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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: History of Disease/Injury Event
CRF: Pre-Hospital/Emergency Medical Service (EMS) Course
Item count: 22 (22 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
C14223
Emergency Medical Services (EMS) service highest level type
EMSServiceHighestLevelTyp
Highest level of emergency medical service (EMS) provided
Highest level of EMS service
ALS;BLS;Flight nurse;MD;Paramedic;Unknown;
Advanced life support or equivalent;Basic life support or equivalent;;MD;Paramedic or equivalent;Unknown;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
EMS service highest level type
 
Single Pre-Defined Value Selected
       
C14200
Emergency Medical Services (EMS) call received date and time
EMSCallRecvdDateTime
Date and time first call was received by the Emergency Medical Services (EMS) dispatcher OR date and time of EMS vehicle dispatch as recorded on the EMS trip sheet or other similar documentation.
Date and Time first call received by EMS
  
Date or Date & Time
This data element is looking to capture the date and time that EMS was first called to the scene of the stroke (and not meant to capture those patients that are transferred between hospitals via EMS). If a patient is transported by EMS from the scene of the stroke to an outside hospital and is then transferred to EMS to your hospital, enter the time when the first call was received by the EMS.
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.).
Paul Coverdell National Acute Stroke Registry
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
EMS call received date and time
 
Free-Form Entry
       
C14201
Emergency Medical Services (EMS) dispatch date and time
EMSDispatchDateTime
This refers to the date when Emergency Medical Services (EMS) transport (either by ground or air) leaves the station to pick up the patient for transport.
Date and Time of EMS dispatch
  
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
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
EMS dispatch date and time
 
Free-Form Entry
       
C14202
Emergency Medical Services (EMS) dispatch priority type
EMSDispatchPriorityTyp
For EMS systems where there is prioritizing of calls, this item would capture what level of prioritization was assigned to the transport at dispatch.
EMS dispatch priority
High acuity;Moderate acuity;Other;Unknown;
the highest level assigned to life-threatening illnesses;the next highest level indicating urgent but not life-threatening illnesses;Other;Unknown;
Alphanumeric
Choose one.
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
EMS dispatch priority type
 
Single Pre-Defined Value Selected
       
C14203
Emergency Medical Services (EMS) dispatch type code
EMSDispatchTypeCode
For EMS systems where there is use of a designated stroke dispatch code, this item would capture what code was assigned to the transport at dispatch.
EMS dispatch type/code
Stroke;Other, specify;
stroke or equivalent designation;a non-stroke code which is then able to be captured as free text if desired;
Alphanumeric
Choose one. Specify if 'Other'
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
EMS dispatch type code
 
Single Pre-Defined Value Selected
       
C18907
Emergency Medical Services (EMS) dispatch type other text
EMSDispatchTypeOTH
The free-text field related to 'Emergency Medical Services (EMS) dispatch type code' specifying other text. For EMS systems where there is use of a designated stroke dispatch code, this item would capture what code was assigned to the transport at dispatch.
Other, specify
  
Alphanumeric
Choose one. Specify if 'Other'
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
 
4000
Free-Form Entry
       
C14204
Emergency Medical Services (EMS) vehicle type
EMSVehicleTyp
This refers to the Emergency Medical Services (EMS) vehicle that is used to transport the patient to the hospital. Choose one response.
Type of EMS vehicle
Ground;Air;Other;Unknown;
Ground;Air;Other;Unknown;
Alphanumeric
Choose one.
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
EMS vehicle type
 
Single Pre-Defined Value Selected
       
C14205
Emergency Medical Services (EMS) scene arrival date and time
EMSSceneArrvlDateTime
This refers to the date/time when the Emergency Medical Services (EMS) vehicle arrives on the scene to transport the patient to the hospital.
Date and Time of EMS arrival at scene
  
Date or Date & Time
This data element refers to the original scene and is not applicable to inter-facility transport or to patients arriving by means other than EMS. Note that EMS includes response by volunteer and professional paramedics, EMTs, fire, police and other municipal service officers responding to 911 calls.
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
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
EMS scene arrival date and time
 
Free-Form Entry
       
C14206
Emergency Medical Services (EMS) scene departure date and time
EMSSceneDepartureDateTime
Date and time the EMS vehicle departs with the patient from the scene to take the patient to the hospital.
Date and Time of EMS departure from scene
  
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
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
EMS scene departure date and time
 
Free-Form Entry
       
C14207
Pre-hospital stroke identification screen indicator
PrehospStrokeIdScreenInd
Whether a pre-hospital identification stroke screen was documented by EMS personnel. Pre-hospital stroke identification screens are defined as published validated screening algorithms or those required by state EMS agencies (e.g., LAPSS, CPSS, MASS, etc.).
Was a pre-hospital identification stroke screen documented by EMS personnel
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one. 'Unknown' means not documented or cannot be determined.
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
Pre-hospital stroke identification screen indicator
 
