Pre-Hospital Care Data - PCNASP Awardee - hospital respondents

OMB Number: 0920-1108
Expiration Date: 09/30/2024

Coverdell Program
Data Elements Manual
Edition 2.0

Public reporting burden of this collection of information for data elements is estimated to
average 72 hours per program (46 hours per program for pre-hospital data and 26 hours per
program for in-hospital data) including the time for reviewing instructions, searching existing
data sources, gathering, maintaining, and transmitting the data needed, and completing and
reviewing the collection of information. An agency may not conduct or sponsor, and a person
is not required to respond to a collection of information, unless it displays a currently valid
OMB control number. Send comments regarding this burden estimate or any other aspect of
this collection of information, including suggestions for reducing this burden to CDC/ATSDR
Reports, Clearance Officer, 1600 Clifton Road NE, MS D-74, Atlanta, GA 30333. Attn: PRA
(0920-0612). Do not send the completed form to this address.

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Contents
Data Elements Manual ............................................................................................................................ 1
INTRODUCTION ........................................................................................................................................ 9
PRE-HOSPITAL DATA ELEMENTS ..................................................................................................... 11
Administrative Data .............................................................................................................................. 12
Item Pre-1a: SCNARRD .................................................................................................................. 13
Item Pre-1b: SCNARRT .................................................................................................................. 14
Item Pre-2a: SCNDPTD .................................................................................................................. 15
Item Pre-2b: SCNDPTT................................................................................................................... 16
Item Pre-3a: PREAGE ..................................................................................................................... 17
Item Pre-4a: PREGEND .................................................................................................................. 18
Item Pre-5a: STKSCN ..................................................................................................................... 19
Item Pre-5b: EMSGLU..................................................................................................................... 20
IN-HOSPITAL DATA ELEMENTS ......................................................................................................... 21
Administrative Data .............................................................................................................................. 22
Item IN-0A: STFIPS ......................................................................................................................... 23
Item IN-0B: PATID ........................................................................................................................... 24
Item IN-0C: ZIP ................................................................................................................................. 25
Item IN-0D: HOSPID ........................................................................................................................ 26
Demographic Data ............................................................................................................................... 27
Item IN-1a: AGE ............................................................................................................................... 28
Item IN-1b: GENDER....................................................................................................................... 29
Item IN-1c: RACEW ......................................................................................................................... 30
Item IN-1d: RACEAA ....................................................................................................................... 31
Item IN-1e: RACEAS ....................................................................................................................... 32
Item IN-1f: RACEHPI ....................................................................................................................... 33
Item IN-1g: RACEAIAN ................................................................................................................... 34
Item IN-1h: RACEUNK .................................................................................................................... 35
Item IN-1i: HISP................................................................................................................................ 36
Item IN-1j: HLTHINSM..................................................................................................................... 37
Item IN-1k: HLTHINSC .................................................................................................................... 38
Item IN-1l: HLTHINSP ..................................................................................................................... 39
Item IN-1m: HLTHINSN................................................................................................................... 40
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Item IN-1n: HLTHINND.................................................................................................................... 41
Pre-Hospital/Emergency Medical System (EMS) Data .................................................................. 42
Item IN-2a: PLCOCCUR ................................................................................................................. 43
Item IN-2b: ARRMODE ................................................................................................................... 44
Item IN-2c: EMSNOTE .................................................................................................................... 45
Date and Time of Arrival at your Hospital......................................................................................... 46
Item IN-3a: EDTRIAGD ................................................................................................................... 47
Item IN-3b: EDTRIAGT.................................................................................................................... 48
Patient Not Admitted ............................................................................................................................ 49
Item IN-4a: NOTADMIT ................................................................................................................... 50
Comfort Measures................................................................................................................................ 51
Item IN-5a: CMODOC...................................................................................................................... 52
Medications Currently Taking Prior to Admission ........................................................................... 53
Item IN-6a: LIPADMYN ................................................................................................................... 54
Documented Past Medical History .................................................................................................... 55
Item IN-7a: MEDHISDM .................................................................................................................. 56
Item IN-7b: MEDHISST ................................................................................................................... 57
Item IN-7c: MEDHISTI ..................................................................................................................... 58
Item IN-7d: MEDHISCS................................................................................................................... 59
Item IN-7e: MEDHISMI .................................................................................................................... 60
Item IN-7f: MEDHISPA .................................................................................................................... 61
Item IN-7g: MEDHISVP ................................................................................................................... 62
Item IN-7h: MEDHISHF ................................................................................................................... 63
Item IN-7i: MEDHISSS .................................................................................................................... 64
Item IN-7j: MEDHISPG .................................................................................................................... 65
Item IN-7k: MEDHISAF ................................................................................................................... 66
Item IN-7l: MEDHISSM.................................................................................................................... 67
Item IN-7m: MEDHISEC.................................................................................................................. 68
Item IN-7n: MEDHISDL ................................................................................................................... 69
Item IN-7o: MEDHISHT ................................................................................................................... 70
Item IN-7p: MEDHISDT ................................................................................................................... 71
Item IN-7q: MH_EID......................................................................................................................... 72
Item IN-7r: MH_COV1 ..................................................................................................................... 73
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Item IN-7s: MH_COV2..................................................................................................................... 74
Item IN-7t: MH_MERS ..................................................................................................................... 75
Item IN-7u: MH_OTH ....................................................................................................................... 76
Hospital Admission Data ..................................................................................................................... 77
Item IN-8a: HOSPADD .................................................................................................................... 78
Item IN-8b: AMBSTATA .................................................................................................................. 79
Item IN-8c: SXRESOLV .................................................................................................................. 80
Telestroke .............................................................................................................................................. 81
Item IN-9a: TELEYN ........................................................................................................................ 82
Imaging .................................................................................................................................................. 83
Item IN-10a: IMAGEYN ................................................................................................................... 84
Item IN-10b: IMAGEYCT................................................................................................................. 85
Item IN-10c: IMAGEYMR ................................................................................................................ 86
Item IN-10d: IMAGED ...................................................................................................................... 87
Item IN-10e: IMAGET ...................................................................................................................... 88
Item IN-10f: IMAGERES.................................................................................................................. 89
Item IN-11a: IMAGEVAS................................................................................................................. 90
Date and Time the Patient was Last Known to be Well Prior to the Beginning of the Current
Stroke or Stroke-like Symptoms ........................................................................................................ 91
Item IN-12a: LKWD .......................................................................................................................... 92
Item IN-12b: LKWT .......................................................................................................................... 93
Date and Time the Patient First Discovered to Have the Current Stroke or Stroke-like
Symptoms.............................................................................................................................................. 94
Item IN-13a: DISCD ......................................................................................................................... 95
Item IN-13b: DISCT ......................................................................................................................... 96
NIH Stroke Scale Score ...................................................................................................................... 97
Item IN-14a: NIHSSYN .................................................................................................................... 98
Item IN-14b: NIHSTRKS ................................................................................................................. 99
Stroke Treatment................................................................................................................................ 100
Item IN-15a: TRMIVM .................................................................................................................... 101
Item IN-15b: TRMIVMD ................................................................................................................. 102
Item IN-15c: TRMIVMT.................................................................................................................. 103
Item IN-15d: TRMALT ................................................................................................................... 104
Item IN-15e: TRMALDS ................................................................................................................ 105
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Item IN-15f: TRMTNK .................................................................................................................... 106
Item IN-15g: TRMTNDS ................................................................................................................ 107
Item IN-15h: TRMTNRSN ............................................................................................................. 108
Item IN-15i: TRMEXTND............................................................................................................... 109
Item IN-15j: TRMIVT ...................................................................................................................... 110
Item IN-15k: TRMIVTAT ................................................................................................................ 111
Item IN-15l: CATHTX ..................................................................................................................... 112
Item IN-15m: CATHTXD................................................................................................................ 113
Item IN-15n: CATHTXT ................................................................................................................. 114
Item IN-16a: THRMCMP ............................................................................................................... 115
Item IN-16b: THRMCMPT ............................................................................................................. 116
Item IN-17a: TPANC ...................................................................................................................... 117
Item IN-18a: TPA4NC .................................................................................................................... 118
Item IN-19a: TPADELAY............................................................................................................... 119
Item IN-19b: TPADEL45................................................................................................................ 120
Item IN-19c: DELAYRSN .............................................................................................................. 121
Item IN-20a: ATHR2DAY .............................................................................................................. 122
Item IN-21a: VTELDUH ................................................................................................................. 123
Item IN-21b: VTELMWH................................................................................................................ 124
Item IN-21c: VTEIPC ..................................................................................................................... 125
Item IN-21d: VTEGCS ................................................................................................................... 126
Item IN-21e: VTEXAI ..................................................................................................................... 127
Item IN-21f: VTEWAR ................................................................................................................... 128
Item IN-21g: VTEVFP .................................................................................................................... 129
Item IN-21h: VTEOXAI .................................................................................................................. 130
Item IN-21i: VTEASPRN ............................................................................................................... 131
Item IN-21j: VTEND ....................................................................................................................... 132
Item IN-21k: VTEDATE ................................................................................................................. 133
Item IN-21l: NOVTEDOC .............................................................................................................. 134
Item IN-21m: OFXAVTE ................................................................................................................ 135
Item IN-22a: LDUHIV ..................................................................................................................... 136
Item IN-22b: DABIGAT .................................................................................................................. 137
Item IN-22c: ARGATRO ................................................................................................................ 138
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Item IN-22d: DESIRUD.................................................................................................................. 139
Item IN-22e: ORALXAI .................................................................................................................. 140
Item IN-22f: LEPIRUD ................................................................................................................... 141
Item IN-22g: OTHACOAG ............................................................................................................. 142
Item IN-23a: NPO ........................................................................................................................... 143
Item IN-23b: DYSPHAYN.............................................................................................................. 144
Item IN-23c: DYSPHAPF .............................................................................................................. 145
Other Complications .......................................................................................................................... 146
Item IN-24a: PNEUMYN................................................................................................................ 147
Item IN-25a: DVTDOCYN ............................................................................................................. 148
Active Bacterial or Viral Infection at Admission or During Hospitalization................................. 149
Item IN-26a: INF_COLD ................................................................................................................ 150
Item IN-26b: INF_FLU ................................................................................................................... 151
Item IN-26c: INF_BAC ................................................................................................................... 152
Item IN-26d: INF_OTH .................................................................................................................. 153
Item IN-26e: INF_EMID ................................................................................................................. 154
Item IN-26f: INF_COV1 ................................................................................................................. 155
Item IN-26g: INF_COV2 ................................................................................................................ 156
Item IN-26h: INF_MERS ............................................................................................................... 157
Item IN-26i: INF_OEID .................................................................................................................. 158
Item IN-26j: INF_NONE................................................................................................................. 159
Date of discharge from hospital ....................................................................................................... 160
Item IN-27a: DSCHRGD ............................................................................................................... 161
Principal discharge ICD-10-CM diagnosis...................................................................................... 162
Item IN-28a: ICD10DX................................................................................................................... 163
Clinical diagnosis related to stroke that was ultimately responsible for this admission .......... 164
Item IN-29a: ADMDXSH................................................................................................................ 165
Item IN-29b: ADMDXIH ................................................................................................................. 166
Item IN-29c: ADMDXIS.................................................................................................................. 167
Item IN-29d: ADMDXTIA ............................................................................................................... 168
Item IN-29e: ADMDXSNS ............................................................................................................. 169
Item IN-29f: ADMDXNOS.............................................................................................................. 170
Item IN-29g: ADMCE ..................................................................................................................... 171
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Item IN-29h: CLNTRIAL ................................................................................................................ 172
Discharge disposition......................................................................................................................... 173
Item IN-30a: DSCHDISP ............................................................................................................... 174
Item IN-30b: OHFTYPE................................................................................................................. 175
Functional Status at Discharge ........................................................................................................ 176
Item IN-31a: MRSSCORE ............................................................................................................ 177
Item IN-31b: AMBSTATD .............................................................................................................. 178
Antihypertensive Treatment at Discharge ...................................................................................... 179
Item IN-32a: HBPTREAT .............................................................................................................. 180
Lipid Treatment ................................................................................................................................... 181
Item IN-33a: LIPNONE .................................................................................................................. 182
Item IN-33b: LIPSTATN ................................................................................................................ 183
Item IN-33c: LIPOTHNC................................................................................................................ 184
Item IN-33d: LIPFIBRT .................................................................................................................. 185
Item IN-33e: LIPOTHRX................................................................................................................ 186
Item IN-33f: LIPNIACN .................................................................................................................. 187
Item IN-33g: LIPABSIN ................................................................................................................. 188
Item IN-33h: LIPPCSK................................................................................................................... 189
Item IN-33i: STATNNC .................................................................................................................. 190
Item IN-33j: STATNINT ................................................................................................................. 191
Item IN-33k: STATNWHY ............................................................................................................. 192
Atrial Fibrillation .................................................................................................................................. 193
Item IN-34a: AFIBYN ..................................................................................................................... 194
Item IN-34b: AFIBRX ..................................................................................................................... 195
Antithrombotics at Discharge............................................................................................................ 196
Item IN-35a: ATHDSCYN.............................................................................................................. 197
Item IN-35b: DC_PLT .................................................................................................................... 198
Item IN-35c: DC_COAG ................................................................................................................ 199
Smoking Counseling .......................................................................................................................... 200
Item IN-36a: SMKCESYN ............................................................................................................. 201
Stroke Education ................................................................................................................................ 202
Item IN-37a: EDUCRF ................................................................................................................... 203
Item IN-37b: EDUCSSX ................................................................................................................ 204
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Item IN-37c: EDUCEMS ................................................................................................................ 205
Item IN-37d: EDUCCC .................................................................................................................. 206
Item IN-37e: EDUCMEDS ............................................................................................................. 207
Rehabilitation ...................................................................................................................................... 208
Item IN-38a: REHAPLAN .............................................................................................................. 209
APPENDIX .............................................................................................................................................. 210
Appendix A: Data Elements Submission Timeline ........................................................................ 211
Appendix B: Technical Assistance Resources .............................................................................. 212
Appendix C: Data Element Tables .................................................................................................. 215
Appendix D: Data Submission Instructions .................................................................................... 223

