Data Dictionary Demo - Stroke

Welcome to the Stroke Data Dictionary Demo

This demonstration provides standardized forms for collecting stroke-related data according to the ICHOM Stroke Data Dictionary.

About the Stroke Data Dictionary Demo

This demonstration showcases the comprehensive data collected with the ICHOM Stroke Data Set. The forms in this system are designed to demonstrate the types of data collected about stroke patients, their treatments, and outcomes. The data dictionary has been organized into separate forms based on the reporting source to make data collection more efficient and targeted for different stakeholders in the stroke care process.

Instructions for Use

Please select the appropriate form based on your role in the stroke care process and the type of data you are reporting. Each form contains fields specific to that reporting source category. Required fields are marked with an asterisk (*).

  • Patient-reported forms: To be completed by patients or their caregivers
  • Clinical forms: To be completed by healthcare providers
  • Administrative forms: To be completed by administrative staff
  • Combined forms: For data that may come from multiple sources

After completing a form, click the "Submit" button to save the data. You can also print the form for your records or reset the form to clear all entered data.

Available Forms

Patient-Reported

Form for data reported directly by patients or their caregivers. Includes questions about living situation, functional status, and quality of life.

Open Form Patient Demo

Clinical

Form for data collected by healthcare providers. Includes clinical assessments, treatments, and medical history.

Open Form

Administrative Data

Form for administrative data collection. Includes demographic information, admission details, and discharge information.

Open Form

Administrative or Clinical

Form for data that may be collected from either administrative or clinical sources.

Open Form

Patient-Reported or Administrative

Form for data that may be collected from either patients or administrative sources.

Open Form

Patient-Reported, Clinical, or Administrative

Form for data that may be collected from patients, clinical staff, or administrative sources.

Open Form

Clinical, Patient-Reported, or Administrative

Form for data that may be collected from clinical staff, patients, or administrative sources.

Open Form

Administrative Data (Death Registry)

Form specifically for data collected from death registries or similar administrative sources.

Open Form

Data Privacy Notice

All data collected through these forms should be handled in accordance with applicable privacy laws and regulations. Please ensure that patient consent has been obtained where required and that data is stored securely.