Data Dictionary Demo - Stroke
Home
Administrative data Form
Please complete all required fields marked with an asterisk (*)
Date of index admission
Date of admission for index event
Date of discharge
Date of discharge from acute care hospital
Rehabilitation post acute care
Did the post-acute care include dedicated stroke rehabilitation? Dedicated stroke rehabilitation during post-acute care, either hospital based or out patient/home based
No
Yes
Unknown
Discharge destination following acute care hospitalization
What type of place was the patient discharged to? Indicate the patient’s discharge destination from acute care hospital
-- Please select --
Home or community dwelling (not home hospice)
Residential facility
Dedicated inpatient rehabilitation facility
Another acute care hospital
Patient died in hospital
Other
Unknown
Back to Home
Reset Form
Submit