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INTRODUCTION
This Coverdell Data Elements Manual was written to provide guidance on the collection and
submission of data elements (DEs) for the Paul Coverdell National Acute Stroke Program
(PCNASP). The Program currently funds 13 recipients of the cooperative agreement
(“recipients”) across the United States. Recipients are required to collect and report DEs as part
of standardized data reporting for the Coverdell Program. DEs are used by the CDC and its
recipients to describe, monitor, and assess progress and performance of the program.
The DEs in this manual (Edition 2) received approval in September 2021 from the Federal
Office of Management and Budget. This manual pertains to the cooperative agreement DP212102. Data for the 163 DEs can be separated into two sections: Pre-Hospital and In-Hospital.
There are 4 additional administrative DEs that will precede the In-Hospital data section. These
4 administrative DE variables, bring the total number of DEs to 167.
The DE manual includes information about technical specifications for the DE variables included
in each of the categories, guidance for their submission, and conventions for processing the
data. Specifications for each DE include variable name, prompt, format, source of data,
denominator population, acceptable values, description, and use for data analysis. Please note
that the format provided is relevant for data submitted by recipients for a four-month
reporting period, which corresponds to three submissions per year. Variables are
reported for each patient. The values for each patient establish a record for their hospital visit.
The manual is organized as follows:
Pre-Hospital. This section includes 8 DE variables. It includes data about the Pre-Hospital
aspect within the stroke continuum of care. It includes Emergency Medical System (EMS)
arrival, EMS departure, patient age and gender, as well as the performance of a stroke screen
and glucose level.
In-Hospital. This section contains 155 DE variables. It includes data about the In-Hospital
aspect within the stroke continuum of care. It includes demographic information that includes
age, gender, race, ethnicity, and insurance status. Additional information includes EMS
information, data and time of hospital arrival, hospital admission status, comfort measures,
medications taken prior to admission, medical history, admission data, telestroke, imaging,
patient last known to be well, first discovery of stroke-like symptoms, NIH Stroke Scale score,
stroke treatment, other complications, active bacterial or viral infection at admission or during
hospitalization, date of discharge from hospital, principal discharge ICD-10-CM diagnosis,
clinical diagnosis related to stroke that was ultimately responsible for this admission, discharge
disposition, functional status at discharge, antihypertensive treatment at discharge, lipid
treatment, atrial fibrillation, antithrombotics at discharge, smoking counseling, stroke education,
and rehabilitation.
Administrative. This section contains 4 DE variables. These DE variables are integrated into
the In-Hospital section. Collection is necessary for analytical utility, data quality, and monitoring
program fidelity, where the expectation is to serve participants disproportionately impacted by
high prevalence of risk factors for stroke events, as well as stroke outcomes. These DE
variables are State FIPS, unique patient identifier, residential zip code, and unique hospital
identifier.

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This manual is a living document that will be updated occasionally. When modifications are
necessary, CDC will notify recipients that the updated manual is available on the Awards
Management Platform (AMP).

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PRE-HOSPITAL DATA ELEMENTS

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Administrative Data

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Item Pre-1a: SCNARRD

Scene Arrival Date
This variable indicates the scene arrival date

FORMAT

Type:

Date

Item Length:

8

Leading Zeros:

Yes

Valid Range:

Valid date

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
Valid date in SAS MMDDYY10. format (MM/DD/YYYY)
MM= Month (01-12), DD=Day (01-31) and YYYY = Year (20XX)

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Item Pre-1b: SCNARRT

Scene Arrival Time
This variable indicates the scene arrival time

FORMAT

Type:

Time

Item Length:

4

Leading Zeros:

Yes

Valid Range:

Valid time

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
Valid time in SAS TIME8. format (HH:MM)
Time must be recorded in military time. HH=Hour (00-23) and MM=Minutes (00-59)

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Item Pre-2a: SCNDPTD

Scene Departure Date
This variable indicates the scene departure date

FORMAT

Type:

Date

Item Length:

8

Leading Zeros:

Yes

Valid Range:

Valid date

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
Valid date in SAS MMDDYY10. format (MM/DD/YYYY)
MM= Month (01-12), DD=Day (01-31) and YYYY = Year (20XX)

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Item Pre-2b: SCNDPTT

Scene Departure Time
This variable indicates the scene departure time

FORMAT

Type:

Time

Item Length:

4

Leading Zeros:

Yes

Valid Range:

Valid time

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
Valid time in SAS TIME8. format (HH:MM)
Time must be recorded in military time. HH=Hour (00-23) and MM=Minutes (00-59)

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Item Pre-3a: PREAGE

Age
This variable indicates the patient's age

FORMAT

Type:

Numeric

Item Length:

3

Leading Zeros:

No

Valid Range:

0-125; values cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION

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Item Pre-4a: PREGEND

Gender
This variable indicates the patient's gender

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
1 Male
2 Female
3 Unknown

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Item Pre-5a: STKSCN

Did EMS perform a pre-hospital stroke screen?
This variable indicates whether EMS performed a pre-hospital stroke screen

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
1 Yes
2 No
3 Not Documented

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Item Pre-5b: EMSGLU

Glucose level
This variable indicates the patient's glucose level

FORMAT

Type:

Numeric

Item Length:

3

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
Valid glucose value

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IN-HOSPITAL DATA ELEMENTS

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Administrative Data

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Item IN-0A: STFIPS

State FIPS Code
State FIPS Code

FORMAT

Type:

Character

Item Length:

2

Leading Zeros:

Yes

Valid Range:

Specific Values

SOURCE

National FIPS Code ID List

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
05 Arkansas
12 Florida
13 Georgia
15 Hawaii
21 Kentucky
25 Massachusetts
26 Michigan
27 Minnesota
36 New York
37 North Carolina
39 Ohio
51 Virginia
55 Wisconsin

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Item IN-0B: PATID

Unique Participant ID Number
Unique Participant ID Number

FORMAT

Type:

Character

Item Length:

15

Leading Zeros:

Yes

Valid Range:

Unique Coded Values

SOURCE

Not applicable; State-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION

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Item IN-0C: ZIP

Residence Zip Code
Zip Code of Residence

FORMAT

Type:

Character

Item Length:

5

Leading Zeros:

Yes

Valid Range:

Valid Zip Code

SOURCE

National ZIP Code ID List

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
Valid Zip Code

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Item IN-0D: HOSPID

Unique Hospital ID Assigned by State
A Hospital ID Number generated by State. State Keeps Key

FORMAT

Type:

Alphanumeric

Item Length:

5

Leading Zeros:

Yes

Valid Range:

Unique Coded Values

SOURCE

Not applicable; State-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION

Confidential Value Assigned by State

OTHER INFORMATION

Historically, Coverdell funded recipients have used a “unique hospital identifier”, which was a
random 5-digit code generated by state health departments and the key was retained at the
state level. For the purposes of this data manual, this practice will be continued. These
randomized hospital identifiers will be submitted in the data file.

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Demographic Data

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Item IN-1a: AGE

Age
This variable indicates the patient's age

FORMAT

Type:

Numeric

Item Length:

3

Leading Zeros:

No

Valid Range:

0-125; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION

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Item IN-1b: GENDER

Gender
This variable indicates the patient's gender

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
1 Male
2 Female
3 Unknown

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Item IN-1c: RACEW

White
This variable indicates the patient identifies White as a race (select all response options that
apply)

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

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Item IN-1d: RACEAA

Black or African American
This variable indicates the patient identifies Black or African American as a race (select all
response options that apply)

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

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Item IN-1e: RACEAS

Asian
This variable indicates the patient identifies Asian as a race (select all response options that
apply)

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

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Item IN-1f: RACEHPI

Native Hawaiian or Other Pacific Islander
This variable indicates the patient identifies Native Hawaiian or Other Pacific Islander as a race
(select all response options that apply)

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

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Item IN-1g: RACEAIAN

American Indian or Alaskan Native
This variable indicates the patient identifies American Indian or Alaskan Native as a race (select
all response options that apply)

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

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Item IN-1h: RACEUNK

Unknown or unable to determine
This variable indicates the patient identifies Unknown or Unable to Determine as a race (select
all response options that apply)

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

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Item IN-1i: HISP

Hispanic or Latino Ethnicity
This variable indicates whether the participant is of Hispanic or Latino origin

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 Not Hispanic or Latino, or unknown
1 Hispanic or Latino

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Item IN-1j: HLTHINSM

Medicare/Medicare Advantage
This variable indicates Medicare/Medicare Advantage as their health insurance

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
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Item IN-1k: HLTHINSC

Medicaid
This variable indicates Medicaid as their health insurance

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
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Item IN-1l: HLTHINSP

Private/VA/Champus/Other
This variable indicates Private/VA/Champus/Other as their health insurance

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
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Item IN-1m: HLTHINSN

Self-Pay/No Insurance
This variable indicates Self-Pay/No Insurance as their health insurance

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
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Item IN-1n: HLTHINND

Not Documented
This variable indicates Not Documented as their health insurance

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
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Pre-Hospital/Emergency Medical System
(EMS) Data

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Item IN-2a: PLCOCCUR

Where was the patient when stroke was detected or when symptoms were discovered?
In the case of a patient transferred to your hospital where they were an inpatient, ED
patient, or NH/long-term care resident, from where was the patient transferred?
This variable indicates the location of the patient when the stroke was detected

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
1 Not in a healthcare setting
2 Another acute care facility
3 Chronic health care facility
4 Stroke occurred while patient was an inpatient in your hospital
5 Outpatient healthcare setting
9 Not documented or cannot be determined

Coverdell DE Manual
Edition 2.0

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Item IN-2b: ARRMODE

How did the patient get to your hospital for treatment of their stroke?
This variable indicates the means of transportation to get to the hospital for treatment of their
stroke

FORMAT

Type:

Numeric

Item Length:

2

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
1 EMS from home or scene
2 Private transportation/taxi/other
3 Transfer from another hospital
9 Not documented or unknown
10 Mobile Stroke Unit

Coverdell DE Manual
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Item IN-2c: EMSNOTE

Advance notification by EMS
This variable indicates whether there was an advance notification by EMS

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes
9 Not applicable

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Date and Time of Arrival at your Hospital

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Item IN-3a: EDTRIAGD

Date of arrival at your hospital
This variable indicates the date of arrival at the hospital

FORMAT

Type:

Date

Item Length:

8

Leading Zeros:

Yes

Valid Range:

Valid date

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
Valid date in SAS MMDDYY10. format (MM/DD/YYYY)
MM= Month (01-12), DD=Day (01-31) and YYYY = Year (20XX)

Coverdell DE Manual
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Item IN-3b: EDTRIAGT

Time of arrival at your hospital
This variable indicates the time of arrival at the hospital

FORMAT

Type:

Time

Item Length:

4

Leading Zeros:

Yes

Valid Range:

