The New Jersey Acute Stroke Registry (njasr), Version 1 Data Collection Manual Effective Date: January 1, 2014 Last Revised Date: October 1, 2016



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APPENDIX VIII (CONT.)


Item

Variable name

Text Prompt

Field Type
Legal Values

Was there documentation that the patient and/or caregiver received education and/or resource materials regarding all of the following:

186

EducRF

Personal modifiable risk factors for stroke

Numeric

1 = Yes

0 = No/ Not documented



187

EducSSx

Stroke warning signs and symptoms

Numeric

1 = Yes

0 = No/ Not documented



188

EducEMS

How to activate EMS for stroke

Numeric

1 = Yes

0 = No/ Not documented



189

EducCC

Need for follow-up after discharge

Numeric

1 = Yes

0 = No/ Not documented



190

EducMeds

Their prescribed medications

Numeric

1 = Yes

0 = No/ Not documented



191

RehaPlan

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

Numeric

1 = Yes

0 = No/ Not documented



192

Rehrecei

Received rehabilitation services during hospitalization

Numeric

1 = Yes

0 = No


193

Rehtrans

Transferred to rehabilitation facility

Numeric

1 = Yes

0 = No


194

Rehrefer

Referred to rehabilitation services following discharge

Numeric

1 = Yes

0 = No


195

Rehineli

Patient ineligible to receive rehabilitation services because symptoms resolved

Numeric

1 = Yes

0 = No


196

RehineliPP

Was patient ineligible to receive rehabilitation services due to impairment?

Numeric

1 = Yes

0 = No


197

mRSDone

Was Modified Rankin Scale done at discharge?

Numeric

1 = Yes

0 = No/ND



198

ModRank

If Modified Rankin was done at discharge, what was the score?

Numeric

0 = No Symptoms at all

1 = No significant disability despite symptoms; able to carry out all usual duties and activities

2 = Slight disability, unable to carry out previous activities, but able to look after own affairs without assistance

3 = Moderate disability, requiring some help, but able to walk without assistance

4 = Moderately severe disability, unable to walk without assistance and unable to attend to own bodily needs without assistance

5 = Severe disability; bedridden, incontinent and requiring constant nursing care and attention



6 = Dead

APPENDIX VIII (CONT.)


Item

Variable name

Text Prompt

Field Type
Legal Values

199

Reserved1










200

Reserved2










201

Reseverd3










202

Reserved4










203

Reserved5










204

Reserved6










205

Reserved7










207

Reversed8










208

Reserved9










209

Reserved10










210

Reserved11










211

Reserved12










212

Reserved13










213

Reserved14










214

Reserved15











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