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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Stroke
Sub-Domain: Drugs
CRF: Thrombolytic/Reperfusion Therapies
Item count: 19 (19 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C06005
Data collected date and time
DataCollDateTime
Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed.
Date information collected
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Thrombolytic/Reperfusion Therapies
Drugs
Treatment/Intervention Data
Data collected date and time
 
Free-Form Entry
       
C14396
IV tPA initiated status
IVtPAInitiatStatus
Indicates whether Intravenous Tissue Plasminogen Activator (IV tPA) was initiated for the participant/subject at your hospital
Was IV tPA initiated at this hospital
Yes - within 0-3 hour window;Yes - within 3-4.5 hour window;No;
Yes - within 0-3 hour window;Yes - within 3-4.5 hour window;No;
Alphanumeric
Select Yes if IV tPA was given for acute ischemic stroke. Select No If IV tPA is not initiated at your hospital, even if there are documented contraindications or warnings to IV tPA. In the case that tPA is contraindicated, select No for IV tPA initiated at your hospital and select Yes for Documented Contraindications or Warnings for not initiating IV thrombolytic in either the 0-3 hour or 3-4.5 hour treatment window.

Supplemental - Highly Recommended based on study type, disease stage and disease type
Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated on 11/4/2009); Paul Coverdell National Acute Stroke Registry; The Joint Commission (TJC)
Adult;Pediatric
Supplemental–Highly Recommended
3.0
6/21/2013
Aliases for variable name not defined
Thrombolytic/Reperfusion Therapies
Drugs
Treatment/Intervention Data
IV tPA initiated status
 
Single Pre-Defined Value Selected
       
C14397
IV tPA initiated date and time
IVtPAInitiatDateTime
If Intravenous Tissue Plasminogen Activator (IV tPA) was initiated, indicates the date and time IV tPA was initiated at this hospital or ED (time of bolus administration)
Date and Time tPA initiated
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

Supplemental - Highly Recommended based on study type, disease stage and disease type
Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated on 11/4/2009); Paul Coverdell National Acute Stroke Registry; The Joint Commission (TJC)
Adult;Pediatric
Supplemental–Highly Recommended
3.0
6/21/2013
Aliases for variable name not defined
Thrombolytic/Reperfusion Therapies
Drugs
Treatment/Intervention Data
IV tPA initiated date and time
 
Free-Form Entry
       
C14398
IV tissue plasminogen activator (tPA) total dose
IVtPATtlDose
Indicates the dose of IV tissue plasminogen activator (tPA) given to the participant/subject in mg
Total IV tPA dose given
  
Numeric Values
Record the numeric dose of tPA in mg.
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Thrombolytic/Reperfusion Therapies
Drugs
Treatment/Intervention Data
IV tPA total dose
 
Free-Form Entry
0
300
milligram
    
C18927
IV tPA not started other text
IVtPANotStartOTH
The free-text field related to 'IV tPA not started reason' specifying other text. If NO Intravenous Tissue Plasminogen Activator (IV tPA) was initiated, documents reasons in the medical record for why no IV t-PA was started for the participant/subject at your hospital. Were one or more of the following reasons for not administering IV thrombolytic therapy at this hospital explicitly documented by a physician, advance practice nurse, or physician assistant's notes in the medical record?)
Other, specify
  
Alphanumeric
Choose all that apply
Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated on 11/4/2009); Paul Coverdell National Acute Stroke Registry
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Thrombolytic/Reperfusion Therapies
Drugs
Treatment/Intervention Data
 