Valid time

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
Valid time in SAS TIME8. format (HH:MM)
Time must be recorded in military time. HH=Hour (00-23) and MM=Minutes (00-59)

Coverdell DE Manual
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Patient Not Admitted

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Item IN-4a: NOTADMIT

Was the patient not admitted?
This variable indicates whether the patient was not admitted to the hospital

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No, patient admitted as inpatient
1 Not admitted

Coverdell DE Manual
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50

Comfort Measures

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51

Item IN-5a: CMODOC

When is the earliest time that the physician, advanced practice nurse, or PA documented
that patient was on comfort measures only?
This variable indicates the earliest time the physician, advanced practice nurse, or PA
documented that patient was on comfort measures only

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
1 Day of arrival or first day after arrival
2 2nd day after arrival or later
3 Timing unclear
4 Not documented/Unable to determine

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Medications Currently Taking Prior to
Admission

Coverdell DE Manual
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53

Item IN-6a: LIPADMYN

Statin or other cholesterol reducer medication
This variable indicates whether a statin or other cholesterol reducer medication is currently
being taken prior to admission

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

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Documented Past Medical History

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55

Item IN-7a: MEDHISDM

Is there a history of Diabetes Mellitus (DM)?
This variable indicates whether the patient has a medical history of Diabetes Mellitus (DM)

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
Edition 2.0

56

Item IN-7b: MEDHISST

Is there a history of prior Stroke?
This variable indicates whether the patient has a medical history of prior Stroke

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
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Item IN-7c: MEDHISTI

Is there a history of TIA/Transient ischemic attack/VBI?
This variable indicates whether the patient has a medical history of TIA/Transient ischemic
attack/VBI

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
Edition 2.0

58

Item IN-7d: MEDHISCS

Is there a history of carotid stenosis?
This variable indicates whether the patient has a medical history of carotid stenosis

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
Edition 2.0

59

Item IN-7e: MEDHISMI

Is there a history of myocardial infarction (MI) or coronary artery disease (CAD)?
This variable indicates whether the patient has a medical history of myocardial infarction (MI) or
coronary artery disease (CAD)

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
Edition 2.0

60

Item IN-7f: MEDHISPA

Is there a history of peripheral arterial disease (PAD)?
This variable indicates whether the patient has a medical history of peripheral arterial disease
(PAD)

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
Edition 2.0

61

Item IN-7g: MEDHISVP

Does the patient have a valve prosthesis (heart valve)?
This variable indicates whether the patient has a valve prosthesis (heart valve)

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
Edition 2.0

62

Item IN-7h: MEDHISHF

Is there a history of Heart Failure (CHF)?
This variable indicates whether the patient has a medical history of Heart Failure (CHF)

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
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63

Item IN-7i: MEDHISSS

Does the patient have a history of sickle cell disease (sickle cell anemia)?
This variable indicates whether the patient has a medical history of sickle cell disease (sickle
cell anemia)

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
Edition 2.0

64

Item IN-7j: MEDHISPG

Did this event occur during pregnancy or within 6 weeks after a delivery or termination
of pregnancy?
This variable indicates whether this event occurred during pregnancy or within 6 weeks after a
delivery or termination of pregnancy

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
Edition 2.0

65

Item IN-7k: MEDHISAF

Is there documentation in the patient’s medical history of atrial fibrillation/flutter?
This variable indicates whether the patient has a medical history of atrial fibrillation/flutter

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
Edition 2.0

66

Item IN-7l: MEDHISSM

Is there documented past medical history of Smoking (at least one cigarette during the
year prior to hospital arrival)?
This variable indicates whether the patient has a history of smoking within the past year

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
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Item IN-7m: MEDHISEC

Is there history of E-Cigarette Use (Vaping)? (Use of electronic nicotine delivery system
or electronic cigarettes (e-cigarettes))
This variable indicates whether the patient has medical history of e-Cigarette Use (Vaping)
(Use of electronic nicotine delivery system or electronic cigarettes (e-cigarettes))

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

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68

Item IN-7n: MEDHISDL

Is there a medical history of Dyslipidemia?
This variable indicates whether the patient has a medical history of Dyslipidemia

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
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69

Item IN-7o: MEDHISHT

Is there a documented past medical history of hypertension?
This variable indicates whether the patient has a medical history of hypertension

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
Edition 2.0

70

Item IN-7p: MEDHISDT

Is there a history of dementia?
This variable indicates whether the patient has a medical history of dementia

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
Edition 2.0

71

Item IN-7q: MH_EID

Is there a history of Emerging Infectious Disease?
This variable indicates whether the patient has a medical history of Emerging Infectious
Disease

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
Edition 2.0

72

Item IN-7r: MH_COV1

Is there a history of SARS-COV-1?
This variable indicates whether the patient has a medical history of SARS-COV-1

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
Edition 2.0

73

Item IN-7s: MH_COV2

Is there a history of SARS-COV-2 (COVID-19)?
This variable indicates whether the patient has a medical history of SARS-COV-2 (COVID-19)

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

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74

Item IN-7t: MH_MERS

Is there a history of MERS?
This variable indicates whether the patient has a medical history of MERS

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
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75

Item IN-7u: MH_OTH

Is there a history of other infectious respiratory pathogen?
This variable indicates whether the patient has a medical history of other infectious respiratory
pathogen

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

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Hospital Admission Data

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77

Item IN-8a: HOSPADD

Date of hospital admission
This variable indicates the date of hospital admission

FORMAT

Type:

Date

Item Length:

8

Leading Zeros:

Yes

Valid Range:

Valid date

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
Valid date in SAS MMDDYY10. format (MM/DD/YYYY)
MM= Month (01-12), DD=Day (01-31) and YYYY = Year (20XX)

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78

Item IN-8b: AMBSTATA

Was patient ambulatory prior to the current stroke/TIA?
This variable indicates whether the patient was ambulatory prior to the current stroke/TIA

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
1 Able to ambulate independently with or without device
2 Yes, but with assistance from another person
3 Unable to ambulate
9 Not documented

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79

Item IN-8c: SXRESOLV

Did symptoms completely resolve prior to presentation?
This variable indicates whether the symptoms completely resolve prior to presentation

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No
1 Yes
9 Not documented

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80

Telestroke

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81

Item IN-9a: TELEYN

Was telestroke consultation performed?
This variable indicates whether a telestroke consultation was performed

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
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 Not documented

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82

Imaging

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83

Item IN-10a: IMAGEYN

Was brain imaging performed at your hospital after arrival as part of the initial evaluation
for this episode of care or this event?
This variable indicates whether a brain imaging was performed at the hospital after arrival as
part of the initial evaluation for this episode of care or this event

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes
9 Not collected

Coverdell DE Manual
Edition 2.0

84

Item IN-10b: IMAGEYCT

If brain imaging performed, was it a CT scan?
This variable indicates whether the brain imaging performed was a CT scan

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with a brain imaging performed at the hospital after arrival
as part of the initial evaluation for this episode of care

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
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85

Item IN-10c: IMAGEYMR

If brain imaging performed, was it an MRI?
This variable indicates whether the brain imaging performed was an MRI

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with a brain imaging performed at the hospital after arrival
as part of the initial evaluation for this episode of care

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
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86

Item IN-10d: IMAGED

Date brain imaging first initiated at your hospital
This variable indicates the date brain imaging first initiated at the hospital

FORMAT

Type:

Date

Item Length:

8

Leading Zeros:

Yes

Valid Range:

Valid date

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with a brain imaging performed at the hospital after arrival
as part of the initial evaluation for this episode of care

VALUES AND
DESCRIPTION
Valid date in SAS MMDDYY10. format (MM/DD/YYYY)
MM= Month (01-12), DD=Day (01-31) and YYYY = Year (20XX)

Coverdell DE Manual
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87

Item IN-10e: IMAGET

Time brain imaging first initiated at your hospital
This variable indicates the time brain imaging first initiated at the hospital

FORMAT

Type:

Time

Item Length:

4

Leading Zeros:

Yes

Valid Range:

Valid time

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with a brain imaging performed at the hospital after arrival
as part of the initial evaluation for this episode of care

VALUES AND
DESCRIPTION
Valid time in SAS TIME8. format (HH:MM)
Time must be recorded in military time. HH=Hour (00-23) and MM=Minutes (00-59)

Coverdell DE Manual
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88

Item IN-10f: IMAGERES

What were the initial brain imaging findings?
This variable indicates the initial brain imaging findings

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with a brain imaging performed at the hospital after arrival
as part of the initial evaluation for this episode of care

VALUES AND
DESCRIPTION
0 No acute hemorrhage
1 Acute hemorrhage
9 Not documented or not available

Coverdell DE Manual
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89

Item IN-11a: IMAGEVAS

Was acute vascular or perfusion imaging (e.g., CTA, MRA, DSA) performed at your
hospital?
This variable indicates whether acute vascular or perfusion imaging (e.g., CTA, MRA, DSA)
was performed at the hospital

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
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Date and Time the Patient was Last Known to
be Well Prior to the Beginning of the Current
Stroke or Stroke-like Symptoms

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Item IN-12a: LKWD

What date was the patient last known to be well, i.e., in their usual state of health or at
their baseline, prior to the beginning of the current stroke or stroke-like symptoms?
(recording within 15 minutes of exact time is acceptable)
This variable indicates the date the patient was last known to be well

FORMAT

Type:

Date

Item Length:

8

Leading Zeros:

Yes

Valid Range:

Valid date

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
Valid date in SAS MMDDYY10. format (MM/DD/YYYY)
MM= Month (01-12), DD=Day (01-31) and YYYY = Year (20XX)

Coverdell DE Manual
Edition 2.0

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Item IN-12b: LKWT

What time was the patient last known to be well, i.e., in their usual state of health or at
their baseline, prior to the beginning of the current stroke or stroke-like symptoms?
(recording within 15 minutes of exact time is acceptable)
This variable indicates the time the patient was last known to be well

FORMAT

Type:

Time

Item Length:

4

Leading Zeros:

Yes

Valid Range:

Valid time

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
Valid time in SAS TIME8. format (HH:MM)
Time must be recorded in military time. HH=Hour (00-23) and MM=Minutes (00-59)

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Date and Time the Patient First Discovered to
Have the Current Stroke or Stroke-like
Symptoms

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Edition 2.0

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Item IN-13a: DISCD

What date was the patient first discovered to have the current stroke or stroke-like
symptoms? (recording within 15 minutes of exact time of discovery is acceptable)
This variable indicates the date the patient first discovered to have the current stroke or strokelike symptoms

FORMAT

Type:

Date

Item Length:

8

Leading Zeros:

Yes

Valid Range:

Valid date

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
Valid date in SAS MMDDYY10. format (MM/DD/YYYY)
MM= Month (01-12), DD=Day (01-31) and YYYY = Year (20XX)

Coverdell DE Manual
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Item IN-13b: DISCT

What time was the patient first discovered to have the current stroke or stroke-like
symptoms? (recording within 15 minutes of exact time of discovery is acceptable)
This variable indicates the time the patient first discovered to have the current stroke or strokelike symptoms

FORMAT

Type:

Time

Item Length:

4

Leading Zeros:

Yes

Valid Range:

Valid time

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
Valid time in SAS TIME8. format (HH:MM)
Time must be recorded in military time. HH=Hour (00-23) and MM=Minutes (00-59)

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NIH Stroke Scale Score

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Item IN-14a: NIHSSYN

Was NIH Stroke Scale score performed as part of the initial evaluation of the patient?
This variable indicates whether a NIH Stroke Scale score was performed as part of the initial
evaluation of the patient

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

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Item IN-14b: NIHSTRKS

If performed, what is the first NIH Stroke Scale total score recorded by hospital
personnel?
This variable indicates the first NIH Stroke Scale total score recorded by hospital personnel

FORMAT

Type:

Numeric

Item Length:

2

Leading Zeros:

No

Valid Range:

0-42; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with a NIH Stroke Scale performed as part of the initial
evaluation of the patient

VALUES AND
DESCRIPTION
Valid NIH Stroke Scale Score

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Stroke Treatment

Coverdell DE Manual
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100

Item IN-15a: TRMIVM

Was IV thrombolytic initiated for this patient at this hospital?
This variable indicates whether the IV thrombolytic therapy was initiated for this patient at this
hospital

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

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Item IN-15b: TRMIVMD

What date was IV thrombolytic initiated for this patient at this hospital?
This variable indicates the date the IV thrombolytic therapy was initiated for this patient at this
hospital

FORMAT

Type:

Date

Item Length:

8

Leading Zeros:

Yes

Valid Range:

Valid date

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with IV thrombolytic therapy initiated at this hospital