Single Pre-Defined Value Selected
       
C14208
Pre-hospital neurological impairment scale indicator
PrehospNeuroImpairScaleInd
Whether a pre-hospital neurologic impairment scale screen was documented by EMS personnel. Pre-hospital neurologic impairment scales are defined as published validated scales or those required by state EMS agencies (e.g., GCS for suspected hemorrhagic stroke or any stroke with impaired consciousness, Los Angeles Motor Scale, etc.).
Was a pre-hospital neurologic impairment screen documented by EMS personnel
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
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
Pre-hospital neurological impairment scale indicator
 
Single Pre-Defined Value Selected
       
C01001
Glasgow Coma Scale (GCS) - motor response scale
GCSMotorRespnsScale
Glasgow Coma Scale (GCS) - Best motor response (M). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response.
GCS Motor Response
1;2;3;4;5;6;Untestable;Unknown;
No motor response;Abnormal extension/Extensor response;Abnormal flexion;Flexion withdrawal/withdraws from pain;Localizes pain;Obeys command;Untestable;Unknown;
Alphanumeric
This element should be collected along with the other elements from the Glasgow Coma Scale (GCS).
Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872):81-4.
Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrollment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2):270-80.
Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004:21(9):1131-40.
Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1):161-2.
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
GCS Motor response
 
Single Pre-Defined Value Selected
       
C01002
Glasgow Coma Scale (GCS) - verbal response scale
GCSVerbalRspnsScale
Score that describes the participant's verbal response according to the Glasgow Coma Scale (GCS)
GCS Verbal Response
1;2;3;4;5;Untestable;Unknown;
No verbal response/sounds;Incomprehensible sound;Inappropriate words;Confused;Oriented;Untestable;Unknown;
Alphanumeric
The form related to this CDE is contains CRFs utilized before the study participant/ subject is seen at a hospital for the stroke event and elements related to the emergency medical services (EMS) course. The Glasgow Coma Scale (GCS) and Los Angeles Motor Scale (LAMS) are included to record information about the participant’s/ subject’s neurological impairment prior to being admitted at a hospital. (Examples of CDEs included: Level of EMS Service; Pre-hospital stroke identification screen; and Pre-hospital neurological impairment scale)
Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872):81-4.
Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrollment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2):270-80.
Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004:21(9):1131-40.
Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1):161-2.
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
GCS Verbal response
 
Single Pre-Defined Value Selected
       
C01000
Glasgow Coma Scale (GCS) - eye response scale
GCSEyeRespnsScale
Glasgow Coma Scale (GCS) - Best eye response (E). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response.
GCS Eye Opening
1;2;3;4;Untestable;Unknown;
No eye opening;Eye opening to pain;Eye opening to speech/verbal command;Eyes open spontaneously;Untestable;Unknown;
Alphanumeric
This element should be collected along with the other elements from the Glasgow Coma Scale (GCS).
Intubation and severe facial/eye swelling or damage make it impossible to test the verbal and eye responses. In these circumstances, the score is given as 1 with a modifier attached e.g. 'E1c' where 'c' = closed, or 'V1t' where t = tube. A composite might be 'GCS 5tc'. This would mean, for example, eyes closed because of swelling = 1, intubated = 1, leaving a motor score of 3 for 'abnormal flexion'. Often the 1 is left out, so the scale reads Ec or Vt.
Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872):81-4.
Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrollment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2):270-80.
Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004:21(9):1131-40.
Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1):161-2.
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
GCS Eye response
 
Single Pre-Defined Value Selected
       
C01016
Glasgow Coma Scale (GCS) - total score
GCSTotalScore
Glasgow Coma Scale (GCS) - Total Score. The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. The total score is the sum of the scores for the three response types. (3-15)
GCS Total Score
3;4;5;6;7;8;9;10;11;12;13;14;15;Untestable;Unknown;
3;4;5;6;7;8;9;10;11;12;13;14;15;Untestable;Unknown;
Alphanumeric
Add scores for eye opening, motor response, and verbal response. Total should be between 3-15 points----http://www.glasgowcomascale.org/faq/ ----*Dealing with missing information: There are various different strategies for dealing with information that is missing because of factors interfering with assessment such as those described above. 1.Assess, communicate and make decisions using the remaining components. Although guidelines are often expressed in terms of a total GCS ‘score,’ the trend in whichever of the components (eye, motor or verbal) can be assessed is still valuable. 2.Do not use number ‘1’ to record missing component; use ‘NT’ (Not testable). 3.Do not report a total score when a component is Not Testable because the score will be low and this could be confusing to medical colleagues. This may also imply that the patient is more unwell than they actually are. 4.It is possible using statistical methods to estimate a missing component from the findings in the other components. This is probably more relevant to research than clinical practice. ----Supplemental - Highly Recommended based on study type, disease stage and disease type.
Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872):81-4. ---
Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrollment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2):270-80.---
Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004:21(9):1131-40 ---
Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1):161-2.
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/20/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
GCS Total score
 