4000
Free-Form Entry
       
C14399
IV tPA not started reason
IVtPANotStartRsn
If NO Intravenous Tissue Plasminogen Activator (IV tPA) was initiated, documents reasons in the medical record for why no IV t-PA was started for the participant/subject at your hospital. Were one or more of the following reasons for not administering IV thrombolytic therapy at this hospital explicitly documented by a physician, advance practice nurse, or physician assistant's notes in the medical record?)
Reason(s) no IV tPA started at this hospital
Active internal bleeding (<22 days);CT findings (ICH, SAH, or major infarct signs);History of intracranial hemorrhage or brain aneurysm or vascular malformation or brain tumor;Platelets <100,000, PTT> 40 sec after heparin use, or PT > 15 or INR > 1.7, or known bleeding diathesis;Recent intracranial or spinal surgery, head trauma, or stroke (<3 mo.);Recent surgery/trauma (<15 days);SBP > 185 or DBP > 110 mmHg despite treatment;Seizure at onset;Suspicion of subarachnoid hemorrhage;Subacute Bacterial Endocarditis (SBE);Advanced age;Care-team unable to determine eligibility;Glucose < 50 or > 400 mg/dl;Increased risk of bleeding due to Acute pericarditis, SBE, Hemostatic defects, Diabetic hemorrhagic retinopathy, Septic thrombophlebitis/occluded AV cannula, or currently receiving oral anticoagulants;IV or IA tPA given at outside hospital;Left heart thrombus;Life expectancy < 1 year or severe co-morbid illness or CMO on admission;Pregnancy;Patient/Family refused;Rapid improvement;Stroke severity too mild;Stroke severity - Too severe (e.g., NIHSS >22);Age > 80;Prior Stroke and Diabetes;Any anticoagulant use prior to admission (even if INR < 1.7);NIHSS > 25;CT findings of >1/3 MCA;Delay in Patient Arrival;Delay in Stroke diagnosis;In-hospital Time Delay;No IV access;Other, specify;
Active internal bleeding (<22 days);CT findings (ICH, SAH, or major infarct signs);History of intracranial hemorrhage or brain aneurysm or vascular malformation or brain tumor;Platelets <100,000, PTT> 40 sec after heparin use, or PT > 15 or INR > 1.7, or known bleeding diathesis;Recent intracranial or spinal surgery, head trauma, or stroke (<3 mo.);Recent surgery/trauma (<15 days);SBP > 185 or DBP > 110 mmHg despite treatment;Seizure at onset;Suspicion of subarachnoid hemorrhage;Subacute Bacterial Endocarditis (SBE);Advanced age;Care-team unable to determine eligibility;Glucose < 50 or > 400 mg/dl;Increased risk of bleeding due to Acute pericarditis, SBE, Hemostatic defects, Diabetic hemorrhagic retinopathy, Septic thrombophlebitis/occluded AV cannula, or currently receiving oral anticoagulants;IV or IA tPA given at outside hospital;Left heart thrombus;Life expectancy < 1 year or severe co-morbid illness or CMO on admission;Pregnancy;Patient/Family refused;Rapid improvement;Stroke severity too mild;Stroke severity - Too severe (e.g., NIHSS >22);Age > 80;Prior Stroke and Diabetes;Any anticoagulant use prior to admission (even if INR < 1.7);NIHSS > 25;CT findings of >1/3 MCA;Delay in Patient Arrival;Delay in Stroke diagnosis;In-hospital Time Delay;No IV access;Other, specify;
Alphanumeric
Choose all that apply
Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated on 11/4/2009); Paul Coverdell National Acute Stroke Registry
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Thrombolytic/Reperfusion Therapies
Drugs
Treatment/Intervention Data
IV tPA not started reason
 
Multiple Pre-Defined Values Selected
       
C14400
IV tPA at another hospital indicator
IVtPAAnotherHospitalInd
Indicates whether IV tPA was initiated for the participant/subject at an outside hospital
Was IV tPA initiated at an outside hospital
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one
Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated on 11/4/2009); Paul Coverdell National Acute Stroke Registry
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Thrombolytic/Reperfusion Therapies
Drugs
Treatment/Intervention Data
IV tPA at another hospital indicator
 
Single Pre-Defined Value Selected
       
C14401
Intra-arterial (IA) procedure initiated indicator
IAProcInitInd
Indicates whether an Intra-arterial (IA) procedure was initiated for participant/ subject at this hospital.
Was an IA procedure initiated at this hospital
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one

Supplemental - Highly Recommended based on study type, disease stage and disease type
Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated on 11/4/2009); Paul Coverdell National Acute Stroke Registry
Adult;Pediatric
Supplemental–Highly Recommended
3.0
6/21/2013
Aliases for variable name not defined
Thrombolytic/Reperfusion Therapies
Drugs
Treatment/Intervention Data
IA procedure initiated indicator
 
Single Pre-Defined Value Selected
       
C14402
Intra-arterial (IA) procedure type
IAProcTyp
If intra-arterial (IA) procedure was initiated, describes the type of intra-arterial (IA) procedure performed on participant/ subject at this hospital
Type of IA procedure
Pharmacological;Mechanical;Both;
Pharmacological;Mechanical;Both;
Alphanumeric
Choose one

Supplemental - Highly Recommended based on study type, disease stage and disease type
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
6/21/2013
Aliases for variable name not defined
Thrombolytic/Reperfusion Therapies
Drugs
Treatment/Intervention Data
IA procedure type
 
Single Pre-Defined Value Selected
       
C14403
Intra-arterial (IA) procedure groin puncture date and time
IAProcGroinPuncDateTime
Date (and time, if applicable and known) of groin puncture on the participant/ subject for the intra-arterial (IA) procedure
Date and Time of groin puncture for IA procedure
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Thrombolytic/Reperfusion Therapies
Drugs
Treatment/Intervention Data
IA procedure groin puncture date and time
 