VALUES AND
DESCRIPTION
Valid date in SAS MMDDYY10. format (MM/DD/YYYY)
MM= Month (01-12), DD=Day (01-31) and YYYY = Year (20XX)

Coverdell DE Manual
Edition 2.0

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Item IN-15c: TRMIVMT

What time was IV thrombolytic initiated for this patient at this hospital?
This variable indicates the time the IV thrombolytic therapy was initiated for this patient at this
hospital

FORMAT

Type:

Time

Item Length:

4

Leading Zeros:

Yes

Valid Range:

Valid time

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with IV thrombolytic therapy initiated at this hospital

VALUES AND
DESCRIPTION
Valid time in SAS TIME8. format (HH:MM)
Time must be recorded in military time. HH=Hour (00-23) and MM=Minutes (00-59)

Coverdell DE Manual
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Item IN-15d: TRMALT

Thrombolytic used: Alteplase (Class 1 evidence)
This variable indicates whether the thrombolytic Alteplase (Class 1 evidence) therapy was
initiated for this patient at this hospital

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with IV thrombolytic therapy initiated at this hospital

VALUES AND
DESCRIPTION
0 No
1 Yes

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Item IN-15e: TRMALDS

Alteplase, total dose (mg)
This variable indicates the total Alteplase dose in milligrams (mg)

FORMAT

Type:

Numeric

Item Length:

4

Leading Zeros:

No

Valid Range:

Valid dosage

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with thrombolytic alteplase (Class 1 evidence) initiated at
this hospital

VALUES AND
DESCRIPTION
--.- (up to 1 decimal place)

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Item IN-15f: TRMTNK

Thrombolytic used: Tenecteplase (Class 2b evidence)
This variable indicates whether the thrombolytic Tenecteplase (Class 2b evidence) therapy was
initiated for this patient at this hospital

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with IV thrombolytic therapy initiated at this hospital

VALUES AND
DESCRIPTION
0 No
1 Yes

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Edition 2.0

106

Item IN-15g: TRMTNDS

Tenecteplase, total dose (mg)
This variable indicates the total Tenecteplase dose in milligrams (mg)

FORMAT

Type:

Numeric

Item Length:

4

Leading Zeros:

No

Valid Range:

Valid dosage

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with thrombolytic tenecteplase (Class 2b evidence) initiated
at this hospital

VALUES AND
DESCRIPTION
--.- (up to 1 decimal place)

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Item IN-15h: TRMTNRSN

Reason for selecting tenecteplase instead of alteplase
This variable indicates the reason for selecting tenecteplase instead of alteplase

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with thrombolytic tenecteplase (Class 2b evidence) initiated
at this hospital

VALUES AND
DESCRIPTION
1 Large Vessel Occlusion (LVO) with potential thrombectomy
2 Mild stroke
3 Other

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Item IN-15i: TRMEXTND

If IV thrombolytic administered beyond 4.5-hour, was imaging used to identify eligibility?
This variable indicates whether imaging was used to identify eligibility for patients to whom IV
thrombolytic was administered beyond 4.5-hour

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with IV thrombolytic therapy initiated at this hospital beyond
4.5 hours

VALUES AND
DESCRIPTION
1 Yes, Diffusion-FLAIR mismatch
2 Yes, Core-Perfusion mismatch
3 None
4 Other

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Item IN-15j: TRMIVT

IV thrombolytic at an outside hospital or EMS / mobile stroke unit?
This variable indicates whether IV thrombolytic was initiated at an outside hospital or
EMS/mobile stroke unit

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with IV thrombolytic therapy initiated at this hospital

VALUES AND
DESCRIPTION
0 No
1 Yes

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Item IN-15k: TRMIVTAT

If yes, select thrombolytic administered at outside hospital or Mobile Stroke Unit
This variable indicates the thrombolytic treatment administered to patients to whom the
treatment was administered outside the hospital or Mobile Stroke Unit

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with IV thrombolytic therapy initiated at outside hospital or
Mobile Stroke Unit

VALUES AND
DESCRIPTION
1 Alteplase
2 Tenecteplase

Coverdell DE Manual
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Item IN-15l: CATHTX

Was catheter-based treatment administered at this hospital?
This variable indicates whether a catheter-based treatment was administered at this hospital

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

112

Item IN-15m: CATHTXD

Date of IA alteplase or MER initiation at this hospital
This variable indicates the date of IA alteplase or MER initiation at this hospital

FORMAT

Type:

Date

Item Length:

8

Leading Zeros:

Yes

Valid Range:

Valid date

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with catheter-based treatment administered at the hospital

VALUES AND
DESCRIPTION
Valid date in SAS MMDDYY10. format (MM/DD/YYYY)
MM= Month (01-12), DD=Day (01-31) and YYYY = Year (20XX)

Coverdell DE Manual
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Item IN-15n: CATHTXT

Time of IA alteplase or MER initiation at this hospital
This variable indicates the time of IA alteplase or MER initiation at this hospital

FORMAT

Type:

Time

Item Length:

4

Leading Zeros:

Yes

Valid Range:

Valid time

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with catheter-based treatment administered at the hospital

VALUES AND
DESCRIPTION
Valid time in SAS TIME8. format (HH:MM)
Time must be recorded in military time. HH=Hour (00-23) and MM=Minutes (00-59)

Coverdell DE Manual
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Item IN-16a: THRMCMP

Complication of reperfusion therapy (Thrombolytic or MER)
This variable indicates the complications of reperfusion therapy (Thrombolytic or MER)

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with thrombolytic or MER therapy initiated at this hospital

VALUES AND
DESCRIPTION
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

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Item IN-16b: THRMCMPT

Were there bleeding complications in a patient transferred after IV tPA (alteplase)?
This variable indicates whether there were bleeding complications in a patient transferred after
IV tPA (alteplase)

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with IV tPA (alteplase) initiated at this hospital

VALUES AND
DESCRIPTION
1 Yes and detected prior to transfer
2 Yes but detected after transfer
3 Unable to determine
9 Not applicable

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Item IN-17a: TPANC

Documented exclusions or relative exclusions (contraindications or warnings) were
recorded for not initiating IV thrombolytic in the 0-3 hour treatment window
This variable indicates whether exclusions or relative exclusions (contraindications or warnings)
were documented for not initiating IV thrombolytic in the 0-3 hour treatment window

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

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117

Item IN-18a: TPA4NC

Documented exclusions or relative exclusions (contraindications or warnings) were
recorded for not initiating IV thrombolytic in the 3-4.5 hour treatment window
This variable indicates whether exclusions or relative exclusions (contraindications or warnings)
were documented for not initiating IV thrombolytic in the 3-4.5 hour treatment window

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

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Item IN-19a: TPADELAY

If IV thrombolytic was initiated greater than 60 minutes after hospital arrival, were
eligibility or medical reasons documented as the cause for delay?
This variable indicates whether there were eligibility or medical reasons documented as the
cause for delay for patients to whom IV thrombolytic was initiated greater than 60 minutes after
hospital arrival

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients to whom IV thrombolytic was initiated greater than 60
minutes after hospital arrival

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

119

Item IN-19b: TPADEL45

If IV thrombolytic was initiated greater than 45 minutes after hospital arrival, were
eligibility or medical response documented as the cause for delay?
This variable indicates whether there were eligibility or medical response documented as the
cause for delay for patients to whom IV thrombolytic was initiated greater than 45 minutes after
hospital arrival

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients to whom IV thrombolytic was initiated greater than 45
minutes after hospital arrival

VALUES AND
DESCRIPTION
0 No
1 Yes

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Item IN-19c: DELAYRSN

Eligibility or Medical reason(s) were documented as the cause for delay in thrombolytic
administration: Need for additional PPE for suspected/ confirmed infectious disease
This variable indicates whether the eligibility or medical reason(s) were documented as the
cause for delay in thrombolytic administration.

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients to whom thrombolytic therapy was delayed

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

121

Item IN-20a: ATHR2DAY

Was antithrombotic therapy received by the end of hospital day 2?
This variable indicates whether antithrombotic therapy was received by the end of hospital day
2

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes
2 Not collected

Coverdell DE Manual
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Item IN-21a: VTELDUH

VTE Prophylaxis. Low dose unfractionated heparin (LDUH)
This variable indicates low dose unfractionated heparin (LDUH) as the type of VTE Prophylaxis

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

123

Item IN-21b: VTELMWH

VTE Prophylaxis. Low molecular weight heparin (LMWH)
This variable indicates low molecular weight heparin (LMWH) as the type of VTE Prophylaxis

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
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124

Item IN-21c: VTEIPC

VTE Prophylaxis. Intermittent pneumatic compression devices
This variable indicates intermittent pneumatic compression devices as the type of VTE
Prophylaxis

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

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Item IN-21d: VTEGCS

VTE Prophylaxis. Graduated compression stockings (GCS)
This variable indicates graduated compression stockings (GCS) as the type of VTE Prophylaxis

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
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Item IN-21e: VTEXAI

VTE Prophylaxis. Factor Xa Inhibitor
This variable indicates factor Xa Inhibitor as the type of VTE Prophylaxis

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
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Item IN-21f: VTEWAR

VTE Prophylaxis. Warfarin
This variable indicates Warfarin as the type of VTE Prophylaxis

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

128

Item IN-21g: VTEVFP

VTE Prophylaxis. Venous foot pumps
This variable indicates Venous foot pumps as the type of VTE Prophylaxis

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

129

Item IN-21h: VTEOXAI

VTE Prophylaxis. Oral Factor Xa Inhibitor
This variable indicates Oral Factor Xa Inhibitor as the type of VTE Prophylaxis

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

130

Item IN-21i: VTEASPRN

VTE Prophylaxis. Aspirin
This variable indicates Aspirin as the type of VTE Prophylaxis

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
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131

Item IN-21j: VTEND

VTE Prophylaxis. Not Documented or none of the above
This variable indicates Not documented or none of the above as the type of VTE Prophylaxis

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

132

Item IN-21k: VTEDATE

What date was the initial VTE prophylaxis administered?
This variable indicates the date the initial VTE prophylaxis was administered

FORMAT

Type:

Date

Item Length:

8

Leading Zeros:

Yes

Valid Range:

Valid date

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
Valid date in SAS MMDDYY10. format (MM/DD/YYYY)
MM= Month (01-12), DD=Day (01-31) and YYYY = Year (20XX)

Coverdell DE Manual
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133

Item IN-21l: NOVTEDOC

If not documented or none of the above types of prophylaxis apply, is there
documentation why prophylaxis was not administered at hospital admission?
This variable indicates whether there is documentation on why prophylaxis was not
administered at hospital admission

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients to whom prophylaxis was not administered at hospital
admission

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

134

Item IN-21m: OFXAVTE

Is there a documented reason for using Oral Factor Xa Inhibitor for VTE?
This variable indicates whether there is a documented reason for using Oral Factor Xa Inhibitor
for VTE

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

135

Item IN-22a: LDUHIV

Other Therapeutic Anticoagulation. Unfractionated heparin IV
This variable indicates Unfractionated heparin IV as other therapeutic anticoagulation

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

136

Item IN-22b: DABIGAT

Other Therapeutic Anticoagulation. Dabigatran (Pradaxa)
This variable indicates Dabigatran (Pradaxa) as other therapeutic anticoagulation

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

137

Item IN-22c: ARGATRO

Other Therapeutic Anticoagulation. Argatroban
This variable indicates Argatroban as other therapeutic anticoagulation

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

138

Item IN-22d: DESIRUD

Other Therapeutic Anticoagulation. Desirudin (Iprivask)
This variable indicates Desirudin (Iprivask) as other therapeutic anticoagulation

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

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Item IN-22e: ORALXAI

Other Therapeutic Anticoagulation. Oral Factor Xa Inhibitors (e.g., rivaroxaban/Xarelto)
This variable indicates Oral Factor Xa Inhibitors (e.g., rivaroxaban/Xarelto) as other therapeutic
anticoagulation

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
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Item IN-22f: LEPIRUD

Other Therapeutic Anticoagulation. Lepirudin (Refludan)
This variable indicates Lepirudin (Refludan) as other therapeutic anticoagulation

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
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Item IN-22g: OTHACOAG

Other Therapeutic Anticoagulation. Other Anticoagulant
This variable indicates other coagulants as other therapeutic anticoagulation

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
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Item IN-23a: NPO