Single Pre-Defined Value Selected
       
C14209
Los Angeles Motor Scale (LAMS) - facial smile or grimace result
LAMSFacSmlGrimReslt
Assess the facial smile/ grimace using the Los Angeles Motor Scale (LAMS).
LAMS Facial Smile/ Grimace
0;1;
Normal / Facial droop absent;Facial droop present (right and/or left side);
Numeric values
This element should be collected along with the other elements from the Los Angeles Motor Scale (LAMS).
Llanes JN, Kidwell CS, Starkman S, Leary MC, Eckstein M, Saver JL. The Los Angeles Motor Scale (LAMS): a new measure to characterize stroke severity in the field. Prehosp Emerg Care 2004; Jan-Mar; 8 (1): 46-50.
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
LAMS facial smile or grimace result
 
Single Pre-Defined Value Selected
       
C14622
Los Angeles Motor Scale (LAMS) - facial smile or grimace abnormal type
LAMSFacSmlGrimAbnrmlTyp
Type of abnormal facial smile or grimace observed during administration of the Los Angeles Motor Scale (LAMS)
LAMS Facial Smile/ Grimace
Right Droop;Left Droop;
Right Droop;Left Droop;
Alphanumeric
Choose all that apply
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
LAMS facial smile or grimace abnormal type
 
Multiple Pre-Defined Values Selected
       
C14210
Los Angeles Motor Scale (LAMS) - grip result
LAMSGripReslt
Assess the grip using the Los Angeles Motor Scale (LAMS).
LAMS Grip
0;1;2;
Normal grip strength;Weak grip (right and/or left side);No grip (right and/or left side);
Numeric values
If not normal, Choose one choice for the right side and one for the left.

This element should be collected along with the other elements from the Los Angeles Motor Scale (LAMS).
Llanes JN, Kidwell CS, Starkman S, Leary MC, Eckstein M, Saver JL. The Los Angeles Motor Scale (LAMS): a new measure to characterize stroke severity in the field. Prehosp Emerg Care 2004; Jan-Mar; 8 (1): 46-50.
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
LAMS grip result
 
Single Pre-Defined Value Selected
       
C14623
Los Angeles Motor Scale (LAMS) - grip abnormal type
LAMSGripAbnrmlTyp
Type of abnormal grip observed during administration of the Los Angeles Motor Scale (LAMS)
LAMS Grip
Right Weak Grip;Right No Grip;Left Weak Grip;Left No Grip;
Right Weak Grip;Right No Grip;Left Weak Grip;Left No Grip;
Alphanumeric
Choose all that apply
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
LAMS grip abnormal type
 
Multiple Pre-Defined Values Selected
       
C14211
Los Angeles Motor Scale (LAMS) - arm strength result
LAMSArmStrgthReslt
Assess the arm strength using the Los Angeles Motor Scale (LAMS). Check all that apply.
LAMS Arm Strength
0;1;2;
Arm drift absent;Arm (left and/or right) drifts down;Arm (left and/or right) falls rapidly;
Numeric values
If not normal, Choose one choice for the right side and one for the left

This element should be collected along with the other elements from the Los Angeles Motor Scale (LAMS).
Llanes JN, Kidwell CS, Starkman S, Leary MC, Eckstein M, Saver JL. The Los Angeles Motor Scale (LAMS): a new measure to characterize stroke severity in the field. Prehosp Emerg Care 2004; Jan-Mar; 8 (1): 46-50.
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
LAMS arm strength result
 
Single Pre-Defined Value Selected
       
C14624
Los Angeles Motor Scale (LAMS) - arm strength abnormal type
LAMSArmStrgthAbnrmlTyp
Type of abnormal arm strength observed during administration of the Los Angeles Motor Scale (LAMS)
LAMS Arm Strength
Right Drift Down;Right Falls Rapidly;Left Drifts Down;Left Falls Rapidly;
Right Drift Down;Right Falls Rapidly;Left Drifts Down;Left Falls Rapidly;
Alphanumeric
Choose all that apply
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
LAMS arm strength abnormal type
 
Multiple Pre-Defined Values Selected
       
C14212
Los Angeles Motor Scale (LAMS) - total score
LAMSTtlScore
Indicate the Los Angeles Motor Scale (LAMS) total score
LAMS Total Score
  
Numeric Values
This element should be collected along with the other elements from the Los Angeles Motor Scale (LAMS).
The minimum possible score on the LAMS is 0 and the maximum possible score is 5.
Llanes JN, Kidwell CS, Starkman S, Leary MC, Eckstein M, Saver JL. The Los Angeles Motor Scale (LAMS): a new measure to characterize stroke severity in the field. Prehosp Emerg Care 2004; Jan-Mar; 8 (1): 46-50.
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Medical Service (EMS) Course
History of Disease/Injury Event
Disease/Injury Related Events
LAMS total score
 
Free-Form Entry
0
5
     
01-16-2019
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