - Yes; 0 - No/ND

Data element removed since information can be captured in another data element

1

<DprDCYN>

Was the patient prescribed an antidepressant medication at discharge?

1 - Yes - SSRI; 2 - Yes - Other antidepressant; 0 - No/ND;

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<LipLDL>

LDL |__|__|__| mg/dl

Numeric ### 3-digit

Data element removed to reduce burden of inhospital data collection per scope of new NOFO

1

<CholesTx>

Was a cholesterol-reducing treatment prescribed at discharge?

1 – None; 2 – None- contraindicated; 3 – Statin; 4 – Fibrate; 5 – Niacin; 6 – Absorption inhibitor; 7 – Other med; 8 – PCSK9 inhibitor

Data element removed to align with GWTG by modifying and adding the 5 data elements below

1

<LipNone >

No cholesterol reducing treatment prescribed at discharge

1 - Yes; 0 - No/ND

Data elements added to align with GWTG question that captures individual cholesterol reducing medications

1

<LipFibrt>

Cholesterol reducing treatment prescribed - Fibrate

1 - Yes; 0 - No/ND

1

<LipNiacn>

Cholesterol reducing treatment prescribed - Niacin

1 - Yes; 0 - No/ND

1

<LipAbsIn>

Cholesterol reducing treatment prescribed – Absorption inhibitor

1 - Yes; 0 - No/ND

1

<LipPCSK>

Cholesterol reducing treatment prescribed – PCSK9 inhibitor

1 - Yes; 0 - No/ND

9

148

42

0