Was the patient NPO throughout the entire hospital stay? (That is, this patient never
received food, fluids, or medication by mouth at any time. This includes any medications
delivered in the Emergency Room phase of care.)
This variable indicates whether the patient was NPO throughout the entire hospital stay,
meaning the patient never received food, fluids, or medication by mouth at any time, including
any medications delivered in the Emergency Room phase of care

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
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Item IN-23b: DYSPHAYN

Was patient screened for dysphagia prior to any oral intake, including food, fluids or
medications?
This variable indicates whether the patient was screened for dysphagia prior to any oral intake,
including food, fluids or medications

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients

VALUES AND
DESCRIPTION
0 No or Not documented
1 Yes
2 NC - a documented reason for not screening exists in the medical record

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Item IN-23c: DYSPHAPF

If patient was screened for dysphagia, what were the results of the most recent screen
prior to oral intake?
This variable indicates the results of the most recent dysphagia screening prior to oral intake for
patients

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients that were screened for dysphagia

VALUES AND
DESCRIPTION
1 Pass
2 Fail
9 Not documented

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Other Complications

Coverdell DE Manual
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146

Item IN-24a: PNEUMYN

Was there documentation that the patient was treated for hospital acquired pneumonia
(pneumonia not present at admission) during this admission?
This variable indicates whether there was documentation that the patient was treated for
hospital acquired pneumonia (pneumonia not present at admission) during this admission

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No or Not documented
1 Yes
2 NC - a documented reason for not screening exists in the medical record

Coverdell DE Manual
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Item IN-25a: DVTDOCYN

Did patient experience a DVT or pulmonary embolus (PE) during this admission?
This variable indicates whether the patient experienced a DVT or pulmonary embolus (PE)
during this admission

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

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Active Bacterial or Viral Infection at Admission
or During Hospitalization

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149

Item IN-26a: INF_COLD

Active bacterial or viral infection at admission or during hospitalization. Seasonal cold
or flu
This variable indicates whether the patient contracted seasonal cold or flu at admission or
during hospitalization

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

150

Item IN-26b: INF_FLU

Active bacterial or viral infection at admission or during hospitalization. Influenza
This variable indicates whether the patient contracted influenza at admission or during
hospitalization

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

151

Item IN-26c: INF_BAC

Active bacterial or viral infection at admission or during hospitalization. Bacterial
infection
This variable indicates whether the patient contracted a bacterial infection at admission or
during hospitalization

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
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152

Item IN-26d: INF_OTH

Active bacterial or viral infection at admission or during hospitalization. Other viral
infection
This variable indicates whether the patient contracted another viral infection at admission or
during hospitalization

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
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153

Item IN-26e: INF_EMID

Active bacterial or viral infection at admission or during hospitalization. Emerging
Infectious Disease
This variable indicates whether the patient contracted an emerging infectious disease at
admission or during hospitalization

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

154

Item IN-26f: INF_COV1

Active bacterial or viral infection at admission or during hospitalization. SARS-COV-1
This variable indicates whether the patient contracted SARS-COV-1 at admission or during
hospitalization

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

155

Item IN-26g: INF_COV2

Active bacterial or viral infection at admission or during hospitalization. SARS-COV-2
(COVID-19)
This variable indicates whether the patient contracted SARS-COV-2 (COVID-19) at admission
or during hospitalization

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

156

Item IN-26h: INF_MERS

Active bacterial or viral infection at admission or during hospitalization. MERS
This variable indicates whether the patient contracted MERS at admission or during
hospitalization

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

157

Item IN-26i: INF_OEID

Active bacterial or viral infection at admission or during hospitalization. Other Emerging
Infectious Disease
This variable indicates whether the patient contracted another emerging infectious disease at
admission or during hospitalization

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

158

Item IN-26j: INF_NONE

Active bacterial or viral infection at admission or during hospitalization. None/Not
documented
This variable indicates whether the patient had not contracted an active bacterial or viral
infection or was not documented at admission or during hospitalization

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
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159

Date of discharge from hospital

Coverdell DE Manual
Edition 2.0

160

Item IN-27a: DSCHRGD

What date was the patient discharged from hospital?
This variable indicates the date the patient was discharged from hospital

FORMAT

Type:

Date

Item Length:

8

Leading Zeros:

Yes

Valid Range:

Valid date

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
Valid date in SAS MMDDYY10. format (MM/DD/YYYY)
MM= Month (01-12), DD=Day (01-31) and YYYY = Year (20XX)

Coverdell DE Manual
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161

Principal discharge ICD-10-CM diagnosis

Coverdell DE Manual
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162

Item IN-28a: ICD10DX

Principal discharge ICD-10-CM code
This variable indicates the principal discharge ICD-10-CM code

FORMAT

Type:

Character

Item Length:

8

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
Alphanumeric, 3 before decimal, 4 after decimal

Coverdell DE Manual
Edition 2.0

163

Clinical diagnosis related to stroke that was
ultimately responsible for this admission

Coverdell DE Manual
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164

Item IN-29a: ADMDXSH

Clinical diagnosis related to stroke that was ultimately responsible for this admission.
Subarachnoid hemorrhage
This variable indicates subarachnoid hemorrhage as the clinical diagnosis related to the stroke
that was ultimately responsible for this admission

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

165

Item IN-29b: ADMDXIH

Clinical diagnosis related to stroke that was ultimately responsible for this admission.
Intracerebral hemorrhage
This variable indicates intracerebral hemorrhage as the clinical diagnosis related to the stroke
that was ultimately responsible for this admission

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

166

Item IN-29c: ADMDXIS

Clinical diagnosis related to stroke that was ultimately responsible for this admission.
Ischemic stroke
This variable indicates ischemic stroke as the clinical diagnosis related to the stroke that was
ultimately responsible for this admission

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

167

Item IN-29d: ADMDXTIA

Clinical diagnosis related to stroke that was ultimately responsible for this admission.
Transient ischemic attack
This variable indicates transient ischemic attack as the clinical diagnosis related to the stroke
that was ultimately responsible for this admission

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

168

Item IN-29e: ADMDXSNS

Clinical diagnosis related to stroke that was ultimately responsible for this admission.
Stroke not otherwise specified
This variable indicates stroke not otherwise specified as the clinical diagnosis related to the
stroke that was ultimately responsible for this admission

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

169

Item IN-29f: ADMDXNOS

Clinical diagnosis related to stroke that was ultimately responsible for this admission.
No stroke related diagnosis
This variable indicates whether there was no stroke related diagnosis

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No
1 Yes

Coverdell DE Manual
Edition 2.0

170

Item IN-29g: ADMCE

Was patient admitted for the sole purpose of performance of a carotid intervention?
This variable indicates whether the patient was admitted for the sole purpose of performance of
a carotid intervention

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No or Unable to determine
1 Yes

Coverdell DE Manual
Edition 2.0

171

Item IN-29h: CLNTRIAL

Was the patient enrolled in a stroke clinical trial?
This variable indicates whether the patient was enrolled in a stroke clinical trial

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No or Unable to determine
1 Yes

Coverdell DE Manual
Edition 2.0

172

Discharge disposition

Coverdell DE Manual
Edition 2.0

173

Item IN-30a: DSCHDISP

Discharge disposition
This variable indicates the discharge disposition

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
1 Discharged to home or self-care (routine discharge), with or without home health,
discharged to jail or law enforcement, or to assisted living facility
2 Discharged to home hospice
3 Discharged to hospice in a health care facility
4 Discharged to an acute care facility (includes critical access hospitals, cancer and children's
hospitals, VA, and DOD hospitals
5 Discharged to another healthcare facility
6 Expired
7 Left against medical advice or discontinued care
8 Not documented or unable to determine

Coverdell DE Manual
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Item IN-30b: OHFTYPE

If discharged to another healthcare facility above (option 5), what type of facility was it?
This variable indicates the type of healthcare facility the patient was discharged to

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes all patients that were discharged to another healthcare facility

VALUES AND
DESCRIPTION
1 Skilled nursing facility
2 Inpatient rehabilitation
3 Long-term care facility, or hospital
4 Intermediate care facility
5 Other

Coverdell DE Manual
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Functional Status at Discharge

Coverdell DE Manual
Edition 2.0

176

Item IN-31a: MRSSCORE

Modified Rankin Scale Score
This variable indicates the modified Rankin Scale Score for the patient

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No symptoms
1 No significant disability despite symptoms
2 Slight disability
3 Moderate disability, can walk without assistance
4 Moderate to severe disability, needs assistance to walk
5 Severe disability, bedridden
6 Death

Coverdell DE Manual
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Item IN-31b: AMBSTATD

Ambulatory status at discharge
This variable indicates the ambulatory status at discharge

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
1 Able to ambulate independently with or without device
2 With assistance from another person
3 Unable to ambulate
9 Not documented

Coverdell DE Manual
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178

Antihypertensive Treatment at Discharge

Coverdell DE Manual
Edition 2.0

179

Item IN-32a: HBPTREAT

Is there documentation that antihypertensive medication was prescribed at discharge?
This variable indicates whether there was documentation that antihypertensive medication was
prescribed at discharge

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes
2 A documented reason for not screening exists in the medical record

Coverdell DE Manual
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Lipid Treatment

Coverdell DE Manual
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181

Item IN-33a: LIPNONE

No cholesterol reducing treatment prescribed at discharge
This variable indicates whether no cholesterol reducing treatment was prescribed at discharge

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
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182

Item IN-33b: LIPSTATN

Was a statin medication prescribed at discharge?
This variable indicates whether statin medication was prescribed at discharge

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
Edition 2.0

183

Item IN-33c: LIPOTHNC

If other lipid lowering medications not prescribed, was there a documented
contraindication to other lipid lowering medication?
This variable indicates whether there was a documented contraindication to other lipid lowering
medication when other lipid lowering medications were not prescribed

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients to whom lipid lowering medications was not prescribed

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
Edition 2.0

184

Item IN-33d: LIPFIBRT

Cholesterol reducing treatment prescribed. Fibrate
This variable indicates whether Fibrate was prescribed as a cholesterol reducing treatment

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients to whom a cholesterol reducing treatment was
prescribed

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
Edition 2.0

185

Item IN-33e: LIPOTHRX

Other cholesterol reducing medication
This variable indicates whether other cholesterol reducing medication was prescribed

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients to whom a cholesterol reducing treatment was
prescribed

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
Edition 2.0

186

Item IN-33f: LIPNIACN

Cholesterol reducing treatment prescribed. Niacin
This variable indicates whether Niacin was prescribed as a cholesterol reducing treatment

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients to whom a cholesterol reducing treatment was
prescribed

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
Edition 2.0

187

Item IN-33g: LIPABSIN

Cholesterol reducing treatment prescribed. Absorption inhibitor
This variable indicates whether an absorption inhibitor was prescribed as a cholesterol reducing
treatment

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients to whom a cholesterol reducing treatment was
prescribed

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
Edition 2.0

188

Item IN-33h: LIPPCSK

Cholesterol reducing treatment prescribed. PCSK9 inhibitor
This variable indicates whether PCSK9 inhibitor was prescribed as a cholesterol reducing
treatment

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients to whom a cholesterol reducing treatment was
prescribed

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
Edition 2.0

189

Item IN-33i: STATNNC

If statin not prescribed, was there a documented contraindication to statins?
This variable indicates whether there was a documented contraindication to statins for patients
to whom statin was not prescribed

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients to whom statin was not prescribed

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

Coverdell DE Manual
Edition 2.0

190

Item IN-33j: STATNINT

What intensity was the statin that was prescribed at discharge?
This variable indicates the intensity of the statin prescribed at discharge

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients to whom statin was prescribed

VALUES AND
DESCRIPTION
1 High-intensity statin
2 Moderate-intensity statin
3 Low-intensity statin
9 Unknown

Coverdell DE Manual
Edition 2.0

191

Item IN-33k: STATNWHY

Was there a documented reason for not prescribing the guideline recommended statin
dose?
This variable indicates whether there was a documented reason for not prescribing the
guideline recommended statin dose

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients that were not prescribed the guideline recommended statin
dose

VALUES AND
DESCRIPTION
1 Intolerant to moderate (>75 years) or high (<=75 years) intensity statin
2 No evidence of atherosclerosis (cerebral, coronary, or peripheral vascular disease)
3 Other documented reason
9 Unknown

Coverdell DE Manual
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192

Atrial Fibrillation

Coverdell DE Manual
Edition 2.0

193

Item IN-34a: AFIBYN

Was atrial fibrillation/flutter or paroxysmal atrial fibrillation (PAF), documented during
this episode of care?
This variable indicates whether atrial fibrillation/flutter or paroxysmal atrial fibrillation (PAF) was
documented during this episode of care