Free-Form Entry
       
C14404
Intra-arterial (IA) catheter-based reperfusion initiated date and time
IACathBasdReperfsInitDateTime
Date (and time, if applicable and known) of last intra-arterial (IA) catheter-based reperfusion initiated for the participant/ subject at this hospital or ED
Date and Time IA catheter-based reperfusion initiated
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated on 11/4/2009); Paul Coverdell National Acute Stroke Registry
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Thrombolytic/Reperfusion Therapies
Drugs
Treatment/Intervention Data
IA catheter-based reperfusion initiated date and time
 
Free-Form Entry
       
C14405
Intervention mechanical or pharmacological last date and time
IntrvntMechnPharmacLstDateTime
Date (and time, if applicable and known) of last angiographic image or the end time for mechanical, pharmacologic intervention for the participant/subject
Date and Timeof last angio graphic image or the end time for mechanical/pharmacologic intervention
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Thrombolytic/Reperfusion Therapies
Drugs
Treatment/Intervention Data
Intervention mechanical or pharmacological last date and time
 
Free-Form Entry
       
C14406
Intra-arterial (IA) catheter-based reperfusion other hospital indicator
IACathBasdReperfsnOthHospInd
Indicates whether intra-arterial (IA) catheter-based reperfusion was initiated for the participant/subject at an outside hospital
Was IA catheter-based reperfusion initiated at an outside hospital
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one
Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated on 11/4/2009); Paul Coverdell National Acute Stroke Registry
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Thrombolytic/Reperfusion Therapies
Drugs
Treatment/Intervention Data
IA catheter-based reperfusion at another hospital indicator
 
Single Pre-Defined Value Selected
       
C14407
Intra-sinus intervention indicator
IntrasinIntrvntInd
Indicates whether the participant/subject received any intra-sinus (i.e., for cerebral venous thrombosis) intervention
Was an intra-sinus intervention performed
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Thrombolytic/Reperfusion Therapies
Drugs
Treatment/Intervention Data
Intra-sinus intervention indicator
 
Single Pre-Defined Value Selected
       
C14408
Intra-sinus procedure type
IntrasinProcedTyp
If intra-sinus (i.e., for cerebral venous thrombosis) intervention was received, specifies the type of intra-sinus procedure performed on at this hospital
Type of intra-sinus procedure
Pharmacological;Mechanical;Both;
Pharmacological;Mechanical;Both;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Thrombolytic/Reperfusion Therapies
Drugs
Treatment/Intervention Data
Intra-sinus procedure type
 
Single Pre-Defined Value Selected
       
C14409
Intra-sinus intervention groin puncture date and time
IntrasinIntrvntGrnPuncDateTime
Date (and time, if applicable and known) of groin puncture on the participant/ subject for intra-sinus intervention
Date and Time of groin puncture for intra-sinus procedure
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Thrombolytic/Reperfusion Therapies
Drugs
Treatment/Intervention Data
Intra-sinus intervention groin puncture date and time
 
Free-Form Entry
       
C14410
Intra-sinus intervention initiated date and time
IntrasinIntrvntInitiatDateTime
Date (and time, if applicable and known) intra-sinus (IS) intervention (i.e., for cerebral venous thrombosis) was initiated at this hospital or ED
Date and Time intra-sinus intervention initiated
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Thrombolytic/Reperfusion Therapies
Drugs
Treatment/Intervention Data
Intra-sinus intervention initiated date and time
 
Free-Form Entry
       
C58579
Investigational or experimental protocol for thrombolysis text
InvestExpProtThrombolysTxt
Free-text field to specify what type of investigational thrombolytic protocol was used during provision of care
If YES, specify:
  
Alphanumeric
No instructions available
Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated on 11/4/2009); Paul Coverdell National Acute Stroke Registry
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Thrombolytic/Reperfusion Therapies
Drugs
Treatment/Intervention Data
  
Free-Form Entry
       
C14411
Investigational or experimental protocol for thrombolysis indicator
InvestExpProtThrombolysInd
Whether medical records suggest some kind of investigational thrombolytic protocol was used during provision of care
Do the medical records suggest any type of investigational or experimental protocol for thrombolysis was used during provision of care
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one. If yes, explain the protocol used.
Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated on 11/4/2009); Paul Coverdell National Acute Stroke Registry
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Thrombolytic/Reperfusion Therapies
Drugs
Treatment/Intervention Data
Investigational or experimental protocol for thrombolysis indicator
 
Single Pre-Defined Value Selected
       
03-25-2019
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