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

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Item IN-34b: AFIBRX

If a history of atrial fibrillation/flutter or PAF is documented in the medical history or if
the patient experienced atrial fibrillation/flutter or PAF during this episode of care, was
patient prescribed anticoagulation medication upon discharge?
This variable indicates whether the patient was prescribed anticoagulation medication upon
discharge atrial fibrillation/flutter or PAF during this episode of care

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with a history of atrial fibrillation/flutter or PAF or patients
that experienced atrial fibrillation/flutter or PAF during this episode of care

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes
2 A documented reason for not screening exists in the medical record

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Antithrombotics at Discharge

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Item IN-35a: ATHDSCYN

Was antithrombotic (antiplatelet or anticoagulant) medication prescribed at discharge?
This variable indicates whether antithrombotic (antiplatelet or anticoagulant) medication was
prescribed at discharge

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes
2 A documented reason for not screening exists in the medical record

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Item IN-35b: DC_PLT

If patient was discharged on an antithrombotic medication, was it an antiplatelet?
This variable indicates whether the patient was discharged with an antiplatelet medication

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients discharged on antithrombotic medication

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

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Item IN-35c: DC_COAG

If patient was discharged on an antithrombotic medication, was it an anticoagulant?
This variable indicates whether the patient was discharged with an anticoagulant medication

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients discharged on antithrombotic medication

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

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Smoking Counseling

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Item IN-36a: SMKCESYN

If past medical history of smoking is checked as yes, was the adult patient or their
caregiver given smoking cessation advice or counseling during the hospital stay?
This variable indicates whether the adult patient or their caregiver was given smoking cessation
advice or counseling during the hospital stay

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes patients with past medical history of smoking

VALUES AND
DESCRIPTION
0 No or not documented in the medical record
1 Yes
2 A documented reason exists for not performing counseling

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Stroke Education

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Item IN-37a: EDUCRF

Stroke Education. Risk factors for stroke
This variable indicates whether the patient received education regarding risk factors for stroke

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

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Item IN-37b: EDUCSSX

Stroke Education. Stroke Warning Signs and Symptoms
This variable indicates whether the patient received education regarding stroke warning signs
and symptoms

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

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Item IN-37c: EDUCEMS

Stroke Education. How to activate EMS for stroke
This variable indicates whether the patient received education regarding how to activate EMS
for stroke

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

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Item IN-37d: EDUCCC

Stroke Education. Need for follow-up after discharge
This variable indicates whether the patient received education regarding need for follow-up
after discharge

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

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Item IN-37e: EDUCMEDS

Stroke Education. Medications prescribed at discharge
This variable indicates whether the patient received education regarding medications
prescribed at discharge

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No/Not documented
1 Yes

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Rehabilitation

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Item IN-38a: REHAPLAN

Is there documentation in the record that the patient was assessed for or received
rehabilitation services?
This variable indicates whether there is documentation that the patient was assessed for or
received rehabilitation services

FORMAT

Type:

Numeric

Item Length:

1

Leading Zeros:

No

Valid Range:

See values; cannot be blank

SOURCE

Not applicable; COVERDELL-specific variable

DENOMINATOR
POPULATION

The denominator includes only patients that were admitted

VALUES AND
DESCRIPTION
0 No
1 Yes

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APPENDIX

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Appendix A
Data Elements Submission* Timeline
February 15, 2022
Data collected from: October 2021 to December 2021
June 15, 2022
Data collected from: January 2022 to April 2022
October 17, 2022#
Data collected from: May 2022 to August 2022
February 15, 2023
Data collected from: September 2022 to December 2022
June 15, 2023
Data collected from: January 2023 to April 2023
October 16, 2023#
Data collected from: May 2023 to August 2023
February 15, 2024
Data collected from: September 2023 to December 2023
June 17, 2024#
Data collected from: January 2024 to April 2024
July 29, 2024
Cooperative Agreement Closeout Data Submission

*All Data Elements files submitted to CDC are expected to be cumulative
files from the beginning of the current cooperative agreement.
# As the 15th falls on a weekend, the date has been adjusted to reflect the next regularly occurring weekday.

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Appendix B
TECHNICAL ASSISTANCE RESOURCES
CDC has developed several strategies and tools to provide technical
assistance and support in collecting and submitting data. This appendix
describes the various types of technical assistance available to Coverdell
recipients
Types of Data Technical Assistance Available
Technical assistance available to recipients can be broadly categorized as
individualized technical assistance, group technical assistance, and tools.
Below, specific types of technical assistance/tools within these categories
are described. The table at the end of this subsection summarizes the
types of technical assistance/tools by category, provider, and timeline.
Individualized Technical Assistance
• Data Review Calls. After each data element submission, data
reports are generated and may be reviewed with recipients during a
data review call. As needed, data quality reports and other materials
may also be reviewed.
• Helpdesk Requests. Recipients can request individualized technical
assistance through the Helpdesk ([email protected]). A health
scientist from the CDC data team will collaborate with the data
contractor to respond to technical assistance requests. This type of
assistance is tailored to the recipient and the request. More
information is provided in the following subsections of this appendix,
“Requesting Individualized Technical Assistance” and “Helpdesk for
Technical Assistance Requests.”
Group Technical Assistance
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• Ad Hoc Data Calls and Trainings. Throughout the course of the
year, data issues affecting a majority of or all recipients may be
identified, either through individualized technical assistance or as a
result of changes to the data elements submission process and
specifications (e.g., modification of data elements specifications,
added data elements variables). As a result, trainings or group
communications may be needed, which can be fulfilled by holding ad
hoc data calls and/or training seminars.
Tools
• Coverdell Data Manual. This manual is a technical assistance tool
for recipients. It provides detailed guidance on the data element
submission process and data element specifications, and it will be
updated as necessary to stay current with the data submission and
collection requirements. Recipients can access the current edition in
the Awards Management Platform (AMP).
Summary of Types of Technical Assistance and Tools Available
TA Type
Individual
Data review calls

Provider

Timeline

Project officers and/or data
contractor

Helpdesk requests
Group
Ad hoc data calls and
trainings
Tools
Coverdell Data Manual

Data contractor

Tri-annually, after data
element submission and
release of data reports
As needed

Data contractor

As needed

Data contractor

Ongoing

Helpdesk for Individualized Data Technical Assistance Requests
Technical assistance may be requested by emailing the data contractor at
[email protected]. Once a request for technical assistance related to a data
element is received, Helpdesk will automatically confirm receipt of the
request and collaborate with the Health Scientists to resolve the request.
For more complex requests or those requiring project officer input,
responses may take more than 24 hours. All requests are tracked by
Helpdesk staff and the health scientists to ensure that follow-up is
completed for all requests and that responses are satisfactory to the
requester. In addition, project officers will be kept abreast of the technical
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assistance needs of their programs. The tracking of technical assistance
requests by the Helpdesk, health scientists, and project officers allows
CDC to identify common issues to inform Program-wide technical
assistance.

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Appendix C
DATA ELEMENT TABLES
Item
No.

Variable
Name

Question Prompt

Type

Values

Pre-1a

SCNARRD

Scene Arrival Date

Date

Valid date in SAS MMDDYY10. format
(MM/DD/YYYY). MM= Month (01-12), DD=Day
(01-31) and YYYY = Year (20XX)

Pre-1b

SCNARRT

Scene Arrival Time

Time

Valid time in SAS TIME8. format (HH:MM). Time
must be recorded in military time. HH=Hour (0023) and MM=Minutes (00-59)

Pre-2a

SCNDPTD

Scene Departure Date

Date

Valid date in SAS MMDDYY10. format
(MM/DD/YYYY). MM= Month (01-12), DD=Day
(01-31) and YYYY = Year (20XX)

Pre-2b

SCNDPTT

Scene Departure Time

Time

Valid time in SAS TIME8. format (HH:MM). Time
must be recorded in military time. HH=Hour (0023) and MM=Minutes (00-59)

Pre-3a

PREAGE

Age

Numeric

0-125

Pre-4a

PREGEND

Gender

Numeric

1 Male;2 Female;3 Unknown

Pre-5a

STKSCN

Did EMS perform a pre-hospital stroke screen?

Numeric

1 Yes;2 No;3 Not Documented

Pre-5b

EMSGLU

Glucose level

Numeric

Valid glucose value

IN-0A

STFIPS

State FIPS Code

Character

IN-0B

PATID

Unique Participant ID Number

Character

IN-0C

ZIP

Residence Zip Code

IN-0D

HOSPID

Unique Hospital ID Assigned by State

IN-1a

AGE

Age

Numeric

0-125

IN-1b

GENDER

Gender

Numeric

1 Male;2 Female;3 Unknown

IN-1c

RACEW

White

Numeric

1 Yes;0 No

IN-1d

RACEAA

Black or African American

Numeric

1 Yes;0 No

IN-1e

RACEAS

Asian

Numeric

1 Yes;0 No

IN-1f

RACEHPI

Native Hawaiian or Other Pacific Islander

Numeric

1 Yes;0 No

IN-1g

RACEAIAN

American Indian or Alaskan Native

Numeric

1 Yes;0 No

IN-1h

RACEUNK

Unknown or unable to determine

Numeric

1 Yes;0 No

IN-1i

HISP

Hispanic or Latino Ethnicity

Numeric

1 Hispanic or Latino;0 Not Hispanic or Latino,
or unknown

IN-1j

HLTHINSM

Medicare/Medicare Advantage

Numeric

1 Yes;0 No

IN-1k

HLTHINSC

Medicaid

Numeric

1 Yes;0 No

IN-1l

HLTHINSP

Private/VA/Champus/Other

Numeric

1 Yes;0 No

IN-1m

HLTHINSN

Self-Pay/No Insurance

Numeric

1 Yes;0 No

IN-1n

HLTHINND

Not Documented

Numeric

1 Yes;0 No

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05 Arkansas; 12 Florida; 13 Georgia;15 Hawaii;
21 Kentucky; 25 Massachusetts; 26 Michigan; 27
Minnesota; 36 New York; 37 North Carolina; 39
Ohio; 51 Virginia; 55 Wisconsin
State Assigns Unique Identifier up to 15
characters
Valid Zip Code
Confidential Value Assigned by State

Item
No.

Variable
Name

Question Prompt

Type

PLCOCCUR

Where was the patient when stroke was
detected or when symptoms were discovered?
In the case of a patient transferred to your
hospital where they were an inpatient, ED
patient, or NH/long-term care resident, from
where was the patient transferred?

IN-2b

Values

Numeric

1 Not in a healthcare setting;2 Another acute
care facility;3 Chronic health care facility;4
Stroke occurred while patient was an inpatient in
your hospital;5 Outpatient healthcare setting;9
Not documented or cannot be determined

ARRMODE

How did the patient get to your hospital for
treatment of their stroke?

Numeric

1 EMS from home or scene;2 Private
transportation/taxi/other;3 Transfer from another
hospital;10 Mobile Stroke Unit;9 Not
documented or unknown

IN-2c

EMSNOTE

Advance notification by EMS

Numeric

1 Yes;0 No/Not documented;9 Not applicable

IN-3a

EDTRIAGD

Date of arrival at your hospital

Date

Valid date in SAS MMDDYY10. format
(MM/DD/YYYY). MM= Month (01-12), DD=Day
(01-31) and YYYY = Year (20XX)

IN-3b

EDTRIAGT

Time of arrival at your hospital

Time

Valid time in SAS TIME8. format (HH:MM). Time
must be recorded in military time. HH=Hour (0023) and MM=Minutes (00-59)

IN-4a

NOTADMIT

Was the patient not admitted?

Numeric

1 Not admitted;0 No, patient admitted as
inpatient

IN-5a

CMODOC

When is the earliest time that the physician,
advanced practice nurse, or PA documented
that patient was on comfort measures only?

Numeric

1 Day of arrival or first day after arrival ;2 2nd
day after arrival or later;3 Timing unclear;4 Not
documented/Unable to determine

IN-6a

LIPADMYN

Statin or other cholesterol reducer medication

Numeric

1 Yes;0 No/Not documented

IN-7a

MEDHISDM

Is there a history of Diabetes Mellitus (DM)?

Numeric

1 Yes;0 No/Not documented

IN-7b

MEDHISST

Is there a history of prior Stroke?

Numeric

1 Yes;0 No/Not documented

IN-7c

MEDHISTI

Is there a history of TIA/Transient ischemic
attack/VBI?

Numeric

1 Yes;0 No/Not documented

IN-7d

MEDHISCS

Is there a history of carotid stenosis?

Numeric

1 Yes;0 No/Not documented

IN-7e

MEDHISMI

Is there a history of myocardial infarction (MI) or
coronary artery disease (CAD)?

Numeric

1 Yes;0 No/Not documented

IN-7f

MEDHISPA

Is there a history of peripheral arterial disease
(PAD)?

Numeric

1 Yes;0 No/Not documented

IN-7g

MEDHISVP

Does the patient have a valve prosthesis (heart
valve)?

Numeric

1 Yes;0 No/Not documented

IN-7h

MEDHISHF

Is there a history of Heart Failure (CHF)?

Numeric

1 Yes;0 No/Not documented

IN-7i

MEDHISSS

Does the patient have a history of sickle cell
disease (sickle cell anemia)?

Numeric

1 Yes;0 No/Not documented

IN-7j

MEDHISPG

Did this event occur during pregnancy or within
6 weeks after a delivery or termination of
pregnancy?

Numeric

1 Yes;0 No/Not documented

IN-7k

MEDHISAF

Is there documentation in the patient’s medical
history of atrial fibrillation/flutter?

Numeric

1 Yes;0 No/Not documented

IN-7l

MEDHISSM

Is there documented past medical history of
Smoking (at least one cigarette during the year
prior to hospital arrival)?

Numeric

1 Yes;0 No/Not documented

IN-7m

MEDHISEC

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

Numeric

1 Yes;0 No/Not documented

IN-7n

MEDHISDL

Is there a medical history of Dyslipidemia?

Numeric

1 Yes;0 No/Not documented

IN-7o

MEDHISHT

Is there a documented past medical history of
hypertension?

Numeric

1 Yes;0 No/Not documented

IN-7p

MEDHISDT

Numeric

1 Yes;0 No/Not documented

IN-7q

MH_EID

Numeric

1 Yes;0 No/Not documented

IN-2a

Is there a history of dementia?
Is there a history of Emerging Infectious
Disease?

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Item
No.

Variable
Name

Question Prompt

Type

Values

IN-7r

MH_COV1

Is there a history of SARS-COV-1?

Numeric

1 Yes;0 No/Not documented

IN-7s

MH_COV2

Is there a history of SARS-COV-2 (COVID-19)?

Numeric

1 Yes;0 No/Not documented

IN-7t

MH_MERS

Is there a history of MERS?

Numeric

1 Yes;0 No/Not documented

IN-7u

MH_OTH

Is there a history of other infectious respiratory
pathogen?

Numeric

1 Yes;0 No/Not documented

IN-8a

HOSPADD

Date of hospital admission

IN-8b

AMBSTATA

Was patient ambulatory prior to the current
stroke/TIA?

Numeric

1 Able to ambulate independently with or without
device;2 Yes, but with assistance from another
person;3 Unable to ambulate;9 Not
documented

IN-8c

SXRESOLV

Did symptoms completely resolve prior to
presentation?

Numeric

1 Yes;0 No;9 Not documented

Date

Valid date in SAS MMDDYY10. format
(MM/DD/YYYY). MM= Month (01-12), DD=Day
(01-31) and YYYY = Year (20XX)

IN-9a

TELEYN

Was telestroke consultation performed?

Numeric

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 Not documented

IN-10a

IMAGEYN

Was brain imaging performed at your hospital
after arrival as part of the initial evaluation for
this episode of care or this event?

Numeric

1 Yes;0 No/Not documented;9 Not collected

IN-10b

IMAGEYCT

If brain imaging performed, was it a CT scan?

Numeric

1 Yes;0 No/Not documented

IN-10c

IMAGEYMR

If brain imaging performed, was it an MRI?

Numeric

1 Yes;0 No/Not documented

IN-10d

IMAGED

Date brain imaging first initiated at your hospital

Date

Valid date in SAS MMDDYY10. format
(MM/DD/YYYY). MM= Month (01-12), DD=Day
(01-31) and YYYY = Year (20XX)

IN-10e

IMAGET

Time brain imaging first initiated at your hospital

Time

Valid time in SAS TIME8. format (HH:MM). Time
must be recorded in military time. HH=Hour (0023) and MM=Minutes (00-59)

IN-10f

IMAGERES

What were the initial brain imaging findings?

Numeric

1 Acute hemorrhage;0 No acute hemorrhage;9
Not documented or not available

IN-11a

IMAGEVAS

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

Numeric

1 Yes;0 No/Not documented

LKWD

What date was the patient last known to be
well, i.e., in their usual state of health or at their
baseline, prior to the beginning of the current
stroke or stroke-like symptoms? (recording
within 15 minutes of exact time is acceptable)

Date

Valid date in SAS MMDDYY10. format
(MM/DD/YYYY). MM= Month (01-12), DD=Day
(01-31) and YYYY = Year (20XX)

LKWT

What time was the patient last known to be well,
i.e., in their usual state of health or at their
baseline, prior to the beginning of the current
stroke or stroke-like symptoms? (recording
within 15 minutes of exact time is acceptable)

Time

Valid time in SAS TIME8. format (HH:MM). Time
must be recorded in military time. HH=Hour (0023) and MM=Minutes (00-59)

DISCD

What date was the patient first discovered to
have the current stroke or stroke-like
symptoms? (recording within 15 minutes of
exact time of discovery is acceptable)

Date

Valid date in SAS MMDDYY10. format
(MM/DD/YYYY). MM= Month (01-12), DD=Day
(01-31) and YYYY = Year (20XX)

IN-12a

IN-12b

IN-13a

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Item
No.

Variable
Name

Question Prompt

Type

Values

IN-13b

DISCT

What time was the patient first discovered to
have the current stroke or stroke-like
symptoms? (recording within 15 minutes of
exact time of discovery is acceptable)

IN-14a

NIHSSYN

Was NIH Stroke Scale score performed as part
of the initial evaluation of the patient?

Numeric

1 Yes;0 No

IN-14b

NIHSTRKS

If performed, what is the first NIH Stroke Scale
total score recorded by hospital personnel?

Numeric

0-42

IN-15a

TRMIVM

Was IV thrombolytic initiated for this patient at
this hospital?

Numeric

1 Yes;0 No

IN-15b

TRMIVMD

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

Date

Valid date in SAS MMDDYY10. format
(MM/DD/YYYY). MM= Month (01-12), DD=Day
(01-31) and YYYY = Year (20XX)

IN-15c

TRMIVMT

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

Time

Valid time in SAS TIME8. format (HH:MM). Time
must be recorded in military time. HH=Hour (0023) and MM=Minutes (00-59)

IN-15d

TRMALT

IN-15e

TRMALDS

IN-15f

TRMTNK

IN-15g

Thrombolytic used: Alteplase (Class 1
evidence)
Alteplase, total dose (mg)

Time

Valid time in SAS TIME8. format (HH:MM). Time
must be recorded in military time. HH=Hour (0023) and MM=Minutes (00-59)

Numeric

1 Yes;0 No

Numeric

--.- (up to 1 decimal place)

Thrombolytic used: Tenecteplase (Class 2b
evidence)

Numeric

1 Yes;0 No

TRMTNDS

Tenecteplase, total dose (mg)

Numeric

--.- (up to 1 decimal place)

IN-15h

TRMTNRSN

Reason for selecting tenecteplase instead of
alteplase

Numeric

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

IN-15i

TRMEXTND

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

Numeric

1 Yes, Diffusion-FLAIR mismatch;2 Yes, CorePerfusion mismatch;3 None;4 Other

IN-15j

TRMIVT

IV thrombolytic at an outside hospital or EMS /
mobile stroke unit?

Numeric

1 Yes;0 No

IN-15k

TRMIVTAT

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

Numeric

1 Alteplase;2 Tenecteplase

IN-15l

CATHTX

Was catheter-based treatment administered at
this hospital?

Numeric

1 Yes;0 No

IN15m

CATHTXD

Date of IA alteplase or MER initiation at this
hospital

Date

Valid date in SAS MMDDYY10. format
(MM/DD/YYYY). MM= Month (01-12), DD=Day
(01-31) and YYYY = Year (20XX)

IN-15n

CATHTXT

Time of IA alteplase or MER initiation at this
hospital

Time

Valid time in SAS TIME8. format (HH:MM). Time
must be recorded in military time. HH=Hour (0023) and MM=Minutes (00-59)

IN-16a

THRMCMP

Complication of reperfusion therapy
(Thrombolytic or MER)

Numeric

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

IN-16b

THRMCMPT

Were there bleeding complications in a patient
transferred after IV tPA (alteplase)?

Numeric

1 Yes and detected prior to transfer;2 Yes but
detected after transfer;3 Unable to determine;9
Not applicable

IN-17a

TPANC

Documented exclusions or relative exclusions
(contraindications or warnings) were recorded
for not initiating IV thrombolytic in the 0-3 hour
treatment window

Numeric

1 Yes;0 No

TPA4NC

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

Numeric

1 Yes;0 No

IN-18a

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Item
No.

Variable
Name

Question Prompt

Type

IN-19a

TPADELAY

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

IN-19b

TPADEL45

If IV thrombolytic was initiated greater than 45
minutes after hospital arrival, were eligibility or
medical response documented as the cause for
delay?
Eligibility or Medical reason(s) were
documented as the cause for delay in
thrombolytic administration: Need for additional
PPE for suspected/ confirmed infectious
disease
Was antithrombotic therapy received by the end
of hospital day 2?

Values

Numeric

1 Yes;0 No

Numeric

1 Yes;0 No

Numeric

1 Yes;0 No

Numeric

1 Yes;0 No;2 Not collected

IN-19c

DELAYRSN

IN-20a

ATHR2DAY

IN-21a

VTELDUH

VTE Prophylaxis. Low dose unfractionated
heparin (LDUH)

Numeric

1 Yes;0 No

IN-21b

VTELMWH

VTE Prophylaxis. Low molecular weight heparin
(LMWH)

Numeric

1 Yes;0 No

IN-21c

VTEIPC

VTE Prophylaxis. Intermittent pneumatic
compression devices

Numeric

1 Yes;0 No

IN-21d

VTEGCS

VTE Prophylaxis. Graduated compression
stockings (GCS)

Numeric

1 Yes;0 No

IN-21e

VTEXAI

VTE Prophylaxis. Factor Xa Inhibitor

Numeric

1 Yes;0 No

IN-21f

VTEWAR

VTE Prophylaxis. Warfarin

Numeric

1 Yes;0 No

IN-21g

VTEVFP

VTE Prophylaxis. Venous foot pumps

Numeric

1 Yes;0 No

IN-21h

VTEOXAI

VTE Prophylaxis. Oral Factor Xa Inhibitor

Numeric

1 Yes;0 No

IN-21i

VTEASPRN

VTE Prophylaxis. Aspirin

Numeric

1 Yes;0 No

IN-21j

VTEND

VTE Prophylaxis. Not Documented or none of
the above

Numeric

1 Yes;0 No

IN-21k

VTEDATE

What date was the initial VTE prophylaxis
administered?

IN-21l

NOVTEDOC

If not documented or none of the above types of
prophylaxis apply, is there documentation why
prophylaxis was not administered at hospital
admission?

Numeric

1 Yes;0 No

IN21m

OFXAVTE

Is there a documented reason for using Oral
Factor Xa Inhibitor for VTE?

Numeric

1 Yes;0 No

IN-22a

LDUHIV

Other Therapeutic Anticoagulation.
Unfractionated heparin IV

Numeric

1 Yes;0 No

IN-22b

DABIGAT

Other Therapeutic Anticoagulation. Dabigatran
(Pradaxa)

Numeric

1 Yes;0 No

IN-22c

ARGATRO

Other Therapeutic Anticoagulation. Argatroban

Numeric

1 Yes;0 No

IN-22d

DESIRUD

Other Therapeutic Anticoagulation. Desirudin
(Iprivask)

Numeric

1 Yes;0 No

IN-22e

ORALXAI

Other Therapeutic Anticoagulation. Oral Factor
Xa Inhibitors (e.g., rivaroxaban/Xarelto)

Numeric

1 Yes;0 No

IN-22f

LEPIRUD

Other Therapeutic Anticoagulation. Lepirudin
(Refludan)

Numeric

1 Yes;0 No

IN-22g

OTHACOAG

Other Therapeutic Anticoagulation. Other
Anticoagulant

Numeric

1 Yes;0 No

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Date

Valid date in SAS MMDDYY10. format
(MM/DD/YYYY). MM= Month (01-12), DD=Day
(01-31) and YYYY = Year (20XX)

Item
No.

Variable
Name

Question Prompt

Type

Values

Numeric

1 Yes;0 No/Not documented

IN-23a

NPO

Was the patient NPO throughout the entire
hospital stay? (That is, this patient never
received food, fluids, or medication by mouth at
any time. This includes any medications
delivered in the Emergency Room phase of
care.)

IN-23b

DYSPHAYN

Was patient screened for dysphagia prior to any
oral intake, including food, fluids or
medications?

Numeric

1 Yes;0 No or Not documented;2 NC - a
documented reason for not screening exists in the
medical record

IN-23c

DYSPHAPF

If patient was screened for dysphagia, what
were the results of the most recent screen prior
to oral intake?

Numeric

1 Pass;2 Fail;9 Not documented

IN-24a

PNEUMYN

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

Numeric

1 Yes;0 No or Not documented;2 NC - a
documented reason for not screening exists in the
medical record

IN-25a

DVTDOCYN

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

Numeric

1 Yes;0 No/Not documented

IN-26a

INF_COLD

Active bacterial or viral infection at admission or
during hospitalization. Seasonal cold or flu

Numeric

1 Yes;0 No

IN-26b

INF_FLU

Active bacterial or viral infection at admission or
during hospitalization. Influenza

Numeric

1 Yes;0 No

IN-26c

INF_BAC

Active bacterial or viral infection at admission or
during hospitalization. Bacterial infection

Numeric

1 Yes;0 No

IN-26d

INF_OTH

Numeric

1 Yes;0 No

IN-26e

INF_EMID

Numeric

1 Yes;0 No

IN-26f

INF_COV1

Numeric

1 Yes;0 No

IN-26g

INF_COV2

Numeric

1 Yes;0 No

IN-26h

INF_MERS

Numeric

1 Yes;0 No

IN-26i

INF_OEID

Active bacterial or viral infection at admission or
during hospitalization. Other Emerging
Infectious Disease

Numeric

1 Yes;0 No

IN-26j

INF_NONE

Active bacterial or viral infection at admission or
during hospitalization. None/Not documented

Numeric

1 Yes;0 No

IN-27a

DSCHRGD

What date was the patient discharged from
hospital?

IN-28a

ICD10DX

Principal discharge ICD-10-CM code

IN-29a

ADMDXSH

Clinical diagnosis related to stroke that was
ultimately responsible for this admission.
Subarachnoid hemorrhage

Numeric

1 Yes;0 No

IN-29b

ADMDXIH

Clinical diagnosis related to stroke that was
ultimately responsible for this admission.
Intracerebral hemorrhage

Numeric

1 Yes;0 No

IN-29c

ADMDXIS

Clinical diagnosis related to stroke that was
ultimately responsible for this admission.
Ischemic stroke

Numeric

1 Yes;0 No

Active bacterial or viral infection at admission or
during hospitalization. Other viral infection
Active bacterial or viral infection at admission or
during hospitalization. Emerging Infectious
Disease
Active bacterial or viral infection at admission or
during hospitalization. SARS-COV-1
Active bacterial or viral infection at admission or
during hospitalization. SARS-COV-2 (COVID19)
Active bacterial or viral infection at admission or
during hospitalization. MERS

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Date

Valid date in SAS MMDDYY10. format
(MM/DD/YYYY). MM= Month (01-12), DD=Day
(01-31) and YYYY = Year (20XX)

Character

Alphanumeric, 3 before decimal, 4 after decimal

Item
No.

Variable
Name

IN-29d

ADMDXTIA

Clinical diagnosis related to stroke that was
ultimately responsible for this admission.
Transient ischemic attack

Numeric

1 Yes;0 No

IN-29e

ADMDXSNS

Clinical diagnosis related to stroke that was
ultimately responsible for this admission. Stroke
not otherwise specified

Numeric

1 Yes;0 No

IN-29f

ADMDXNOS

Clinical diagnosis related to stroke that was
ultimately responsible for this admission. No
stroke related diagnosis

Numeric

1 Yes;0 No

IN-29g

ADMCE

Numeric

1 Yes; 0 No or Unable to determine

IN-29h

CLNTRIAL

Numeric

1 Yes; 0 No or Unable to determine

Question Prompt

Type

Was patient admitted for the sole purpose of
performance of a carotid intervention?
Was the patient enrolled in a stroke clinical
trial?

Values

IN-30a

DSCHDISP

Discharge disposition

Numeric

1 Discharged to home or self-care (routine
discharge), with or without home health,
discharged to jail or law enforcement, or to
assisted living facility;2 Discharged to home
hospice;3 Discharged to hospice in a health care
facility;4 Discharged to an acute care facility
(includes critical access hospitals, cancer and
children's hospitals, VA, and DOD hospitals;5
Discharged to another healthcare facility;6
Expired;7 Left against medical advice or
discontinued care;8 Not documented or unable
to determine

IN-30b

OHFTYPE

If discharged to another healthcare facility
above (option 5), what type of facility was it?

Numeric

1 Skilled nursing facility;2 Inpatient
rehabilitation;3 Long-term care facility, or
hospital;4 Intermediate care facility;5 Other

IN-31a

MRSSCORE

Modified Rankin Scale Score

Numeric

0 No symptoms;1 No significant disability
despite symptoms;2 Slight disability;3 Moderate
disability, can walk without assistance;4
Moderate to severe disability, needs assistance to
walk;5 Severe disability, bedridden;6 Death

IN-31b

AMBSTATD

Ambulatory status at discharge

Numeric

1 Able to ambulate independently with or without
device;2 With assistance from another person;3
Unable to ambulate;9 Not documented

IN-32a

HBPTREAT

Is there documentation that antihypertensive
medication was prescribed at discharge?

Numeric

1 Yes;0 No/Not documented;2 A documented
reason for not screening exists in the medical
record

IN-33a

LIPNONE

Numeric

1 Yes;0 No/Not documented

IN-33b

LIPSTATN

Numeric

1 Yes;0 No/Not documented

IN-33c

LIPOTHNC

Numeric

1 Yes;0 No/Not documented

IN-33d

LIPFIBRT

Numeric

1 Yes;0 No/Not documented

IN-33e

LIPOTHRX

Numeric

1 Yes;0 No/Not documented

IN-33f

LIPNIACN

Numeric

1 Yes;0 No/Not documented

IN-33g

LIPABSIN

Numeric

1 Yes;0 No/Not documented

IN-33h

LIPPCSK

Numeric

1 Yes;0 No/Not documented

No cholesterol reducing treatment prescribed at
discharge
Was a statin medication prescribed at
discharge?
If other lipid lowering medications not
prescribed, was there a documented
contraindication to other lipid lowering
medication?
Cholesterol reducing treatment prescribed.
Fibrate
Other cholesterol reducing medication
Cholesterol reducing treatment prescribed.
Niacin
Cholesterol reducing treatment prescribed.
Absorption inhibitor
Cholesterol reducing treatment prescribed.
PCSK9 inhibitor

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Item
No.

Variable
Name

IN-33i

STATNNC

If statin not prescribed, was there a
documented contraindication to statins?

Numeric

1 Yes;0 No/Not documented

IN-33j

STATNINT

What intensity was the statin that was
prescribed at discharge?

Numeric

1 High-intensity statin;2 Moderate-intensity
statin;3 Low-intensity statin;9 Unknown

IN-33k

STATNWHY

Was there a documented reason for not
prescribing the guideline recommended statin
dose?

Numeric

1 Intolerant to moderate (>75 years) or high
(<=75 years) intensity statin;2 No evidence of
atherosclerosis (cerebral, coronary, or peripheral
vascular disease);3 Other documented reason;9
Unknown

IN-34a

AFIBYN

Was atrial fibrillation/flutter or paroxysmal atrial
fibrillation (PAF), documented during this
episode of care?

Numeric

1 Yes;0 No/Not documented

IN-34b

AFIBRX

If a history of atrial fibrillation/flutter or PAF is
documented in the medical history or if the
patient experienced atrial fibrillation/flutter or
PAF during this episode of care, was patient
prescribed anticoagulation medication upon
discharge?

Numeric

1 Yes;0 No/Not documented;2 A documented
reason for not screening exists in the medical
record

IN-35a

ATHDSCYN

Was antithrombotic (antiplatelet or
anticoagulant) medication prescribed at
discharge?

Numeric

1 Yes;0 No/Not documented;2 A documented
reason for not screening exists in the medical
record

IN-35b

DC_PLT

If patient was discharged on an antithrombotic
medication, was it an antiplatelet?

Numeric

1 Yes;0 No/Not documented

IN-35c

DC_COAG

If patient was discharged on an antithrombotic
medication, was it an anticoagulant?

Numeric

1 Yes;0 No/Not documented

IN-36a

SMKCESYN

If past medical history of smoking is checked as
yes, was the adult patient or their caregiver
given smoking cessation advice or counseling
during the hospital stay?

Numeric

1 Yes;0 No or not documented in the medical
record;2 A documented reason exists for not
performing counseling

IN-37a

EDUCRF

Stroke Education. Risk factors for stroke

Numeric

1 Yes;0 No/Not documented

Numeric

1 Yes;0 No/Not documented

Numeric

1 Yes;0 No/Not documented

Numeric

1 Yes;0 No/Not documented

Question Prompt

Type

Stroke Education. Stroke Warning Signs and
Symptoms
Stroke Education. How to activate EMS for
stroke
Stroke Education. Need for follow-up after
discharge

Values

IN-37b

EDUCSSX

IN-37c

EDUCEMS

IN-37d

EDUCCC

IN-37e

EDUCMEDS

Stroke Education. Medications prescribed at
discharge

Numeric

1 Yes;0 No/Not documented

IN-38a

REHAPLAN

Is there documentation in the record that the
patient was assessed for or received
rehabilitation services?

Numeric

1 Yes;0 No

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Appendix D
DATA SUBMISSION INSTRUCTIONS
This document contains the instructions for the submission of the Data Elements (DEs):
•

The DE submission is due by 11:59pm Eastern Standard Time on the submission deadlines in
Appendix A.

•

Data files will be submitted to the Secure Access Data Management Services
(SAMS) System located at https://sams.cdc.gov

Step 1 - Log into the system with your SAMS Username and Password

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Step 2: Click on either of the two blue “Coverdell Data Portal” links under the “Paul Coverdell National
Acute Stroke Registry” header in the “My Applications” section.

Step 3: Click the “Upload” icon and choose Upload files.

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•

Submit ALL data for all cases. It is important to account for all Coverdell services
provided throughout the continuum of stroke care.
o

If your Coverdell Program does not have a DE file to submit, please notify
your CDC project officer and data team immediately.

•

For each submission, submit one SAS dataset that contains both pre-hospital and
in-hospital records that took place within the date range indicated in Appendix A.

•

Upload the submission to the SAMS system as a SAS dataset (sas7bdat). File should be
named using the following format:
o
o
o

Two-character state abbreviation followed by an underscore
Date of submission in the form of 4-digit year, 2-digit month, 2-digit day
For example, Washington State uploaded file will be named:
WA_20221015.sas7bdat.

•

Ensure the data are complete and accurate prior to the submission date. The Coverdell
TA team will contact recipients about any errors or inconsistencies identified in the
submitted data. Recipients will be asked to update their data, at a later date, to address
these issues. Then recipients will upload their data again into SAMS. The Data TA team
may follow-up about additional issues such as duplicate records, missing data,
incomplete records, and out-of-range, invalid, or discordant values.

•

For purposes of DE data reporting and analysis, CDC considers records to be “final” after a 12month period (three four-month time periods) has elapsed starting from the initial time period
associated with the record. For example, a DE record submitted on October 15, 2022, could be
updated until and including October 15, 2023.

•

If you need technical assistance, please e-mail [email protected]. Do not utilize the
SAMS e-mail feature to communicate on Coverdell data portal issues.

•

For questions or concerns about submissions please reach out the Coverdell TA team at
[email protected] and copy your project officer and CDC data team ([email protected] and
[email protected])

•

Helpful resources:
o

DE Manual: This manual specifies each of the data elements, including the
description, formatting, and how the item is used. Appendices contain guidance
on data validation, submission, and data quality. The Coverdell Data Elements
Manual is posted to AMP and can be found under the Resources Tab in Data.

Timeline for DE Submission and Corrections

Date

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225

By the submission deadline

Submit the data file including pre- and in-hospital
data elements.
The Data TA team contacts data managers
with questions about potential data quality
issues noted above.

~ 2 weeks after the submission deadline

Recipients have 1 – 2 weeks to respond to
inquiries about their DE file
~ 2 weeks after receiving the data edit report.

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Recipients may be asked to upload corrected files,
if required.

226